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New Research and Reports
Patient Engagement HIT: (10/27) – A recent American Medical Association report found starker racial health disparities for Latinx communities, but contended that health disparities data may be underreported and therefore the analysis likely underestimates the extent to which the Latinx community is affected by COVID-19.
UnitedHealth Group: (10/26) – Researchers at UnitedHealth Group reviewed data from a number of sources, including CMS and the Robert Wood Johnson Foundation, and found that seniors living in counties with the highest health literacy saw better health outcomes. In the report, UnitedHealth Group estimated that if improving health literacy were a significant focus, Medicare could save $25.4 billion each year and avoid 993,000 hospital visits.
AJMC: (10/26) – A recent study presented during the American Society of Nephrology Kidney Week revealed certain social determinants of health can predict patient-reported outcomes (PROs) in potential kidney transplant patients. Understanding SDOH specific to a patient can inform transplant team knowledge of these issues and help improve PROs.
Manatt: (10/22) – In its latest report, Manatt provides a comprehensive review of states’ social determinants of health initiatives through Medicaid managed care contracts and 1115 waivers. The report outlines strategies states can employ to integrate SDOH into the Medicaid delivery system and leverage 1115 waivers to foster innovation. Manatt also published an infographic, which highlights findings from a national survey on how states are leveraging their Medicaid managed care contracts and 1115 waivers to address social determinants of health and advance whole-person health.
Altarum: (10/22) – A recent report examined the responses of several PACE organizations during the initial COVID-19 outbreak, highlighting how PACE providers have innovated and adapted to keep enrollees safe in their communities, including addressing both medical and biopsychosocial needs.
EHR Intelligence: (10/21) – A study published in JAMA Network Open revealed that integrating patient-reported social determinants of health data into an EHR can better identify individuals who are at a high-risk for hospitalization. SDOH data can be crucial to finding significant health issues and can create opportunities to offer social services and interventions for high-risk patients.
Patient Engagement HIT: (10/20) – According to a study published in JAMA Network Open, patients who hear about different options for social services referrals prior to a SDOH screening are more likely to accept assistance than those who don’t. This finding can influence how providers conduct screenings moving forward.
Milbank Memorial Fund: (10/20) – While value-based payment has the potential to spur innovation in upstream prevention, there is uncertainty about the conditions under which it would encourage health care providers to innovate to address upstream social risks. This study looked at the number of social risks systematically screened by practices, the extent of the practices’ participation in value-based payment models, and measures of capacity for innovation
AJMC: (10/19) – This study found that among patients receiving primary care within a large health system in South Florida, patient-reported social determinants of health variables were significantly associated with Framingham Risk Score-Cardiovascular Disease (FRS-CVD), and an increasing social risk score was significantly associated with a higher FRS-CVD, worsening of most modifiable CVDrisk factors, and higher odds of not achieving CVD benchmarks.
Big Cities Health Coalition: (10/19) – The Big Cities Health Coalition published a transition paper outlining critical public health recommendations for the next Administration and 117th Congress to implement to address COVID-19, substance use, systemic racism, and other health threats.
Center for Health Care Strategies, Inc.: (October 2020) – In partnership with the Association for Community Affiliated Plans (ACAP), CHCS developed a report to assess the ability of Dual Eligible Special Needs Plans (D-SNPs) to address their members’ social risk factors and explores policy options that would allow Medicare to provide D-SNPs the necessary tools to address social needs.
ASPE: (10/16) – ASPE released a report which provides projections of poverty rates and eligibility for Medicaid, TANF, and SNAP for the August to December 2020 period. Findings suggest that eligibility for all programs is projected to increase, and that annual poverty for 2020 is projected to rise above 13 percent by the year’s end.
Siren: (October 2020) – A recent study looked at whether randomization to permanent supportive housing (PSH) can reduce the use of acute health care services among chronically homeless high users of publicly funded services compared to usual care sources. The study found that PSH decreased psychiatric ED visits and shelter use, increased outpatient mental health care, but did not decrease medical ED visits or hospitalizations.
Science Direct: (10/7) – Pediatric accountable health communities (AHCs) are emerging collaborative models that integrate care across health and social service sectors. This study looked at the needed capabilities and solutions for implementing AHCs to provide more integrated, high value care for children.
CDC: (October 2020) – The CDC released its Youth Risk Behavior Surveillance Data Summary & Trends Report: 2009-2019. The report highlighted trends in data on health behaviors and experiences among high school students related to sexual behavior, high-risk substance use, experiencing violence, and mental health and suicide.
ATI Advisory: (October 2020) – ATI analyzed CMS data on plan benefit packages finding that a growing number of plans are offering non-medical supplemental benefits under the expanded definition of primarily health-related benefits. In 2020, 499 plans offered non-medical supplemental benefits, while in 2021, 738 plans are offering these benefits.
Center for Health Care Strategies, Inc.: (October 2020) – The COVID-19 pandemic has revealed that individuals who are dually eligible for Medicare and Medicaid are among the most at-risk for contracting the virus but often receive care in fragmented systems. This report, developed in partnership with Speire Healthcare Strategies and Arnold Ventures, provides insight on response efforts from states and health plans that integrate programs and outlines recommendations to support integration.
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