Getting Ahead Of The ILOS Opportunity

Last week, we wrote about the opportunities in addressing social support needs through non-traditional service models in “Leveraging “Social” In Health Plan Partnerships.” Part of this trend is the growing acceptance of "in lieu of services' (ILOS)—services authorized in place of the ones covered in a health benefit plan (see Addressing The Social Determinants Of Health Through Medicaid Managed Care). For Medicaid and Medicare plans, the opportunities further opened up early last year when the Centers for Medicare & Medicaid Services (CMS) released Opportunities In Medicaid & CHIP To Address Social Determinants Of Health (SDOH) for state health . . .