Social Determinants of Health

Blue Shield of CA Pledges $20M to Support Behavioral Health Services

by Samantha McGrail

Blue Shield of California has announced a $20 million commitment to the California Access to Housing and Services fund in order to enhance behavioral health services.  The fund, proposed by...

Opioid Overdose Mortality Decreased 6% in Medicaid Expansion States

by Samantha McGrail

Medicaid expansion states saw a six percent decreased rate in total opioid overdose deaths compared to states that did not expand Medicaid eligibility, according to researchers from the University of...

AHIP Signs onto Support for Social Determinants Accelerator Act

by Kelsey Waddill

The America’s Health Insurance Plans (AHIP) recently espoused the Social Determinants Accelerator Act and urged a hearing to discuss how it might help the healthcare industry’s fight...

Community Data Informs Payer Philanthropy for Housing Stability

by Emily Sokol, MPH

Poor or unstable housing contributes to a myriad of negative health outcomes. Developmental risks in young children, asthma exacerbations, and increased rates of depression are just a few of the...

How Medicare Advantage Is Leading Payers to Adopt Value-Based Care

by Kelsey Waddill

As America strives for positive changes to the healthcare system, it may find the greatest advancements for value-based care in Medicare Advantage plans. Over 90 percent of healthcare payers in a small Health Care Payment...

How Medical Rideshare Deals in Medicare Drive Quality Outcomes

by Emily Sokol, MPH

Keeping a Medicare patient healthy might seem clear cut at first glance – lean on primary care, foster medication adherence, and address mental health concerns. But quality outcomes are difficult...

ME Payers Cover Hearing Aids, Self-Insured Companies Exempt

by Kelsey Waddill

Maine law now requires payers to provide hearing aid coverage, but leaves self-insured companies exempt from covering them. Representative Jim Handy (D-ME) has noted both social and professional...

Payers Kick-Start 2020 Social Determinants of Health Strategies

by Kelsey Waddill

2019 was a big year for payers in pursuit of social determinants of health. Many payers invested resources and funds toward addressing the challenges their members faced in accessing quality...

Building Cross-Sector Partnerships to Address Food Insecurity

by Emily Sokol, MPH

Food insecurity is one of the biggest social determinants of health. It affects over 19 percent of United States adults, according to data from the Centers for Disease Control and Prevention. The...

Payer Philanthropy Won’t Improve Social Determinants of Health

by Jacob Reider, MD

The concept of payer philanthropy has been getting more attention lately as a novel means of solving social determinants of health (SDoH) issues, but it’s an approach that may not be the right...

Florida Blue, Lyft Partner to Boost Access to Care for ACA Members

by Samantha McGrail

Florida Blue has partnered with ridesharing service Lyft to offer rides to members as part of the benefits package of Affordable Care Act (ACA) individual plans beginning in early 2020, according to a...

Payer-Provider Partnership, Data Management Promote Population Health

by Emily Sokol, MPH

Successful value-based contracts are contingent on payer-provider partnerships. These partnerships must be built on clear lines of communication so payers can support providers in delivering the best...

CVS Health Invests $2.5M in Tobacco, Opioids Substance Abuse Care

by Kelsey Waddill

CVS Health announced that it will be investing $2.5 million in Ohio community organizations to battle opioid use disorder and tobacco substance abuse care and to fortify its workforce training...

Employing Social Workers to Address Social Determinants of Health

by Emily Sokol, MPH

Payers are trying to understand their role in addressing the social determinants of health. These non-clinical factors that impact an individual’s health include environment, housing, food...

Alignment Health Plan to Offer Concierge, Social Determinants of Health Benefits

by Emily Sokol, MPH

Alignment Health Plan will offer qualified Medicare Advantage members concierge services and social determinants of health benefits in 2020. The Southern California-based Medicare Advantage plan will...

Cigna, Humana Expand MA Plans to Cover Social Determinants of Health

by Emily Sokol, MPH

Cigna and Humana announced their 2020 Medicare Advantage plans will now include coverage for social determinants of health. These social determinants of health include the environment, economic, and...

MA Plans Slowly Begin Integrating SDOH into 2020 Plan Benefits

by Kelsey Waddill

CMS efforts to empower Medicare Advantage plans to tackle social determinants of health (SDOH) led mainly to the expansion of existing benefits but not the addition of new benefits, stakeholders told...

Public Payers May Have Worse Care Coordination for Chronic Disease

by Kelsey Waddill

Among publicly insured patients with the potentially chronic condition hepatocellular carcinoma (HCC), 35 percent had a longer wait time for a liver transplant, possibly indicating poor care...

Optima Health’s Medicaid Addresses Food Security, Social Determinants

by Kelsey Waddill

Optima Health’s Traci Massie can outline the different social determinants of health that impact Virginia’s different Medicaid populations county by county, from the opioid epidemic to...

Challenges of Investing in Social Determinants of Health

by Kelsey Waddill

Despite widespread industry calls to prioritize community health benefits, investing in social determinants of health can be risky for health payers. Between questionable return on investment and...