Social Determinants of Health

6 COVID-19 Social Determinants of Health Payers Pivoted to Meet

by Kelsey Waddill

Payers are finding new ways to tackle social determinants of health as new challenges emerge, America’s Health Insurance Plans (AHIP) explained. Much of the common knowledge that payers have...

Tufts Health Plan Expands Substance Abuse Care Coverage

by Kelsey Waddill

Tufts Health Plan is improving its coverage for substance abuse care for both commercial and government Tufts Health Plan members through a partnership with Recovery Centers of America...

How Payers Scale Social Determinants of Health Goals

by Kelsey Waddill

Payer social determinants of health strategies are moving into a new phase, as Humana’s latest Bold Goal report demonstrated. Over the past few years, payers have gained deeper knowledge about...

How To Scale A Telehealth Strategy: Pilots, Providers, and Payment

by Kelsey Waddill

Updated 6/18/2020: The new Blue Shield of California initiative is for Blue Shield of California members. A previous version of this article said the initiative served Blue Cross Blue Shield...

BCBS Deal Collaborates to Gather Population Health Data

by Kelsey Waddill

Blue Cross Blue Shield of Rhode Island (BCBRI) is collaborating with behavioral healthcare provider partners to gather and leverage population health data. The payer awarded $422,000 to a behavioral...

Addressing Social Determinants of Health Requires Population-Based Data

by Emily Sokol, MPH

At Community Health Plan of Washington, population health management tools allow the organization to integrate social determinants of health data across its network of community health...

Centene Emphasizes MA Wellness Care, Waives Healthcare Costs

by Kelsey Waddill

Centene Medicare Advantage members will have free access to primary care, behavioral healthcare, and telehealth care through December 31, 2020, the company announced. This comes as a part of payer...

How Payer SDOH Investments Balance COVID-19 Relief Versus Recovery

by Kelsey Waddill

As the COVID-19 pandemic progresses, payers are constantly reevaluating where they can best direct relief and recovery funding. For more coronavirus updates, visit our resource page, updated...

How Medicaid Managed Care Plans Address SDOH, Expand Care Access

by Kelsey Waddill

Medicaid managed care plans are innovating telehealth solutions and telehealth coverage, addressing social determinants of health, and improving access to care and informed provider selection for...

BCBS MA Deploys Employees for Contact Tracing, Staffing Support

by Kelsey Waddill

Blue Cross Blue Shield of Massachusetts (Blue Cross) is deploying its employees to support statewide efforts against the coronavirus by helping in contact tracing and working at Boston Hope, the state...

Humana Calls for Social Determinants of Health in Risk Adjustment

by Kelsey Waddill

In a recent joint article with the National Quality Forum (NQF), Humana called for a new risk adjustment model that accounts for both clinical factors and social determinants of health. “We...

UnitedHealth Gives $5M to Support Healthcare Workers During COVID-19

by Jessica Kent

The United Health Foundation is partnering with the CDC Foundation, Direct Relief, and the American Nurses Foundation to support the nation’s healthcare workers during the COVID-19 pandemic. For...

$5.1M Grant Addresses Social Determinants of Health in Seniors

by Sara Heath

SCAN Health Plan, a California-based Medicare Advantage group, is committing $5.1 million in funding to help seniors mitigate some of the social determinants of health felt during the coronavirus...

Medicare Advantage Plans Target Social Isolation In New Programs

by Kelsey Waddill

Cigna and SCAN Health Plan’s Medicare Advantage programs are focused on decreasing senior social isolation during the coronavirus pandemic through new programs and funding, relying on volunteers...

How Payers Invest in Coronavirus Social Determinants of Health

by Kelsey Waddill

Payers have not forgotten about the social determinants of health that can be exacerbated by a pandemic and have continued to commit investments to these causes. This comes in addition to actions such...

How MA Special Needs Plans Could Reinvent Homeless Healthcare

by Kelsey Waddill

Researchers from both coasts of the US collaborated to recommend a special needs plan under Medicare Advantage that would improve the nation’s homeless healthcare strategy. Individuals facing...

4 SDOH Barriers Payers Can Address to Drive Access to Care

by Kelsey Waddill

While access to care progress has stalled nationwide, payers can continue to move it forward within their own businesses by addressing four key barriers. Uninsurance is dropping, yet access to care...

Payer Consumerism Strategies Rely On Data, SDOH, Simpler Language

by Kelsey Waddill

Data sharing, social determinants of health, and simpler language are common priorities as payers seek to strengthen and expand their consumerism strategies, the tenth annual 2020 Industry Pulse Report...

Humana Foundation Allots $7.6M to Social Determinants of Health

by Samantha McGrail

The Humana Foundation announced it is investing $7.6 million in eight communities across the southeastern United States to address social determinants of health (SDOH), according to a recent press...

How UPMC Coordinates Compounding Social Determinants of Health

by Emily Sokol, MPH

Payers can no longer ignore the social determinants of health that impact its member’s lives. Countless studies have linked housing, food insecurity, transportation, and access to care to...