McGinnis, T., Bonney, J., & Chang, D. (2018). Innovative Medicaid payment strategies for upstream prevention and population health. Washington, DC: Academy Health, Robert Wood Johnson Foundation, & Nemours Children’s Health System.

Year: 2018


This report describes a partnership between Nemours Children’s Health System and Maryland, Oregon, and Washington, to test how Medicaid payment authorities and new payment models could be used to support interventions to address the social determinants of health using a previously developed Medicaid Roadmap. This report illustrates the possibilities for using current Medicaid authority to provide services in community settings, cover upstream prevention, and deliver services using nontraditional community-based providers. Lessons, barriers, and accelerators of this type of work are discussed.

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