Health Equity & SDoH
Expert articles and analysis related to health equity & sdoh.
AI Summary — Last 24 Hours
Medicare Advantage equity and access risks are drawing sharper scrutiny as SNP growth becomes a major MA strategy, while new evidence suggests kidney transplant access may differ by coverage type and that public waitlist criteria remain hard to navigate under IOTA—raising implications for CMS quality oversight, network adequacy, and VBC accountability for high-need populations (JAMA on IOTA waitlist criteria). At the same time, states are entering the final implementation window for Medicaid work reporting requirements, forcing Medicaid agencies, MCOs, and safety-net providers to operationalize beneficiary outreach, exemption tracking, and churn prevention—core population-health functions with direct downside risk for access and continuity of care (SHVS roadmap). Commercial behavioral health access data showing “ghost networks” and low appointment yield intensifies pressure on payers and providers to move beyond directory compliance toward measurable access outcomes, a theme aligned with VBC’s shift from process reporting to achieved access and equity.
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