Is Your SDOH Program Covered? You Might Be Surprised

GETTYSBURG, Pa., Jan. 31, 2022 /PRNewswire/ -- In 2021, OPEN MINDS & Otsuka American Pharmaceutical, Inc. conducted a comprehensive survey of over 1,100 health plans across the United States. That survey was created in collaboration with an expert panel that identified the major health trends expected to be impactful over the next two years. One of the largest trends that has been monitored closely for years is reimbursement for social determinants of health (SDOH). Since 2019, OPEN MINDS has seen health plans of all types report a general rise in utilization of SDOH strategies. Below you can see the in-depth details of how this utilization breaks down across 12 different markers of social determinants.

With the substantial increases across areas such as Transportation (21%, 2019 – 100%, 2021) and Food Security (13%, 2019 – 81%, 2021), we are seeing a positively correlated increase in services offered through Medicaid and the Children's Health Insurance Program (CHIP). As of December 2021, there are over a dozen different avenues for providers to find support for their services.

Getting Social Determinants Of Health Services Covered Under Medicaid & Chip is published free of charge on PsychU.org and goes into detail on 14 different resources that can help providers address SDOH. The case study is part of the Trends in Behavioral Health Guide, Third Edition (The Guide) published in September of 2021.

About OPEN MINDS

OPEN MINDS is a national leader in market intelligence and management best practices focused on organizations serving consumers with chronic conditions and complex needs. Our unique approach is based on focus and synergy:

First, we stay exclusively focused on a very specific set of domains in the health and human service field – mental health, addiction treatment, chronic disease management, intellectual and developmental disabilities services, disability supports and long-term care, children's services, juvenile justice, corrections health care, and social services. We have deep knowledge of these market areas – and the $860 billion in spending in each.

Second, our unique structure and variety of services fosters a unique synergy between market intelligence and tradecraft. Our team is research-based at its core – with 40+ team members dedicated to tracking every market development, government contract, legislative change, payer, and provider organization in the field. We combine this wealth of market research with a national team of seasoned executives, subject matter experts, and strategic analysts with 'on-the-ground' management experience to provide real-world insights and solutions to the organizations we support.

For over three decades, OPEN MINDS has been the 'bridge to business success' for thousands of organizations in health and human services. We understand and interpret the implications of changing policy and changing science – and how to navigate and leverage those changes for organizational sustainability and success.

About The Trends in Behavioral Health Series

The Trends in Behavioral Health guides provide information and insights into the multi-layered United States behavioral health system. They include an in-depth view of current statistics, prevailing issues, and emerging trends in order to inform the discussions, debates, and decision-making of policy-makers, payers, providers, advocates and consumers. The complete Guides address current behavioral health care trends topics, including:

• A look at the national policy that is shaping the U.S. health and human services market
• A view of the state behavioral health delivery systems that were created by a combination of historical practices, federal and state policy, and market factors over recent years
• An examination of the practices of health plans that manage both physical and behavioral health care for the vast majority of the U.S. population
• A deep-dive into behavioral health care access and delivery of care from the consumer perspective

The Guide Updates provide concise summaries of major changes occurring in the industry. These include high-level impacts of situations affecting behavioral health care (such as COVID-19), new trends, policy changes, and much more.

About PsychU

PsychU members share one simple belief: improved information, increased collaboration, and ongoing discussion will lead to improved mental health care and patient outcomes for individuals with mental illness. Over 64,000 health care professionals who provide, regulate, or administer mental health services are part of the PsychU community. Membership is free and provides complete access to all programs and resources on PsychU.

PsychU is supported by Otsuka Pharmaceutical Development & Commercialization, Inc. (OPDC), Otsuka America Pharmaceutical, Inc. (OAPI), and Lundbeck, LLC., and is managed by OPEN MINDS – committed supporters of the mental health treatment community. Editorial development and support for PsychU is provided by OPDC, Oxford Pharmagenesis, Inc., MedThink SciCom, a division of MedThink Inc., and OPEN MINDS, who have been compensated for their services.

Learn more about the community or become a member today by visiting www.PsychU.org.

For additional questions and inquiries, please contact Murray Beachtel, Senior Consultant, OPEN MINDS at 717-334-1329 or [email protected].

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SOURCE OPEN MINDS