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Medicaid managed care organizations (MCOs) may be better equipped to address members’ social determinants of health and health equity compared to fee-for-service models, according to a report from Health Management Associates (HMA) and Together for Better Medicaid.
State Medicaid programs send requests for proposals (RFPs) to managed care organizations when preparing to enter a new contract. The report focused on 10 state RFPs from 2020 and 2021 and found that many included key policies that centered around advancing health equity and addressing social determinants of health.
In addition to states requiring Medicaid managed care organizations to focus on health equity, these care models have flexible characteristics that allow them to prioritize nonmedical needs.