How States Address Social Determinants of Health in their Medicaid Contracts and Contract Guidance Documents
To encourage investments in population health, states are increasingly using levers available in their managed care and value-based contracts to address social determinants of health, such as housing and employment. With support from the Robert Wood Johnson Foundation, the National Academy for State Health Policy examined Medicaid contracts and contract guidance documents in 11 states to highlight how each state’s contract requirements sought to enhance population health. This new chart compares the social determinants each state targeted, and how states monitored outcomes and funded these efforts.
View or download: How States Address Social Determinants of Health in Their Medicaid Contracts and Contract Guidance Documents
For more information, contact Jill Rosenthal or Amy Clary.




For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































