The role of pediatric networks in managing social health needs

Area of Science:

• Healthcare Management
• Public Health Policy
• Pediatric Health

Background:

• Medicaid payment models have shifted from fee-for-service to value-based payments.
• There's a growing recognition that healthcare alone cannot produce health.
• Centers for Medicare and Medicaid Services (CMS) are advancing payment models that address social determinants of health (SDOH).

Purpose of the Study:

• To explore the evolving role of pediatric networks in addressing social determinants of health.
• To provide guidance for pediatric networks on managing social health needs.
• To present questions for pediatric networks to consider their involvement in SDOH.

Main Methods:

• The article discusses the strategic shift in pediatric healthcare payment models.
• It highlights the increasing importance of addressing social determinants of health.
• It outlines potential strategies for pediatric networks to manage social health needs.

Main Results:

• Pediatric networks are increasingly expected to address social determinants of health.
• Networks have options including screening and referral, direct service provision, or influencing health policy.
• The article poses critical questions to guide network decision-making.

Conclusions:

• Pediatric networks must determine their role in managing social determinants of health.
• Strategies range from basic screening to policy advocacy.
• Proactive engagement with SDOH is crucial for improving pediatric health outcomes.