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Addressing the Social Needs of Medicaid Enrollees Through Managed Care: Lessons and Promising Practices from the Field
Publication

Addressing the Social Needs of Medicaid Enrollees Through Managed Care: Lessons and Promising Practices from the Field

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This publication describes the perspectives of Medicaid managed care organizations (MMCO) representatives on the lessons learned and emerging promising practices from addressing social determinants of health (SDOH) among their Medicaid enrollees.

Using data from interviews with 28 representatives of eight national and regional MMCOs, this qualitative study describes the perspectives of MMCO representatives on the lessons learned and emerging promising practices from addressing SDOH among their Medicaid enrollees. Participants discussed the importance of member and community-centeredness, structured programming, and delivery system realignment in the effective delivery of whole person care.

Findings from this study suggest that success in addressing the social needs of Medicaid beneficiaries may be achieved through adaptive, data-driven, member- and community-centric efforts by MMCOs, facilitated by system-level changes that formally integrate social services within healthcare.

Components of Alignment

Data Icon Data
Shared Purpose Icon Shared Purpose

Author Organization

Georgia Southern University

Publication Date

02.02.2022

Topic Area

Alignment 101
Health Care
Medicaid
Public Health
Social Needs
Publication

Revising the Foundational Public Health Services in 2022

This publication provides a framework outlining the unique responsibilities of governmental public health and can be used to explain the vital role of governmental public health in a thriving community; identify capacity and resource gaps; determine the cost for assuring foundational activities; and justify funding needs

Brief

Rethinking Value: Perspectives on the Benefits of Cross-Sector Collaboratives Serving Populations with Complex Health and Social Needs

This brief explores how different organizations and community members define and measure the value of cross-sector collaboration by convening key informant focus groups with organizations and also with affiliated community members involved in cross-sector efforts.

Publication

Study Finds Room to Boost Maternal and Child Health Participation in Health Impact Assessments

This publication examines a study showing how health impact assessments provide an action-oriented framework for maternal and child healthcare professionals to become involved in cross-sector collaboration to improve health equity.

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