State policymakers increasingly recognize that addressing the social determinants of health is a critical component for improving outcomes and reducing health care spending for Medicaid beneficiaries. Medicaid, however, typically reimburses only for direct medical care or “enabling services” that facilitate access to care, including care coordination, interpretation, and transportation. A handful of states are implementing innovative models that go beyond reimbursing solely for direct medical care to pay for a broader range of “non-traditional” supportive services, including housing, employment support, education and training, and environmental modifications.

This webinar, made possible by The Commonwealth Fund, explores how select states are using Medicaid to pay for supportive services within accountable care organizations, health homes, community health teams, and other value-based delivery system reforms. It walks through findings from a recent CHCS brief, Using Medicaid Resources to Pay for Health-Related Supportive Services: Early Lessons, that outlines promising Medicaid reimbursement strategies. In addition, Oregon’s Coordinated Care Organizations and Massachusetts’ High-Risk Pediatric Asthma Bundled Payment Model are highlighted.


I. Introduction


Anna Spencer, Senior Program Officer, Center for Health Care Strategies
Melinda K. Abrams, Vice President, Delivery System Reform, The Commonwealth Fund

Ms. Spencer summarizes the key role of health-related supportive services in addressing the social determinants of health and strategies for including these services within State Medicaid Plans. Melinda Abrams of The Commonwealth Fund also provides opening remarks.

II. State Approaches to Designing and Implementing Health-Related Supportive Services


Chris DeMars, Director of Systems Innovation, Oregon Health Authority
Katharine London, Principal, Center for Health Law and Economics, University of Massachusetts Medical School

Ms. DeMars discusses Oregon’s experience with the design and implementation of flexible services within the state’s Coordinated Care Organizations and shares early utilization data. Ms. London describes the development process and key elements of Massachusetts’ High-Risk Pediatric Asthma Bundled Payment model.

III. Panel Discussion

Ms. Spencer moderates a Q&A discussion with panelists on the key elements states should consider to include health-related supportive services under Medicaid, strategies for identifying the range and scope of services, successes and challenges, and early lessons learned.