Health Equity & SDoH
Expert articles and analysis related to health equity & sdoh.
AI Summary — Last 30 Days
The Trump administration’s recent Medicaid actions are shifting health equity and SDoH strategy from broad coverage expansion toward eligibility policing, financing limits, and narrower exemption management: CMS’ interim final rule on Medicaid work requirements is already facing multistate litigation, while stakeholders are parsing medical frailty exemptions for high-need groups such as people with HIV and other complex populations. For VBC organizations, the immediate risk is population churn and attribution instability in Medicaid managed care and ACO-like arrangements, especially as plans and providers must identify exempt members, document social/clinical barriers, and preserve care continuity amid new compliance infrastructure (KFF on medical frailty exemptions).
At the same time, CMS’ ACCESS behavioral health model is drawing scrutiny over whether payment levels can sustain integrated behavioral health delivery, while proposed limits on Medicaid state-directed payments under the 2025 reconciliation law are pressuring states’ ability to fund safety-net and managed care delivery transformation. Together, these moves signal a harder fiscal and operational environment for equity-oriented VBC: organizations will need stronger risk adjustment, community-based referral networks, and Medicaid eligibility analytics to manage avoidable utilization while defending the economics of whole-person care (Becker’s on ACCESS model economics
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