Working with Community Care Hubs to Address Social Drivers of Health

Prepared in collaboration with the Partnership to Align Social Care with support from The SCAN Foundation

Research shows that personal behaviors, physical environments and socioeconomic factors—commonly referred to as the social drivers of health (SDOH)—are responsible for 80 percent of health outcomes. Individuals enrolled in Medicaid experience disproportionate rates of complex health and social needs. With this in mind, state Medicaid agencies are increasingly looking beyond the health care system for solutions to improve health outcomes and achieve value.

Community-based organizations (CBOs) are emerging as critical partners in state efforts to address SDOH. Trusted by the communities they serve, CBOs have deep relationships, knowledge of the local environment and critical expertise on the delivery of social care. Community Care Hubs (CCHs) are community-centered entities that organize and support networks of CBOs to more meaningfully and efficiently integrate CBOs and the health-related services they offer into the health care continuum.

In “Working with Community Care Hubs to Address Social Drivers of Health: A Playbook for State Medicaid Agencies,” prepared in collaboration with the Partnership to Align Social Care with support from The SCAN Foundation, Manatt Health provides a resource for state Medicaid agencies seeking to partner with CCHs in the design and implementation of SDOH initiatives. The Playbook offers an introduction to the key functions of CCHs and practical advice on how state Medicaid agencies can work with CCHs  to more effectively and sustainably deliver whole person care.

To download the full Playbook, click here.

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