Addressing the Social Needs of Medicaid Enrollees Through Managed Care: Lessons and Promising Practices from the Field.
With growing recognition of the adverse health impacts of unmet social needs, Medicaid managed care organizations (MMCOs) are increasingly focusing on addressing the social needs of Medicaid enrollees as part of a holistic approach to care. Information and knowledge sharing among MMCOs pertaining to...
| Publicado en: | Population Health Management Vol. 25; no. 1; pp. 119 - 126 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Feb2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=155019935&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 155019935 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 19427891 8765 jtl: Population Health Management issn: 19427891 maglogo: N pubinfo: dt: Feb2022 vid: 25 iid: 1 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 155019935 155019935 155019935 10.1089/pop.2021.0142 155019935 ppf: 119 ppct: 7 formats: tig: atl: Addressing the Social Needs of Medicaid Enrollees Through Managed Care: Lessons and Promising Practices from the Field. aug: au: Apenteng, Bettye A. Kimsey, Linda Opoku, Samuel T. Owens, Charles Peden, Angela H. Mase, William A. affil: Department of Health Policy and Community Health and Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, Georgia, USA. sug: subj: Health Services Needs and Demand Medicaid Managed Care Programs Health Inequities COVID-19 Pandemic Human Social Determinants of Health Descriptive Research Qualitative Studies Purposive Sample Snowball Sample Semi-Structured Interview Audiorecording Thematic Analysis Funding Source Holistic Care ab: With growing recognition of the adverse health impacts of unmet social needs, Medicaid managed care organizations (MMCOs) are increasingly focusing on addressing the social needs of Medicaid enrollees as part of a holistic approach to care. Information and knowledge sharing among MMCOs pertaining to lessons learned and promising practices from their social determinants of health (SDOH) targeted efforts can help identify successful practical approaches for navigating common challenges, developing robust SDOH programming, and effectively delivering whole-person care. Using data from interviews with 28 representatives of 8 national and regional MMCOs, this qualitative study describes the perspectives of MMCO representatives on the lessons learned and emerging promising practices from addressing SDOH among their Medicaid enrollees. Participants discussed the importance of member and community-centeredness, structured programming, and delivery system realignment in the effective delivery of whole person care. Ten lessons learned and emerging promising practices are discussed. Findings from this study suggest that success in addressing the social needs of Medicaid beneficiaries may be achieved through adaptive, data-driven, member- and community-centric efforts by MMCOs, facilitated by system-level changes that formally integrate social services within health care. Lessons learned and promising practices can serve as a foundation for identifying and evaluating best practices and guidelines for effective MMCOs' SDOH-related programming. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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