Manatt Health March 20, 2019
Social determinants of health (SDOH) are conditions in the environments in which people are born, live, learn, work, play, worship and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks. There is increasing evidence that these nonclinical and social factors play a role in people’s health that is as important as, if not more important than, medical care.i Accordingly, as insurers are pressed to improve the health of their beneficiaries and reduce costs, plans are looking for ways to integrate social interventions into their coverage, payment and delivery models.
The federal government has given new flexibilities to Medicare Advantage (MA) plans to address SDOH within their benefit packages. However, these flexibilities may not be broad...
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