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    Need for payer-provider partnerships in addressing social determinants of health

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    Author
    Kannarkat, Joseph T
    Hartle, James E
    Parekh, Natasha
    Date
    2021-06
    Journal
    Journal of Managed Care & Specialty Pharmacy
    Publisher
    Academy of Managed Care Pharmacy (AMCP)
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.18553/jmcp.2021.27.6.791
    Abstract
    This article examines payer-provider partnerships in social determinants of health (SDoH) interventions, identifies important factors for an approach centered around return on investment (ROI) using integrated delivery and finance systems as case studies, and advocates for increased collaboration between payers and providers when addressing SDoH. Despite the numerous examples where payers and providers have attempted to independently address SDoH, there is limited evidence for the success of these interventions. Since most stakeholders individually do not have access to financial and clinical data, identifying an ROI for SDoH interventions is logistically challenging, but even when these data are available, stakeholders may not want to share their learnings due to negative findings and/or unwillingness to share proprietary information. These issues are further amplified by the effects of COVID-19 and its worsening effect on widening health disparities, but many payers and providers have risen to the challenge together. This article advocates for the importance of payer-provider partnerships to address SDoH and uses examples of integrated delivery and finance systems as case studies of how these partnerships could function. DISCLOSURES: No outside funding supported the writing of this article. Hartle is employed by Geisinger Health System. The other authors have nothing to disclose.
    Keyword
    payer-provider partnerships
    Social Determinants of Health
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/16013
    ae974a485f413a2113503eed53cd6c53
    10.18553/jmcp.2021.27.6.791
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