Social Determinants of Health

More MA Plans Offering Benefits for Members with Chronic Diseases

by Kelsey Waddill

In 2021, the number of Medicare Advantage members who enrolled in plans with additional supplemental benefits for members who have chronic diseases spiked dramatically, Avalere researchers found in a...

ACA, Medicaid Expansion Reduced Income Inequality, SDOH By 10%

by Hannah Nelson

Affordable Care Act (ACA) expansion led to reduced income inequality, especially in states that enhanced Medicaid, according to a new study published in Health Affairs. Additionally, the ACA reduced...

Payers Kick Off 2021 Investments in Social Determinants of Health

by Kelsey Waddill

Payers have started announcing partnerships and investments for 2021 that aim to address social determinants of health, particularly food scarcity, housing insecurity, and health equity. Some experts...

CMS Outlines Medicaid Social Determinants of Health Flexibilities

by Kelsey Waddill

CMS has released a new roadmap outlining how states can improve social determinants of health and reinforce their value-based care approach using Medicaid flexibilities. “The new guidance...

SDOH Awareness, Care Coordination Key to Payer Leader Development

by Kelsey Waddill

Payers that are looking to develop strong healthcare leaders should focus on strengthening learners' care coordination and social determinants of health awareness. Payers and healthcare...

3 Payers Rank Among the Top 25 Employers for COVID-19 Response

by Kelsey Waddill

In an assessment of American employers across industries, three payers stood out as performing excellently in their corporate coronavirus response, according to a ranking by Forbes and...

New Aetna Pilot Aims To Improve Medicaid Member Engagement, SDOH

by Kelsey Waddill

Aetna’s new partnership leverages the pharmacist-patient relationship to improve Aetna’s Medicaid member engagement and better address social determinants of health, CVS Health announced...

BCBSIL Pursues Health Equity With Pilot Program And Diversity Institute

by Hannah Nelson

Blue Cross and Blue Shield of Illinois (BCBSIL) has partnered with hospitals across the state in a new program that seeks to pursue health equity by focusing on mitigating health disparities for racial...

Lessons from Medicaid on Social Determinants of Health Innovation

by Kelsey Waddill

The coronavirus pandemic has forced social determinants of health even further into the spotlight and Medicaid programs have responded to the increasing demands with innovative solutions, a Manatt...

Top 5 Social Determinants of Health Domains for Payers to Address

by Kelsey Waddill

There are five social determinants of health domains, according to the Office of Disease Prevention and Health Promotion (ODPHP) Healthy People 2030 website. While certain domains will at times require...

Payers Integrate Virtual, In-Person Social Determinants Support

by Kelsey Waddill

When Blue Shield Promise and LA Care shut down their in-person community resource centers in March 2020, they leveraged virtual platforms to connect members with social determinants of health...

Big Premium Drop, More Medicare Advantage Benefits Slated for 2021

by Kelsey Waddill

As Medicare Advantage plans prepare to expand their benefits in 2021, CMS expects premiums to drop 34.2 percent from 2017 levels in the new year. “The Medicare Advantage average monthly premium...

Humana Launches Two More Value-Based Program for Specialty Care

by Kyle Murphy, PhD

The Louisville-based health payer is looking to build on its success in transitioning providers and members to value-based care with the announcement of two new models and twelve inaugural...

4 Strategies to Advance Value-Based Care During and After a Crisis

by Kelsey Waddill

How do major disruptions affect the US healthcare system’s progress toward value-based care? A recession, a widespread natural disaster, a public health emergency—significant national events like these have the power to build...

Payer Seeks to Democratize Social Determinants of Health Data

by Kelsey Waddill

Blue Shield of California has partnered with a third-party vendor to make social determinants of health data accessible to anyone. Payers and providers talk extensively about sharing social...

4 Population Health Strategies Payers Use for Back to School

by Kelsey Waddill

As fall approaches and the coronavirus continues to affect daily life, parents must decide whether and how to send their children back to school and payers must consider population health strategies...

Payers Redesign Referral Networks for Social Determinants of Health

by Kelsey Waddill

As Blue Cross and Blue Shield of Kansas City (Blue KC) relied on its social needs referral network to meet regional social determinants of health demands during the coronavirus pandemic, the payer...

WellCare Offers SDOH Support for Seniors Through End of 2020

by Kelsey Waddill

WellCare, a subsidiary of Centene Corporation, announced a new partnership lasting through December 2020 that aims to bolster Medicare Advantage the social determinants of health support through better...

Dual-Eligible ERSD Patients Yield High Costs for Payers

by Kelsey Waddill

Dual eligibles with end-stage renal disease (ESRD) differ from non-duals in demographic factors as well as healthcare spending characteristics, but their healthcare utilization rates are the same as...