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The Centers for Medicare & Medicaid Services (CMS) has sent a clear message to states and providers: they already have the tools to improve healthcare. Through a combination of value-based arrangements and already existing services and supports, states and providers can address the social determinants of health (SDOH). This will lead to an improvement in health outcomes, a reduction in health disparities, and lowered healthcare costs.
Tools for States
Beneficiaries of Medicaid and the Children’s Health Insurance Program (a joint federal and state program that provides health coverage to eligible children) are at risk of having limited opportunities for employment, affordable housing, quality education, and nutritious food. These challenges lead to poor health outcomes. However, by utilizing a variety of accessible delivery approaches and benefits, they can improve beneficiary outcomes. CMS provided state Medicaid directors with a roadmap to address these issues through existing services and supports (CMS Press Release). For example, states have the option to implement the following services: