State governments are experimenting with requirements and incentives for Medicaid accountable care organizations to address social determinants of health.
Government executives say Medicaid ACO programs offer several key leverage points for addressing disparities and social determinants, including partnership and care management requirements, quality metrics and financial incentives. Here are some examples of efforts under way:
• Starting in March 2018. Massachusetts plans to measure ACOs on social service screenings, as well as use of state certified “community partners.” Massachusetts also will risk-adjust ACOs’ rates and cost targets based on social determinants including stability of housing status and “neighborhood stress score.”