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 transportation are examples. These conditions are the result of negative social determinants of health (SDOH); but HRSN are not equivalent to SDOH. The primary distinction is that SDOH are grounded in systemic racism and shaped by the inequitable distribution of resources and power; improving SDOH is largely outside the scope of most clinicians’ practice. That said, clinicians can acknowledge and address HRSN, and improve patient access to treatment, health care resource utilization, and patient outcomes though creative means.
In this educational discussion, national experts will discuss a new CMS pilot program that enables clinicians to use novel methods to address HRSN via Medicare resources. This approach, called “In Lieu of Services” (ILOS) uses Medicaid funds to pay for services that are not traditionally medical, but can potentially improve patient outcomes in a more cost-effective manner than traditional treatments. The program will also highlight the screening and assessment best practices and empathetic inquiry skills necessary to identify and address HRSN.
This program is supported by an independent medical education grant from CVS Health.
Physicians, nurse practitioners (NPs), nurses, physician associates (PAs), pharmacists, and pharmacy technicians within the CVS Health System
It is the policy of CME Outfitters, LLC, to ensure independence, balance, objectivity, and scientific rigor and integrity in all of their CE activities. Faculty must disclose to the participants any relationships with commercial companies whose products or devices may be mentioned in faculty presentations, or with the commercial supporter of this CE activity. CME Outfitters, LLC, has evaluated, identified, and mitigated any potential conflicts of interest through a rigorous content validation procedure, use of evidence-based data/research, and a multidisciplinary peer review process.
Dr. Mallick reports no financial relationships to disclose.
Disclosures were obtained from the following peer reviewer and CME Outfitters, LLC, staff, with no disclosures to report:
Faculty of this CE activity may include discussions of products or devices that are not currently labeled for use by the FDA. The faculty have been informed of their responsibility to disclose to the audience if they will be discussing off-label or investigational uses (any uses not approved by the FDA) of products or devices.
Call us at 877.CME.PROS (877.263.7767).