Managed Healthcare Executive June 27, 2022
Kim Glenn

Medicaid managed care organization (MCOs) may be better equipped to address social determinants of health (SDOH) and health equity than payers who use fee-for-service models because SDOH are central to many requirements for MCOs, including those pertaining to population health management, health equity and care coordination.

The role of homecare providers is central as the industry transitions to value-based care. Rather than reimbursing providers based on the quantity of services delivered, value-based care rewards providers for the quality of their services and their impact on member outcomes.

However, when considering factors that impact the health of a member receiving care in the home, the quality of care that a provider delivers is not the only factor in ensuring a member...

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Topics: Equity/SDOH, Healthcare System, Insurance, Medicaid, Patient / Consumer, Payer, Payment Models, Provider, Value Based
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