HFMA June 12, 2019
- Providers in Medicare Advantage plan networks have seen some savings in non-healthcare cost drivers.
- An industry leader expects the number of recently filed plans targeting SDOH to surge for the 2020 plan year.
- SDOH initiatives are more likely to be offered by plans and providers with experience in such services.
Medicare health plans have increasing authority to grapple with the social determinants of health, and more are pursuing such initiatives.
Medicare Advantage (MA) plans commonly implement risk-based contracts with providers in their networks for the total cost of enrollees’ care. And plans have seen a growing number of contracted providers add programs aimed at addressing the social determinants of health (SDOH), said a leading advocate for MA plans.
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