Abstract
As health care continues to advance along the principles of the Triple Aim with a reimbursement model of value-based care [1], there has been increasing call to include social determinants of health (SDH) in reform strategies [2]. An extensive body of evidence demonstrates that SDH play a substantial role in shaping health and health outcomes and addressing disparities [3–12]. Growing recognition of the benefits of connecting health care with non-health services has led to major initiatives focused on addressing SDH [13, 14]. Some states have implemented a “Health in All Policies Approach”, which prioritizes health as a key outcome of policymaking across sectors [15]. Private organizations and foundations have begun to address SDH through community partnerships and funding priorities [16]. However, the health care system does not routinely or systematically collect SDH data or coordinate care to address social needs. It also does not regularly reimburse providers for addressing SDH. The emerging question is how health care financing can be aligned to promote health equity through addressing SDH. The goal of this chapter is to describe the role of health care financing in addressing SDH, and in turn, health disparities among children.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Berwick DM, Nolan TW, Whittington J. The triple aim: care, health, and cost. Health Aff. 2008;27:759–69.
Breslin E, Lambertino A, Heaphy D. Medicaid and social determinants of health: adjusting payment and measuring health outcomes. At https://www.healthmanagement.com/wp-content/uploads/SHVS_SocialDeterminants_HMA_July2017.pdf.
Beal AC. High-quality health care: the essential route to eliminating disparities and achieving health equity. Health Aff. 2011;30:1868–71.
Beck AF, Huang B, Ryan PH, Sandel MT, Chen C, Kahn RS. Areas with high rates of police-reported violent crime have higher rates of childhood asthma morbidity. J Pediatr. 2016;173:175–82.e1.
Beck AF, Klein MD, Schaffzin JK, Tallent V, Gillam M, Kahn RS. Identifying and treating a substandard housing cluster using a medical-legal partnership. Pediatrics. 2012;130:831–8.
Beck AF, Simmons JM, Huang B, Kahn RS. Geomedicine: area-based socioeconomic measures for assessing risk of hospital reutilization among children admitted for asthma. Am J Public Health. 2012;102:2308–14.
Bloomberg GR, Trinkaus KM, Fisher EB Jr, Musick JR, Strunk RC. Hospital readmissions for childhood asthma: a 10-year metropolitan study. Am J Respir Crit Care Med. 2003;167:1068–76.
Braveman P, Barclay C. Health disparities beginning in childhood: a life-course perspective. Pediatrics. 2009;124(Suppl 3):S163–75.
Carlson JA, Saelens BE, Kerr J, et al. Association between neighborhood walkability and GPS-measured walking, bicycling and vehicle time in adolescents. Health Place. 2015;32:1–7.
Case A, Fertig A, Paxson C. The lasting impact of childhood health and circumstance. J Health Econ. 2005;24:365–89.
Flores G, Committee On Pediatric R. Technical report – racial and ethnic disparities in the health and health care of children. Pediatrics. 2010;125:e979–e1020.
Hasnain-Wynia R, Baker DW, Nerenz D, et al. Disparities in health care are driven by where minority patients seek care: examination of the hospital quality alliance measures. Arch Intern Med. 2007;167:1233–9.
Dupre ME, Moody J, Nelson A, et al. Place-based initiatives to improve health in disadvantaged communities: cross-sector characteristics and networks of local actors in North Carolina. Am J Public Health. 2016;106:1548–55.
Place-based approaches to supporting children and families. The Royal Children’s Hospital Centre for Community Child Health. 2011.
Rigby E, Hatch ME. Incorporating economic policy into a ‘health-in-all-policies’ agenda. Health Aff. 2016;35:2044–52.
Isham GJ, Zimmerman DJ, Kindig DA, Hornseth GW. HealthPartners adopts community business model to deepen focus on nonclinical factors of health outcomes. Health Aff. 2013;32:1446–52.
Smith VK, Gifford K, Ellis E, Edwards B. Implementing coverage and payment initiatives: results from a 50-state Medicaid budget survey for state fiscal years 2016 and 2017. The Henry J. Kaiser Family Foundation. At http://files.kff.org/attachment/Report-Implementing-Coverage-and-Payment-Initiatives. Accessed 4 Sept 2018.
National Quality Forum. A framework for Medicaid programs to address social determinants of health: food insecurity and housing instability. http://www.qualityforum.org/Publications/2017/12/Food_Insecurity_and_Housing_Instability_Final_Report.aspx
Advancing health equity: principles to address the social determinants of health in alternative payment models. https://www.aafp.org/about/policies/all/socialdeterminants-paymentmodels.html
Machledt D. Addressing the social determinants of health through Medicaid managed care. https://www.commonwealthfund.org/publications/issue-briefs/2017/nov/addressing-social-determinants-healththrough-medicaid-managed
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2018 The Author(s), under exclusive licence to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Raphael, J.L. (2018). Healthcare Financing and Social Determinants. In: Disparities in Child Health. SpringerBriefs in Public Health(). Springer, Cham. https://doi.org/10.1007/978-3-030-03210-4_6
Download citation
DOI: https://doi.org/10.1007/978-3-030-03210-4_6
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-03209-8
Online ISBN: 978-3-030-03210-4
eBook Packages: Behavioral Science and PsychologyBehavioral Science and Psychology (R0)