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By Margaret Dushko, Harvard Law School ‘21 Medicaid 1915(c) Home and Community Based Services Waivers keep vulnerable patients from needing institutional care by providing services at home and in the community like coverage for home health aides and home-delivered meals. Emergency Appendix K modifications present a critical opportunity for states utilizing the Medicaid 1915(c) Home […]

The coronavirus (COVID-19) pandemic shines a harsh and unforgiving spotlight on the impacts of the social determinants of health. New data from the U.S. Centers for Disease Control and Prevention (CDC) shows that people who are homeless or in congregate living facilities face additional challenges that can exacerbate the spread and severity of COVID-19. CDC […]

This blog post was updated March 11 to respond to the evolving policy landscape. Over the last ten days, headlines have been dominated by the growing global spread of COVID-19 and its effect across the United States.  Readers who advocate on behalf of people living with HIV/AIDs would be justified in objecting to the appointment […]

Explicit protections under federal health care fraud and abuse laws for arrangements that support social determinants of health have the potential to profoundly impact Medicare and Medicaid beneficiaries and others, and to help health care providers succeed in achieving value-based care. This is why we were so excited last October, when we wrote about proposed […]

Nutrition is an important social determinant of health. Food insecurity and malnutrition are associated with poor health outcomes – including higher rates of certain diseases like diabetes – and higher health care costs. Food insecurity and inadequate diet quality disproportionately impact groups with low socioeconomic status. Developing effective Food is Medicine interventions for these populations […]

A new 2019 study found that nearly 4 in 10 Medicare enrollees (38.3%) younger than 65 experience food insecurity, and nearly 1 in 10 enrollees (9.1%) 65 years or older experience food insecurity. CMS has emphasized food insecurity and other social determinants of health in its Accountable Health Communities model, in which the social needs of beneficiaries are screened and addressed to thereby improve health care costs and outcomes. These findings emphasize the need to address food insecurity among Medicare enrollees.

Health care is a highly regulated industry with complex sets of rules put in place to safeguard, among other things, patients and federal health care program dollars. These legal frameworks, while important, were not designed with the current health care system transformation in mind and many stifle its implementation. Advocates working on the integration of […]

Over the years, the Center for Health Law and Policy Innovation of Harvard Law School’s work with community based organizations, health care providers, payers, and government officials has highlighted that health relies on more than a visit to the doctor’s office. Emerging models of community-clinical partnerships address the ways that our homes, food, environment, and […]