In 2019, the Washington legislature enacted a bill requiring insurers on the state’s health insurance exchange to offer plans with standardized benefit designs, beginning in 2021. Colorado and Maryland are considering similar requirements. As these and other states consider the option of standardized health plans, they can benefit from the experiences of California, the District of Columbia (D.C.), Connecticut, Massachusetts, New York, Oregon, and Vermont, all of which require insurers to offer standardized benefit designs. This Expert Perspective outlines benefits and risks of plan standardization, and raises critical questions that states will need to consider, and offers a decision roadmap for states implementing a standardized benefit design requirement.
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.