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

Faculty

Aditi Mallick, MD
(Moderator)
Acting Director
Centers for Medicare and Medicaid Services
Office of Minority Health
Aditi Mallick, MD
(Moderator)

Aditi Mallick, MD is the Acting Director of the Centers for Medicare & Medicaid Services (CMS) Office of Minority Health (OMH), whose mission is to lead the advancement and integration of health equity in the development, evaluation, and implementation of CMS’s policies, programs, and partnerships. Prior to joining OMH, Dr. Mallick served as Chief Medical Officer for the CMS Center for Medicaid and Children’s Health Insurance Program (CHIP) Services (CMCS), where she led the Center’s clinical strategy and cross-center work on health equity, social determinants of health, and innovation in whole-person care among other areas.

Before joining CMCS, Dr. Mallick led the COVID-19 Response Command Center for the North Carolina Department of Health and Human Services (NCDHHS) where she oversaw strategic and operational efforts around vaccination, testing, case investigation, and contact tracing statewide. A core focus of her COVID-19 work was ensuring equitable access and improving outcomes for historically marginalized populations.

Her previous experience includes working closely with a range of healthcare stakeholders across the public and private sectors – including state Medicaid agencies, provider organizations, managed care organizations, and other payors – focusing on strategy, innovation, and data-driven change implementation. Her prior federal experience also includes serving as a Senior Medical Advisor in the Office of the Administrator at CMS, where she focused on Medicare Access and CHIP Reauthorization Act (MACRA) implementation, value-based payment in Medicare fee-for-service, clinician engagement, and clinician burden reduction.

Dr. Mallick continues to care for patients and brings that experience to her work at CMS. She earned her A.B. with honors from Harvard College, her M.D. from Stanford University School of Medicine, and completed internal medicine residency at Massachusetts General Hospital and Harvard Medical School.

Statement of Need

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.

Learning Objectives

  • Identify the impact of health-related social needs on patients, including treatment seeking, patient outcomes, and health care utilization
  • Integrate strategies to address health-related social needs into practice, including screening tools, empathetic inquiry skills, and Medicare- and Medicaid-related guidance

Financial Support

This program is supported by an independent medical education grant from CVS Health.

Target Audience

Physicians, nurse practitioners (NPs), nurses, physician associates (PAs), pharmacists, and pharmacy technicians within the CVS Health System

Credit Information

Jointly Accredited Provider

In support of improving patient care, CME Outfitters, LLC, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Interprofessional (IPCE) 0.5

This activity was planned by and for the healthcare team, and learners will receive 0.5 Interprofessional Continuing Education (IPCE) Credit for learning and change.

Physicians (ACCME) 0.5

CME Outfitters, LLC, designates this enduring activity for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses (ANCC) 0.5

This activity is designated for 0.5 contact hours.

Note for California Nurses

This continuing nursing education activity was approved by the California Board of Registered Nursing. CME Outfitters, LLC’s provider number is CEP15510.

Pharmacists/Pharmacy Tech (ACPE) 0.5

This application-based activity is approved for 0.5 contact hours (0.05 CEUs) of continuing pharmacy credit.
Activity UANs: Pharmacist JA0007185-0000-23-138-H01-P Technician JA0007185-0000-23-138-H01-T

PAs (AAPA) 0.5

CME Outfitters, LLC, has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 0.5 AAPA Category 1 CME credits. Approval is valid until expiration date listed above. PAs should only claim credit commensurate with the extent of their participation.

ABIM MOC 0.5

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.5 medical knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

MIPS Improvement Activity

Completion of this accredited CME activity meets the expectations of an Accredited Safety or Quality Improvement Program (IA_PSPA_28) for the Merit-based Incentive Payment Program (MIPS). Clinicians should submit their improvement activities by attestation via the CMS Quality Payment Program website.

Royal College MOC

Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Disclosure Declaration

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:

  • Joshua Caballero, PharmD, BCPP, FCCP (peer reviewer)
  • Morgan Stockberger, MD (planning committee)
  • Jessica Whelan, DNP, APRN, FPMHNP-BC, RN-BC (planning committee)
  • Susan H. Yarbrough, CHCP (planning committee)
  • Sandra Caballero, PharmD (planning committee)
  • Sharon Tordoff (planning committee)

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.

Obtaining Credit

Post-tests, credit request forms, and activity evaluations must be completed online (requires free account activation), and participants can print their certificate or statement of credit immediately (75% pass rate required). This website supports all browsers except Internet Explorer for Mac. For complete technical requirements and privacy policy, visit our Privacy & Confidentiality page.

Questions about this activity?

Call us at 877.CME.PROS (877.263.7767).

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Population-Based Health in Practice: Addressing Health-Related Social Needs
Event Date: 11/30/2023