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.

Latest Resources

• North Carolina Shutters Medicaid HRSN Pilots Despite Savings
• California CARE Engages More Than 3,300 People With Severe Mental Illness
• California DHCS: The Community Assistance, Recovery & Empowerment (CARE) Act Annual Report
• North Carolina 1115 Waiver Renewal Healthy Opportunities Pilot Fact Sheet
• Older Adults Outnumber Children In 11 States & Nearly Half Of U.S. Counties
• Older Adults Outnumber Children In Nearly Half Of U.S. Counties
• Service Line Strategy For Growth: The Catholic Charities Of Santa Clara County Case Study
• OBBB Myth vs Fact
• Alabama Commission On Reentry: 2025 Committee Report: The Study Commission On Interagency Cooperation & Collaboration On The Rehabilitation Of Formerly Incarcerated Individuals
• Enrolled Alabama Senate Bill 138 Of 2025
• Congress Launches Investigation Into Migrant Aid Provided by NGOs
• Green-Brecheen To Salas (CHIRLA) Re: Federal Funding
• Draft TEAMKY Section 1115 Demonstration
• Indiana Outsources Statewide Adult Protective Services To PCG In $19.5 Million Contract  
• New Jersey Awards $3.7 Million For Temporary Housing & Case Management Services For Adults With Substance Use Disorder

See All

North Carolina Shutters Medicaid HRSN Pilots Despite Savings

On July 1, 2025, the North Carolina Department of Health and Human Services (NCDHHS) ended the Healthy Opportunities Pilots (HOP), which was enabled by the use of Medicaid funds to pay for non-medical health related social needs (HRSNs). As late as March 2025, NCDHHS had been planning to expand the program statewide. The state’s General Assembly did not include funding for state fiscal years 2026 and 2027. HOP operated under an 1115 Medicaid demonstration waiver,… Read

• Depopulation Strategy: Response To The Court Order To Reduce The Los Padrinos Juvenile Hall Population
• Pyx Health Acquires FarmboxRx To Strengthen Member Engagement Offerings For Health Plans
• Uber Launches Senior Accounts & Simple Mode Nationwide To Make The Uber App More Accessible For Older Adults
• California Medicaid Reports Community Supports Cost-Effective At Reducing Avoidable Emergency Department Visits, Hospital Stays & Long-Term Care Use 
• California Medicaid Community Supports Or In Lieu Of Services Annual Report

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