Webinars | Jun 21, 2017

Webinar: Using Social Determinants of Health Data in Medicaid Managed Care – A Webinar for States

Amy Lischko, Bailit Health Purchasing; Ellen Breslin, Health Management Associates; Arlene Ash, UMass Medical School

State Health and Value Strategies, a program of the Robert Wood Johnson Foundation, is pleased to announce the third in our series of webinars for state officials on achieving population health goals.

Using Social Determinants of Health Data in Medicaid Managed Care – A Webinar for States 

State policy makers are increasingly focused on social determinants of health (SDOH) because of the important influence of these determinants on health care outcomes and Medicaid spending. Bailit Health’s Amy Lischko, kicked off the webinar with an overview of the methods for gathering SDOH data, and then the range of possible uses of the data by state policy makers.

The webinar delved into innovative efforts by state health policy leaders working to factor SDOHs in payment reform and quality measurement activities. First, Health Management Associates’ Ellen Breslin explored how states could factor SDOH into improved payment models and quality measurement activities drawing on a forthcoming issue brief from SHVS, Medicaid and Social Determinants of Health: Adjusting Payment and Measuring Health Outcomes. Next, University of Massachusetts Medical School’s Arlene Ash, described a new payment model that Massachusetts Medicaid is using to adjust managed care payments for certain social risk factors among enrolled populations. The webinar closed with the three panelists responding to questions from participants.

This event was the last in a three-part series of technical assistance webinars hosted by State Health and Value Strategies and funded by the Robert Wood Johnson Foundation. The series explores timely issues facing state health care leaders and features actionable information on what states can do. To access a recording and materials related to the first two webinars in the series, see immediately below.

  • “Shared Accountability Across Health and Non-Health Sectors: Opportunities to Improve Population Health,” click here.
  • “Medicaid Value-Based Payment for LTSS,” click here.

 



Expert Perspectives

The Final 2022 Notice of Benefit & Payment Parameters: Implications for States

On April 30, 2021, the U.S. Departments of Health & Human Services (HHS) and Treasury released the final 2022 Notice of Benefit & Payment Parameters (NBPP), the annual rule governing core provisions of the Affordable Care Act (ACA), including the operation of the marketplaces, standards for insurers, and the risk adjustment program. This rule finalizes the majority of provisions included in a proposed rule published on November 25, 2020, although several proposals were finalized in a rule published on January 19, 2021. This expert perspective reviews provisions of the final rule of particular import to the state-based marketplaces (SBMs) and state insurance regulators.

April 30, 2021

American Rescue Plan Provides a New Opportunity for States to Invest in Equitable, Comprehensive and Integrated Crisis Services

The American Rescue Plan (ARP) Act enacted on March 11, 2021 establishes a state option to provide community mobile crisis intervention services for a five-year period beginning in April 2022. As an incentive to state adoption, the law provides for an 85 percent enhanced federal matching rate for qualifying services for the first three years of state coverage. To further encourage states, ARP also includes $15 million in state planning grants to support their efforts to develop a state plan amendment or waiver request to take up the option. The new mobile crisis provision arrives just as many states and localities are exploring strategies to address the worsening behavioral health as well as preparing for implementation of 998, the new, national hotline for behavioral health crises. For states and localities reviewing their policing procedures, the new option also could be used to support state efforts to refine the role of law enforcement in responding to behavioral health crisis, offering more resources to the police on such calls or, in some instances, even entirely avoiding the need for law enforcement. This expert perspective provides an overview and state considerations on the state option to provide community mobile crisis interventions services included in the American Rescue Plan.