States Increase MCO Demands Around Health Equity, SDOH

Given that states typically contract with just a handful of managed care organizations to serve their Medicaid enrollees, Medicaid managed care by nature has always been a competitive space. But with procurements picking up after the COVID-19 public health emergency derailed some states’ efforts last year plus an increased emphasis on health equity and social determinants of health (SDOH), MCOs have a lot to manage when it comes to competing for new Medicaid pacts.

During a presentation at the AHIP 2021 National Conference on Medicare, Medicaid & Dual Eligibles, held virtually from Sept. 21-24, two Medicaid managed care experts discussed some of the trends in Medicaid requests for proposals (RFPs) and ways MCOs can respond accordingly.

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