help health plan tackle sdoh
ML helps health plans tackle SDOH, improve outcomes
With the passage of the Chronic Care Act, Medicare Advantage plans have been scrambling to figure out how to offer supplemental benefits to their members. Passed as part of a Bipartisan Budget Act last year, the Chronic Care Act promotes the use of benefits that maintain health or keep a beneficiary's health from deteriorating, and the benefits don't have to be health-related. Instead, they can include help for social determinants of health that include housing, nutrition and transportation. Michael Cantor, MD, chief medical officer at CareCentrix, a company that works with payers and providers to create programs that improve quality of care while lowering costs, says social determinants are "significant barriers" to achieving good health for some beneficiaries and the Chronic Care Act is opening doors to improve outcomes. Under the act, the supplements can also be tailored to the individual, when it comes to qualifications.