Building Accountability for Social Risk Screening into State Medicaid Programs

Sarah DeSilvey, DNP, FNP-C, social determinants of health clinical informatics director of the Gravity Project and faculty at the University of Vermont Larner College of Medicine speaks with Michael Bailit, MBA, founder of Bailit Health, a consulting firm dedicated to ensuring insurer and provider performance accountability. This conversation is the fourth in a series focused on health care sector efforts to increase Awareness about both patient and community-level social conditions. Sarah and Michael share design considerations from state Medicaid agencies weighing the use of quality measures for social risk screening.

Recommended references:

• Bailit Health. Developing a Social Risk Factor Screening Measure. 2020.
• Bailit Health. Social Risk Factor Screening in Medicaid Managed Care. 2020.
• Alderwick H, Gottlieb LM. Meanings and misunderstandings: A social determinants of health lexicon for health care systems. Milbank Q. 2019.
• The Gravity Project 
• Gottlieb L, DeSilvey SC. New Clinical Coding Guidelines Account for Patients’ Social Risk: We Should Do More to Ensure They Advance Health Care Quality and Equity. Health Affairs Blog. 2020.