Clinical interventions addressing nonmedical health determinants in medicaid managed care

American Journal of Managed Care

Volumn 22, Issue 5, 2016, Pages 370-376

  Gottlieb, Laura M ^a,b   Garcia, Kim ^a   Wing, Holly ^a   Manchanda, Rishi ^c  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c NONE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

BIBLIOGRAPHIC DATABASE; CASE MANAGEMENT; EDUCATION; EMPLOYMENT; FINANCIAL MANAGEMENT; FOOD; HEALTH CARE ACCESS; HEALTH CARE DELIVERY; HEALTH PROGRAM; HOSPITAL ADMISSION; HOUSING; HUMAN; LEGAL SERVICE; LOWEST INCOME GROUP; MANAGED CARE ORGANIZATION; MEDICAID; PATIENT SATISFACTION; PHYSICAL ACTIVITY; PRACTICE GUIDELINE; PRIORITY JOURNAL; REVIEW; RISK FACTOR; SAFETY; SOCIAL DETERMINANTS OF HEALTH; SOCIAL NEEDS; TOBACCO USE; TOTAL QUALITY MANAGEMENT; TRAFFIC AND TRANSPORT; DECISION MAKING; ECONOMICS; HEALTH INSURANCE; PATIENT SELECTION; UNITED STATES;

DECISION MAKING; HUMANS; MANAGED CARE PROGRAMS; MEDICAID; PATIENT SELECTION; SOCIAL DETERMINANTS OF HEALTH; UNITED STATES;

EID: 84971432717     PISSN: 10880224     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (29)

1. World Health Organization; Commission on Social Determinants of Health. Closing the gap in a generation: Health equity through action on the social determinants of health. WHO website. http: //www.who. int/social-determinants/thecommission/finalreport/en/. Published 2008. Accessed April 22, 2016.
2. McCarthy D, Klein S. The Triple Aim journey: Improving population health and patients' experience of care, while reducing costs. The Commonwealth Fund website. http: //www.commonwealthfund.org/publications/case-studies/2010/jul/triple-aim-improving-populationhealth. Published July 22, 2010. Accessed November 2, 2015.
3. Nandi A, Harper S. How consequential is social epidemiology? a review of recent evidence. Curr Epidemiol Rep. 2015;2: 61-70. doi: 10.1007/s40471-014-0031-3.
4. Manchanda R. The upstream doctors: Medical innovators track sickness to its source. Presented at: TEDSalon NY2014; August 2014. https: //www.ted.com/talks/rishi-manchanda-what-makes-us-get-sick- look-upstream?language=en. Accessed April 22, 2016.
5. Bachrach D, Pfister H, Wallis K, Lipson M; Manatt Health Solutions. Addressing social determinants of health: The business case for provider investment. The Commonwealth Fund website. http: //www. commonwealthfund.org/~/media/files/publications/fund-report/2014/may/1749-bachrach-addressing-patients-social-needs-v2.pdf. Published May 2014. Accessed November 2, 2015.
6. Onie R, Farmer P, Behforouz H. Realigning health with care. Stanford Social Innovation Review website. http: //www.ssireview.org/articles/entry/realigning-health-with-care. Published 2012. Accessed November 2, 2015.
7. Community health centers: Leveraging the social determinants of health. Institute for Alternative Futures website. http: //www.altfutures. org/pubs/leveragingSDH/IAF-CHCsLeveragingSDH.pdf. Published March 2012. Accessed November 2, 2015.
8. Role of Medicaid health plans in patient-centered medical homes. Medicaid Health Plans of America website. http: //www.mhpa.org/-upload/MHPA Medical Home White paper FINAL4.pdf. Published September 2010. Accessed November 2, 2015.
9. Loppie Reading C, Wien F. Health inequalities and social determinants of aboriginal people's health. National Collaborating Centre for Aboriginal Health website. http: //www.nccah-ccnsa.ca/docs/social determinates/NCCAH-loppie-Wien-report.pdf. Published 2009. Accessed November 2, 2015.
10. Kaiser Commission on Medicaid and the uninsured: Medicaid managed care: Key data, trends, and issues. Kaiser Family Foundation website. http: //kaiserfamilyfoundation.files.wordpress. com/2013/01/8046-02.pdf. Published February 2012. Accessed November 2, 2015.
11. The scope of Medicaid managed care. Medicaid Health Plans of America website. http: //www.mhpa.org/-upload/Medicaid Managed Care Primer February 2013 Sec 2 Scope.pdf. Published 2013. Accessed November 2, 2015.
12. Burton A, Chang DI, Gratale D. Medicaid funding of communitybased prevention: Myths, state successes overcoming barriers and the promise of integrated payment models. Nemours website. http: //www.nemours.org/content/dam/nemours/wwwv2/filebox/about/Medicaid- Funding-of-Community-Based-Prevention-Final.pdf. Published 2013. Accessed November 2, 2015.
13. Tobey R, Maxwell J, Bateman C, Barron C. Opportunities for wholeperson care in California. John Snow, Inc website. http: //jsi.com/JSIInternet/Inc/Common/-download-pub.cfm?id=14817&lid=3. Published September 2014. Accessed November 2, 2015.
14. McGinnis T, Crawford M, Somers SA. A state policy framework for integrating health and social services. Issue Brief (Commonw Fund). 2014;14: 1-9.
15. Weiner BJ. A theory of organizational readiness for change. Implement Sci. 2009;4: 67. doi: 10.1186/1748-5908-4-67.
16. Bielaszka-DuVernay C. Vermont's blueprint for medical homes, community health teams, and better health at lower cost. Health Aff (Millwood). 2011;30(3): 383-386. doi: 10.1377/hlthaff.2011.0169.
17. Johnson D, Saavedra P, Sun E, et al. Community health workers and Medicaid managed care in New Mexico. J Community Health. 2012;37(3): 563-571. doi: 10.1007/s10900-011-9484-1.
18. Sandberg SF, Erikson C, Owen R, et al. Hennepin Health: A safety-net accountable care organization for the expanded Medicaid population. Health Aff (Millwood). 2014;33(11): 1975-1984. doi: 10.1377/hlthaff.2014.0648.
19. Community health plan strategies for improving mental health: Case studies in improving care, reducing mental illness stigma. Alliance of Community Health Plans website. http: //www.achp.org/publications/community-health-plan-strategies-improving-mental-health-2/. Published November 12, 2014. Accessed November 2, 2015.
20. Meyer H. A new care paradigm slashes hospital use and nursing home stays for the elderly and the physically and mentally disabled. Health Aff (Millwood). 2011;30(3): 412-415. doi: 10.1377/hlthaff.2011.0113.
21. Catov JM, Marsh GM, Youk AO, Huffman VY. Asthma home teaching: Two evaluation approaches. Dis Manag. 2005;8(3): 178-187.
22. Grimes KE, Mullin B. MHSPY: A children's health initiative for maintaining at-risk youth in the community. J Behav Health Serv Res. 2006;33(2): 196-212.
23. The Menges Group. Positively impacting social determinants of health: How safety net health plans lead the way. Association for Community Affiliated Plans website. http: //www.communityplans.net/Portals/0/Fact%20Sheets/ACAP-Plans-and-Social-Determinants-of-Health.pdf. Published June 2014. Accessed April 22, 2016.
24. Craig C, Eby D, Whittington J. Care coordination model: Better care at lower cost for people with multiple health and social needs. Institute for Healthcare Improvement website. http: //www.ihi.org/resources/pages/ihiwhitepapers/ihicarecoordinationmodelwhitepaper.aspx. Published 2011. Accessed April 22, 2016.
25. Eyster L, Bovbjerg RR. Promising approaches to integrating community health workers into health systems: Four case studies. The Urban Institute website. http: //www.urban.org/research/publication/promising-approaches-integrating-community-health-workers-healthsystems- four-case-studies. Published March 26, 2014. Accessed April 22, 2016.
26. Burke G, Cavanaugh S. The Adirondack Medical Home Demonstration: A case study. United Hospital Fund website. http: //www.uhfnyc. org/assets/888. Published 2011. Accessed November 2, 2015.
27. ACAP fact sheet: Safety net health plan efforts to reduce avoidable emergency department utilization. Association for Community Affiliated Plans website. http: //www.communityplans.net/Portals/0/Fact%20 Sheets/ACAP-Reducing-Avoidable-ER-Utilization.pdf. Published 2014. Accessed November 2, 2015.
28. Health Homes. Medicaid.gov website http: //www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Long-Term-Servicesand- Supports/Integrating-Care/Health-Homes/Health-Homes.html. Accessed October 21, 2015.
29. What is a Health Home program? Washington State Health Care Authority website. http: //www.hca.wa.gov/medicaid/health-homes/Pages/index.aspx. Accessed January 30, 2015.