Health-related social needs

On January 11, Mathematica published a blog titled “A Quick Guide to Choosing Federal Medicaid Authorities to Address Health-Related Social Needs.” This blog explores the three most common federal Medicaid authorities that enable states to offer health-related social needs (HRSN) services to Medicaid-enrolled individuals: Section 1915 HCBS waivers, Managed Care In Lieu of Services (ILOS), and Section 1115 demonstrations. It also discusses key factors to contemplate as a state Medicaid official when choosing how to cover HRSN services, emphasizing considerations such as the intended population, types of services, and program features.

The Center for Health Care Strategies has released a summary of its top 10 resources from 2022 that outline opportunities to strengthen the U.S health care system, particularly for Medicaid beneficiaries.

This brief outlines lessons from the Center for Health Care Strategies’ MassHealth Care Planning Learning Collaborative, where Massachusetts Accountable Care Organizations and Community Partners integrated care planning across their organizations to improve care for Medicaid members with complex needs. This brief can inform providers, payers, and community partners in other states seeking to improve care for people with complex health and social needs.

CHCS senior program officer, Diana Crumley, JD, MPAff, has helped state Medicaid agencies, health plans, and community-based organizations think through issues regarding health-related social needs and social care integration over the last four years. This blog post outlines four lessons from her experience supporting health care stakeholders address health-related social needs and health inequities, while focusing on advanced primary care and Medicaid managed care.

In 2017, the Center for Medicare & Medicaid Innovation launched the Accountable Health Communities (AHC) Model to test whether connecting Medicare and Medicaid beneficiaries to community resources can improve health outcomes and reduce costs by addressing health-related social needs (HRSNs)—adverse social conditions that affect health and health care. This report describes the Medicare and Medicaid beneficiaries who were eligible for the AHC Model in the Assistance Track.