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.

© 2021 MMIT

Lauren Flynn Kelly Managing Editor, Radar on Medicare Advantage

Lauren has been covering health business issues, including drug benefits and specialty pharmacy, for more than a decade. She served as editor of Drug Benefit News (the predecessor to Radar on Drug Benefits) from 2004 to 2005 and again from 2011 to 2016, and now manages Radar on Medicare Advantage. Lauren graduated from Vassar College with a B.A. in English.

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