NEJM June 27, 2019
In my position as Pennsylvania’s Secretary of Human Services, I’ve thought a lot about the many factors that contribute to a person’s health, and about the role of managed care organizations and health care providers in helping patients to access food, housing, education, and employment services. This is a conversation happening around the country, as we collectively realize that a person’s health — and health care spending — are impacted by so much more than what happens in a doctor’s office. If we want to deliver efficient, effective health care, we can’t ignore the social and environmental factors known as social determinants of health.
When someone presents at an emergency department, doctor’s office, or treatment facility, it’s critical that we...
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