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Population-Based Health in Practice: Addressing Health-Related Social Needs for Individuals with Disabilities

Patients with disabilities, especially those with complex social determinants of health, are underserved by a health care system they find unwelcoming and difficult to navigate. Most doctors, nurses, and patient-facing staff do not receive disability-related training, and many lack confidence …

Population-Based Health in Practice: Addressing Health-Related Social Needs for Aging Populations

Patients from aging populations face a number of challenges when accessing health care, including overt negative bias toward older adults, complex and time-consuming care, and the lack of thorough integration into e-health systems. Patients who find themselves at the intersection …

Population-Based Health in Practice: Addressing Health-Related Social Needs for Hispanic/Latino Patients

Hispanic/Latino patients do not enjoy equitable access to health care treatment or resources. Systemic racism has severely limited Hispanic/Latino patients’ opportunities to productively engage with the health care system, and the results are negative patient experiences and outcomes. Hispanic/Latino patients …

Population-Based Health in Practice: Addressing Health-Related Social Needs for Rural-Residing Patients

Rural-residing patients encounter roadblocks when they need health care. These patients likely live a considerable geographic distance from providers and facilities, the facilities themselves are far from one another, and there is a shortage of clinicians. Providers who serve in …

Population-Based Health in Practice: Addressing Health-Related Social Needs for Indigenous/American Indian/Alaska Native Patients

Indigenous/American Indian/Alaska Native patients face considerable obstacles when accessing health care, resulting in lower life expectancy, increased mortality from preventable chronic diseases, and the highest rate of kidney failure from diabetes of any race. These disparities are rooted in historical …

Population-Based Health in Practice: Addressing Health-Related Social Needs for Black/African American Patients

The United States healthcare system was not designed with Black/African American patients in mind, nor has it adapted to serve the unique health-related social needs of Black people. Historic and modern racist practices, from discriminatory laws and policies to lack …

Population-Based Health in Practice: Addressing Health-Related Social Needs

The Centers for Medicare & Medicaid Services (CMS) defines health-related social needs (HRSN) as unmet, adverse social and economic conditions that contribute to a patient’s poor health and affect their ability to maintain well-being. Unemployment, food insecurity, and lack of …

Policies in Practice: Integrating HEDIS and CAHPS Measures into Clinical Care for Medicaid Beneficiaries

The Agency for Healthcare Research and Quality (AHRQ) administers the Consumer Assessment of Healthcare Providers and Systems (CAHPS) program, which creates surveys to evaluate patients’ experiences with ambulatory and facility-level care in commercial and Medicaid plans. The Healthcare Effectiveness Data …

Policies in Practice: Integrating Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services into Clinical Care for Medicaid Beneficiaries

Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefits provide comprehensive and preventive health care services for children under age 21 who are enrolled in Medicaid. Federal statutes and regulations require that EPSDT preventative, dental, mental, developmental, and specialty services …