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Legal and payer changes focus on addressing social determinants of health

Legal and payer changes focus on addressing social determinants of health

April 11, 2022Brian Higgins, Darren SkylesReutersSocial Determinants Of Health (SDOH),Legal Services,Payers, Plans, & Claims

For health care providers and payers, changes to the Stark Law, the Anti-Kickback Statute, and the reimbursement landscape encourage providing care that addresses social determinants of health for certain patient populations. Research shows that when medical care is delivered alongside non-medical services that affect health, patients, providers, and the health care system overall are better off. Social services not traditionally considered medical services, such as transportation and nutrition, are particularly crucial for high-need, high-cost Medicare beneficiaries; in addition to improving health outcomes, they may also lower costs.

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: SDOH, social determinants of health

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