Social Determinants are Core of North Carolina's Medicaid Overhaul

Social Determinants are Core of North Carolina's Medicaid Overhaul

"North Carolina is trying to make taking care of patients' social and environmental needs a sustainable, everyday part of a healthcare organization's workflow, Dr. Mandy Cohen, the secretary of the North Carolina's Health and Human Services Department, explained Friday at Modern Healthcare's Women Leaders in Healthcare conference in Nashville. She described the goal as buying health—not healthcare. 

Looking beyond what happens in the hospital or clinic is becoming the financial imperative for U.S. healthcare organizations as they move toward alternative payment models and take on more financial risk for a patient's health, said Cohen, who took on the role of secretary in January 2017 after serving as chief operating officer and chief of staff at the CMS during the Obama administration..."

Shelby Livingston | August 3, 2018

To read the full article, please click here. This piece appears in Modern Healthcare.

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Overcoming Challenges to Medicaid Investments in Social Determinants of Health

Medicaid and other payers are recognizing that health outcomes and costs are driven by factors beyond clinical care. These factors are rooted in the community and include issues such as housing, food security, transportation, and the neighborhood environment in which people live, learn, play, pray, and work. Through an initiative sponsored by the Robert Wood Johnson Foundation, Payment Reform for Population Health, AcademyHealth partnered with the Nemours Children’s Health System to work with Maryland, Oregon, and Washington State to address the payment challenge. Specifically, they worked with states to explore current Medicaid authorities to promote and provide prevention services in community settings, cover upstream prevention benefits such as assessing a home for asthma triggers, and deliver services using nontraditional community-based providers.

Enrique Martinez-Vidal, Debbie I. Chang, Tricia McGinnis | June 13, 2018

This piece appears in the Health Affairs blog.

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