October 31, 2018
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Addressing Social Determinants of Health Through Medicaid: Expanding Upstream Interventions with Federal Matching Funds and Social-Impact Investments under the 2016 Medicaid Managed Care Final Rule
This Open Source Solutions paper: 1) explores trends driving Medicaid’s efforts to “shift from volume to value” and the implications for federal payment of non-clinical services; 2) examines whether prevention-based savings from the effective use of value-based purchasing would “slide” Medicaid Managed Care Organization (MCO) revenue by a corresponding amount; and 3) considers outcomes-based funding options for health-related prevention and social welfare programs.
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