Re-Engineering Revenue Cycle Management To Drive Strategy is starting in

Social Services

The social service market is defined as supports and services related to the social determinants of health such as poverty, food insecurity, lack of education, racism, discrimination, environment, and community conditions. Addressing social determinants of health has become a common strategic conversation in a market focused on whole person care and the value equation. Payers and health plans are taking a more structured approach to addressing social support needs and this opens new possibilities for managers of organizations that provide social support programs that have typically been excluded from health care financing arrangements.


The Maryland Medicaid program will cover limited pre-release demonstration coverage to certain incarcerated individuals. The plans were noted in an amendment to the state’s “Maryland HealthChoice” section 1115 demonstration which received federal approval on January 13, 2025. The amendment was approved through December 31, 2026. Under this initiative, the state will provide limited pre-release demonstration coverage to certain incarcerated individuals under Medicaid who have also been assessed and determined to have substance use disorder (SUD),… Read