Commonwealth Fund November 29, 2017
David Machledt

Toplines

  • Revised regulations for Medicaid managed care empower states to cover social services needed to promote good health
  • Medicaid plans are required to coordinate with community providers to address social needs like housing security

Abstract

  • Issue: With its emphasis on coordinated care and prevention, managed care should be tailor-made to tackle social determinants of health. But various challenges discourage Medicaid health plans and providers from assisting beneficiaries with nonmedical concerns such as housing insecurity or parenting skills that are integral to improving health outcomes and lowering costs. To better address these social factors, the Centers for Medicare and Medicaid Services (CMS) updated its Medicaid managed care rule in early 2016.
  • Goal: To explore the...

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