Social Determinants of Health

BCBSA Outlines Next Steps for Health Equity Data Standardization

by Kelsey Waddill

Blue Cross and Blue Shield Association (BCBSA) and the Blue Cross and Blue Shield companies have urged the healthcare industry to adopt national health equity data collection standards. The companies...

Humana Outlines Social Determinants of Health Industry Progress

by Kelsey Waddill

Payers, providers, and policymakers have taken a variety of approaches to social determinants of health data collection and interventions, according to an issue brief from Humana. The brief provided...

BCBSRI Joins Global Capitation Model, Starts 2022 RI Life Index

by Kelsey Waddill

Blue Cross & Blue Shield of Rhode Island (BCBSRI) has entered into a global capitation agreement in its Medicare Advantage program, according to a press release which HealthPayerIntelligence...

How to Introduce Medicare Advantage Caregiver Benefits in SNPs

by Kelsey Waddill

Payers cannot ignore the crucial role that caregivers play in members’ health, wellness, and recovery, and should consider supporting caregivers through Medicare Advantage caregiver benefits, especially in special needs...

Centene Receives Health Equity Innovation Award from NCQA

by Kelsey Waddill

The National Committee for Quality Assurance (NCQA) has awarded Centene the Innovation Award for Health Equity for the company’s Health Equity Improvement model. “Advancing health equity...

Top Benefits, Challenges of NC Medicaid Managed Care Model

by Kelsey Waddill

Medicaid managed care enables care coordination, incorporation of social determinants of health into care, trust-building between healthcare stakeholders, stakeholder accountability, and flexibility...

Medicare Advantage Plans Boost Supplemental Benefits Offerings

by Victoria Bailey

Medicare Advantage plans expanded their supplemental benefits offerings in 2022, with more health plans offering special supplemental benefits for the chronically ill (SSBCI), according to an issue...

Humana, UofL Invest in Health Equity, Social Determinants Initiative

by Victoria Bailey

Humana has partnered with the University of Louisville (UofL) to help promote health equity and boost health outcomes for underserved communities through the university’s Health Equity Innovation...

CareFirst Distributes $1.76M to Address Diabetes Epidemic, SDOH

by Victoria Bailey

CareFirst BlueCross BlueShield (CareFirst) has awarded $1.76 million to local health organizations to help address the diabetes epidemic and the social determinants of health that drive the chronic...

7 Steps for Employer Social Determinants of Health Strategies

by Kelsey Waddill

Despite the many challenges that can hinder progress on social determinants of health, employer social determinants of health strategies can profoundly impact employees’ families and communities,...

BCBSTX Launches SDOH Grant Cycle for Community-Based Organizations

by Victoria Bailey

Blue Cross and Blue Shield of Texas (BCBSTX) has launched a grant cycle for 2022-2023 in which the payer will support social determinants of health, health and wellness, and health equity initiatives...

How to Hone Wellness Programs Using Social Determinants Data

by Kelsey Waddill

Are wellness programs working? This question is a common refrain for employers and their payer partners, but the answer remains ambiguous. On the one hand, some studies have supported wellness programs as a cost-effective way to...

3 Ways to Assess ROI on Social Determinants of Health Programs

by Kelsey Waddill

Payers can leverage beneficiary surveys, opportunities to share lessons learned, and social services referral platform data in order to assess the return on investment for social determinants of health...

How Employers Can Address Employee Needs, Social Determinants

by Victoria Bailey

The National Alliance of Healthcare Purchaser Coalitions (National Alliance) has offered a series of recommendations for employers that may help identify and address workers’ social determinants...

CMS Releases 2023 Medicare Advantage, Part D Proposed Rule

by Kelsey Waddill

CMS released the calendar year 2023 Medicare Advantage and Part D proposed rule which aims to improve network adequacy, elucidate medical loss ratio reporting, open the possibility of assigning star...

Medicaid Managed Care Organizations Help Address SDOH, Health Equity

by Victoria Bailey

Medicaid managed care organizations (MCOs) may be better equipped to address members’ social determinants of health and health equity compared to fee-for-service models, according to a report...

BMA Asks CMS to Enhance, Solidify Medicare Advantage Benefits

by Victoria Bailey

Better Medicare Alliance (BMA) has penned a letter to CMS detailing a number of Medicare Advantage policy recommendations regarding Medicare Advantage benefits and care coordination, health equity, and...

How Payers Can Expand Nutritional Benefits, Measure Impact

by Kelsey Waddill

Payers face a variety of challenges in expanding nutritional benefits, particularly due to the lack of ability to measure outcomes, but there are ways to navigate this uncertainty, according to a...