Addressing Social Determinants of Health via Medicaid Managed Care Contracts and § 1115 Demonstrations

Medicaid agencies and managed care organizations (MCOs) are increasingly recognizing the value of addressing beneficiaries’ social determinants of health (SDOH). In this Association for Community Affiliated Plans (ACAP) webinar, the Center for Health Care Strategies (CHCS) will present findings from its nationwide review of Medicaid managed care contracts and § 1115 demonstrations. CHCS will outline how states are using these contracts and § 1115 demonstrations to require or incentivize SDOH-related activities through care coordination and management, quality assessment and performance improvement, additional services, MCO payment incentives, and value-based payment. CHCS will also present recommendations for federal policymakers to help plans and states design innovative strategies to address Medicaid beneficiaries’ SDOH.

The webinar is based on a forthcoming ACAP report authored by CHCS, Addressing Social Determinants of Health via Medicaid Managed Care Contracts and § 1115 Demonstrations, that examines Medicaid managed care contracts or requests for proposals in 40 states in addition to 24 approved § 1115 demonstrations.

Health care policymakers, state officials, health plans, and other interested stakeholders are invited to join this 60-minute event.