Managed Care Mag May 28, 2019
States want managed Medicaid insurers to do more to address the social determinants of health (SDOH), and the plans should use value-based payment as one way to do it, according to an issue brief by Manatt Health, a law firm that specializes in health care. Nearly all states are expected to renew Medicaid contracts in the next year and such bargaining will be an “opening [for states] to integrate SDOH strategies,” according to the issue brief.
The traditional “screen-and-refer” method is giving way to a “close loop” approach, where the insurer must follow up to see if a beneficiary’s health has actually improved as a result of being connected to a social or community organization.
“Recognizing that screenings and referrals...
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