Enabling Sustainable Investment in Social Interventions: A Review of Medicaid Managed Care Rate-Setting Tools

by Deborah Bachrach; Jocelyn Guyer; Sarah Meier

Jan 1, 2018

This report explores practical strategies that states can deploy to support Medicaid managed care plans and their network providers in addressing social issues. It is widely recognized that social factors, such as unstable housing and lack of healthy food, have a substantial impact on health outcomes and spending, particularly with respect to lower-income populations. For Medicaid, now dominated by managed care, this raises the question of how states can establish managed care rates to sustain investments in social supports.