Social determinants of health priorities of state Medicaid programs

BMC Health Serv Res

Background: Growing understanding of the influence of social determinants of health (SDH) on healthcare costs and outcomes for low income populations is leading State Medicaid agencies to consider incorporating SDH into their program design. This paper explores states' current approaches to SDH.

Methods: A mixed-methods approach combined a web-based survey sent through the Medicaid Medical Director Network (MMDN) listserv and semi-structured interviews conducted at the MMDN Annual Meeting in November 2017.

Results: Seventeen MMDs responded to the survey and 14 participated in an interview. More than half reported current collection of SDH data and all had intentions for future collection. Most commonly reported SDH screening topics were housing instability and food insecurity. In-depth interviews underscored barriers to optimal SDH approaches.

Conclusion: These results demonstrate that Medicaid leaders recognize the importance of SDH in improving health, health equity, and healthcare costs for the Medicaid population but challenges for sustainable implementation remain.

Chisolm DJ, Brook DL, Applegate MS, Kelleher KJ. Social determinants of health priorities of state Medicaid programs. BMC Health Serv Res. 2019;19(1):167.PMID: 30871510. DOI: 10.1186/s12913-019-3977-5.

Publication Year: 
2019
Resource Type: 
Peer Reviewed Research
Study Design: 
Other Study Design
Social Determinant of Health: 
Criminal Justice
Education/Literacy
Employment
Food/Hunger
Housing Stability
Social Support/Social Isolation
Transportation
Utilities
Violence/Safety
Population: 
Medicaid-insured
Outcomes: 
Process
Screening Research: 
No