Social Determinants of Health

Investments Are Needed to Implement Value-Based Care in Pediatrics

August 2, 2023 - While value-based care adoption has accelerated in the healthcare industry, the alternative care delivery and payment model is still lacking in the pediatric setting. The current healthcare infrastructure does not support the resources needed to successfully implement this model for kids, according to Rachel Thornton, MD, vice president and chief health equity officer at Nemours...


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Community Service Navigation Helped Reduced Emergency Department Use

by Victoria Bailey

The CMS Accountable Health Communities (AHC) Model reduced emergency department (ED) use for Medicare and Medicaid beneficiaries but did not help resolve health-related social needs (HRSNs) issues as...

How Healthcare Organizations Can Help Improve Social Risk Interventions

by Victoria Bailey

Financing healthcare organizations’ involvement in social risk interventions would require multiple funding approaches and is not guaranteed to improve the delivery of social services, according...

Social Determinants Are Associated with Increased Medicare Spending

by Victoria Bailey

Social determinants of health (SDOH) are associated with increased Medicare spending per beneficiary in certain geographic areas, according to a study from the Journal of the American Medical...

CJR Model Linked to Increased Health Disparities, Study Reveals

by Jill McKeon

In a study of over four million Medicare beneficiaries, researchers found that the Comprehensive Care for Joint Replacement (CJR) model may be widening racial and socioeconomic health disparities in...

Addressing Social Determinants Lowered ED Utilization in Medicare

by Jacqueline LaPointe

A CMS-run care delivery model focused on addressing social determinants of health has effectively identified higher cost and utilization patients while reducing potentially unnecessary emergency...

Financial Incentives Biggest Barrier to Social Determinants of Health

by Emily Sokol, MPH

The success of social determinants of health strategies is contingent on funding and supportive financial incentives, providers revealed in Insights by Xtelligent Healthcare Media’s latest...

A Unique IPA Centers on Social Determinants of Health

by Jacqueline LaPointe

More and more healthcare providers and payers are teaming up with ride-sharing companies, food pantries, and other community-based organizations to address one of the largest drivers of patient...

No Reimbursement Impedes Social Determinants of Health Progress

by Jacqueline LaPointe

Hospitals are struggling to implement and sustain programs addressing social determinants of health without direct claims reimbursement, according to a recent survey of 200 healthcare experts. The...

How Much Are Health Systems Spending on Social Determinants?

by Jacqueline LaPointe

Health systems are making significant investments in programs that address social determinants of health, such as housing, employment, and food security, according to a new study published in Health...

Advanced Primary Care Promotes Value-Based Care

by Emily Sokol, MPH

Primary care is at the heart of the care delivery system. Over three-quarters of the general population only require primary care services in a given year. Yet primary care rates have been declining...

Four South Chicago Hospitals Announce $1.1B Hospital Merger Deal

by Samantha McGrail

Four hospitals on Chicago’s South Side recently announced a hospital merger agreement to form a single system worth an estimated $1.1 billion.  Advocate Trinity Hospital, Mercy...

1 in 3 Rural Adults Report Issues Affording Medical Bills

by Samantha McGrail

One in three rural adults have problems paying their medical bills or dental treatments even after the implementation of the Affordable Care Act, according to a recent study by researchers at the...

Adjusting Medicaid Payments for Social Determinants to Boost Care

by Samantha McGrail

Adjusting Medicaid payments for social determinants of health would help address the broader social needs of children and cost restraints at safety-net hospitals, according to researchers from the...

Low Social Spending Not Behind High Healthcare Costs in US

by Jacqueline LaPointe

Underinvestment in programs that address social determinants of health is not to blame for excessive healthcare costs in the US, a new study published in Health Affairs indicates. Data from the...

Social Determinants of Health, APMs Coming Up at AHIP Institute

by Jacqueline LaPointe

NASHVILLE – AHIP’s Institute & Expo (AHIP Institute) conference always promises to bring the top experts from payer organizations to share how their plans and providers are adjusting to...

Social Determinants of Health Impact Hospital Readmission Rates

by Jacqueline LaPointe

New research in Health Services Research shows social determinants of health are linked to hospital readmission rates, and accounting for disability, housing instability, and other social risk factors...

Social Determinants of Health Key to Value-Based Purchasing Success

by Jacqueline LaPointe

We are quickly heading to the value-based purchasing tipping point, according to the Vice President of Network Management at Health Partners Plans in Pennsylvania. “While adoption rates are...

How Addressing Social Determinants of Health Cuts Healthcare Costs

by Jacqueline LaPointe

Population health management and value-based reimbursement success hinge on reducing healthcare costs not only when a patient is in the exam room, but also when they are beyond the walls of the...