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May 22, 2020
State Health Policy Leadership Delivery System Reform Medicaid Social Determinants of Health
Sep 26, 2023
Feb 22, 2023
Mar 15, 2022
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State Medicaid programs are experimenting with two vital trends in health policy—value-based payment (VBP) and interventions intended to address social determinants of health (SDOH). We analyzed the policy levers employed by states through their Medicaid accountable care organizations (ACOs) to incorporate requirements and incentives for ACO providers to address SDOH. The policy approaches fall into three main categories: (1) requirements that providers screen for social risks; (2) requirements or incentives for partnering with social service organizations; and (3) requirements or incentives for SDOH-associated quality metrics.
As states marry VBP and SDOH interventions through their Medicaid ACOs, key policy considerations include:
Read the report.
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An endowed operating foundation that engages in nonpartisan analysis, collaboration, and communication, with an emphasis on state health policy.