This year has presented many unique and unexpected challenges, but as open enrollment approaches states are making concerted efforts to connect residents with public and private health coverage options and are anticipating more churn between programs than ever before amid the COVID-19 public health crisis. Millions have filed for unemployment since the pandemic began, many losing their employer-sponsored health coverage or experiencing income loss in the process. As consumers navigate ongoing changes in their income or health coverage, it is more important than ever to clearly communicate with consumers what health coverage options are available for the remainder of 2020 and heading into 2021. This expert perspective lays out key takeaways on messaging to consumers to enroll in coverage this OEP and highlights examples from two states.
Developing a Social Risk Factor Screening Measure
Justine Zayhowski, Kate Reinhalter Bazinsky, and Michael Bailit, Bailit Health
State Medicaid agency interest in the impact of social determinants of health on the health status of Medicaid enrollees has surged in recent years. States have begun to stipulate performance requirements of their contracted managed care organizations and accountable care organizations to identify and mitigate social risk factors affecting individual members. To aid the identification process, some states have begun to recommend—and sometimes require—their contractors perform social risk factor screens.
This issue brief is designed as a resource for states looking to adopt a measure to assess social risk factor screening rates. It is the result of a series of convenings that the authors facilitated with three states—Massachusetts, Oregon, and Rhode Island—which helped them consider, discuss, and share perspectives related to the development of their own social risk factor screening process measures. The issue brief looks at the progress these states and North Carolina have made in developing their own social risk factor screening measures and highlights considerations for other states either planning to adopt an existing or develop a new screening measure.
As a companion to this issue brief, State Health and Value Strategies is hosting a webinar series that will profile the findings from this issue brief, and another issue brief Social Risk Factor Screening in Medicaid Managed Care.