Health care coverage, from private insurance to employer-provided health care to public programs like Medicare and Medicaid, can have various impacts on people’s use of health care and, ultimately, their health and well-being.
This post on state Medicaid innovation is part of the Health Equity Meeting Blog Series and summarizes a panel discussion by experts from Medicaid programs, highlighting different state-level efforts to address health equity.
This post is the first in the Health Equity Meeting Blog Series, summarizing the discussion by a panel of experts who highlighted the key challenges and opportunities in using Medicaid as a lever for improving equity.
Lessons learned and promising practices shared by participants fell under four themes: member-centeredness, community-centeredness, structured yet adaptable social determinants of health programming, and realigning systems for whole-person care.
NASTAD (National Alliance of State and Territorial AIDS Directors), in partnership with AcademyHealth and the University of California San Francisco, are working to build state capacity to improve the collection and reporting of important HIV data through collaboration between Medicaid and HIV programs across 10 states.
With funding from the CDC Foundation, AcademyHealth’s Evidence-Informed State Health Policy Institute and the University of North Carolina-Chapel Hill, in collaboration with five Southern state-university partnerships, publish timely findings on prenatal syphilis screening rates among Medicaid enrollees.
Despite a need for financing reforms that better incentivize addressing patient whole health and wellness, the lack of clear standardization of social determinants of health screening tools, interoperable data collection systems, lack of robust health-related social services expenditure data, and financing uncertainties and insecurities present significant challenges for value-based payment arrangements, according to this analysis.
At this early stage of social determinant of health incorporation, many states are targeting their programming, particularly screening and care management/coordination, towards high-risk populations, such as beneficiaries in substance use disorder treatment or those with significant behavioral health needs, children with complex care needs, beneficiaries living with HIV, and individuals with multiple comorbidities.