Commonwealth Fund January 31, 2018
Deborah Bachrach, Jocelyn Guyer, Sarah Meier, John Meerschaert, Shelly Brandel

Toplines

Social factors affect health care outcomes and spending, but Medicaid traditionally has not covered or reimbursed for social interventions

There are Medicaid managed care plan and provider investment options available for states to address social drivers of health

Abstract

  • Issue:It is widely recognized that social factors, such as unstable housing and lack of healthy food, have a substantial impact on health outcomes and spending, particularly with respect to lower-income populations. For Medicaid, now dominated by managed care, this raises the question of how states can establish managed care rates to sustain investments in social supports.
  • Goal:To explore practical strategies that states can deploy to support Medicaid managed care plans and their network providers in addressing social issues.
  • Methods:Literature...

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