This expert perspective reviews how Medicaid programs in Connecticut, Massachusetts and Rhode Island have engaged with commercial payers, providers, patients, advocates and other parties to create and adhere to multi-payer aligned measure sets. It describes the benefits to Medicaid agencies of participating in aligned measure set efforts, as well as tips and resources for Medicaid agencies intersted in measure alignment.
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 hosted a webinar series that profiled the findings from this issue brief, and another issue brief Social Risk Factor Screening in Medicaid Managed Care.