Social Drivers of Health

North Carolina’s Healthy Opportunities Pilots (HOP) program, which was paused in July 2025 due to state funding constraints, tested whether providing evidence-based services to address upstream drivers of health for eligible Medicaid members could improve health outcomes, reduce costs, and address disparities in three predominantly rural regions of the state. More

Public programs have increasingly sought to address health-related social needs that create barriers to care and health disparities and drive health care costs. For instance, several state Medicaid programs now cover medically tailored meals, housing supports, and non-emergency transportation through managed care and demonstration waivers. More

Recent federal policy reforms and funding reductions pose significant challenges to state Medicaid programs. These changes will likely disrupt Medicaid agencies’ investments in innovative initiatives — such as efforts to address upstream drivers of health and modernize health information technology — that drive progress toward advancing high-quality, accessible, and cost-effective care. More

North Carolina’s much-heralded Medicaid experiment, which addressed social drivers of health like food, housing, and transportation more broadly and systematically than in other states, is on the brink. More

Which companies have the biggest impact on Americans’ health? Drug companies? Hospital systems? What about restaurant chains like McDonald’s or… More

Some payers are pursuing strategies beyond traditional health care systems by focusing on public benefit programs like the Supplemental Nutrition Assistance Program (SNAP) and the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). However, there is an intuitive but underutilized partner for payers seeking to increase SNAP and WIC uptake among their members: grocery stores. More