Study Links Health-Related Social Needs to Higher Emergency Department Use
A new study finds that unmet health-related social needs, including housing and transportation challenges, are strongly associated with higher emergency department use.
Social Determinants of Health
The Accountable Health Communities Model – Connecting Health and Social Needs
The VBP Blog explores how the Accountable Health Communities model tested new approaches to addressing social needs and what its outcomes mean for the future of LTSS and value-based care.
CMS Innovation Designed to Transform Behavioral Health
Explore how the CMS’s Innovation in Behavioral Health (IBH) Model is setting new standards in integrated care, focusing on value-based approaches, health equity, and addressing social determinants of health.
CMS Announces AHEAD Model to Promote Health Equity and Value-Based Payments
Dive deep into the CMS’s AHEAD Model, exploring its foundations, potential benefits, and the challenges it faces as it aims to reshape the American healthcare landscape.
Navigating the Next Frontier of Value-Based Payments – Home Care
An exploration of the emerging intersection of home care and value-based payments, with a spotlight on the Expanded Home Health VBP Model and its impact on health outcomes and the industry.
Category: value-based payment models
How States Are Utilizing Managed Care to Address Social Determinants of Health
Dive into how states can utilize managed care to address health-related social needs and social determinants of health, promoting health equity and community well-being.
CMS & HHS Working to Improve Medicaid’s Social Determinants of Health Endeavors
The Department of Health and Human Services (HHS) and CMS recently announced guidance for state Medicaid programs ILOS to boost the quality of Medicaid social determinants of health initiatives.
Despite New Programs, Major Payers Still Spending Less Than 1% on Income on Social Determinants of Health
A study from the Journal of General Internal Medicine found that the six payers with the largest market shares may have spent on average 0.67% of their income in 2021 on social determinants of health.
Pennsylvania Proposing New Profit-Sharing Agreement With Physical Health MCOs
Governor Tom Wolf announced that Pennsylvania is proposing a new profit-sharing agreement
with its Medical Assistance physical health (PH) managed care organizations (MCOs).
Humana Issues Brief Detailing Social Determinants of Health Initiatives
According to an Urban Institute issue brief, the uninsured population may increase by more than 3 million if premium tax credits under the American Rescue Plan are not extended.