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.

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Building An ROI For Social Service Referrals

The payer push for integrated approaches—medical, behavioral, social—to manage consumer care continues to gain momentum. What has been surprising to me is the amount of health plan investment in addressing the social determinants of health (SDOH). UnitedHealthcare just launched its Community Catalyst initiative to address food insecurity, homelessness, health disparities, access to health care, and the need for… Read

Vermont Agency of Human Services, Department of Vermont Health Access seeks a contractor to provide medical oversight, prior authorization case review, and medical necessity determinations in a Medicaid Managed Care environment . . .
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