$60 PMPM?

A plethora of policy changes is shaping health and human services towards a focus on whole person care approaches in the context of integrated system. CMS policy has changed, allowing Medicaid health plans to pay for intervention related to social determinants (see State Medicaid Managed Care Plans Can Spend Up To 5% Of Premiums On Social Determinants Of Health). And many state Medicaid waivers—such as CalAIM in California— have a focus on whole person care (see California’s ‘Whole Person Care’ Medicaid Pilot Program Resulted In Fewer Hospitalizations & Emergency Room Visits).

But questions remain in taking advantage of . . .