National Quality Forum. (2017, December). A framework for Medicaid programs to address social determinants of health: Food insecurity and housing instability. Washington, DC: Author.

Year: 2017


This report describes a framework for state Medicaid programs to support the collection of social determinants of health data and the integration of health and nonhealth services, using food insecurity and housing instability as illustrative examples. In collaboration with the Centers for Medicare & Medicaid Services (CMS), the National Quality Forum (NQF) convened an Expert Panel. Based on findings from the literature review and environmental scan of measures, the Expert Panel identified a framework that describes the role of Medicaid programs in addressing SDOH. The framework positions Medicaid programs as a central entity, or at the “hub,” in supporting the healthcare system’ role in addressing SDOH and nonhealth sectors as the “spokes.” It illustrates the importance of collaboration and partnerships between health and nonhealth sectors and the utility of SDOH data in healthcare delivery.

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