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Targeting Health-Related Social Risks in the Clinical Setting: New Policy Momentum and Practice Considerations

Published online by Cambridge University Press:  13 March 2024

Blake N. Shultz ,
Carol R. Oladele ,
Ira L. Leeds ,
Abbe R. Gluck  and
Cary P. Gross
Blake N. Shultz
Affiliation:
MASS GENERAL BRIGHAM, BOSTON, MA, USA
Carol R. Oladele
Affiliation:
YALE SCHOOL OF MEDICINE, NEW HAVEN, CT, USA;
Ira L. Leeds
Affiliation:
YALE SCHOOL OF MEDICINE, NEW HAVEN, CT, USA;
Abbe R. Gluck
Affiliation:
YALE LAW SCHOOL, NEW HAVEN, CT, USA
Cary P. Gross
Affiliation:
YALE SCHOOL OF MEDICINE, NEW HAVEN, CT, USA;
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Abstract

The federal government is funding a sea change in health care by investing in interventions targeting social determinants of health, which are significant contributors to illness and health inequity. This funding power has encouraged states, professional and accreditation organizations, health care entities, and providers to focus heavily on social determinants. We examine how this shift in focus affects clinical practice in the fields of oncology and emergency medicine, and highlight potential areas of reform.

Keywords

Social Determinants Of HealthMedical-Legal PartnershipsHealth-Related Social RisksClinical Interventions

Information

Type
Symposium Articles
Information
Journal of Law, Medicine & Ethics , Volume 51 , Issue 4: Medical-Legal Partnerships: Equity, Evaluation, and Evolution , Winter 2023 , pp. 777 - 785
Copyright
© 2024 The Author(s)

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References

Hood, C. M., Gennuso, K. P., Swain, G. R. and Catlin, B. B., “County Health Rankings: Relationships Between Determinant Factors and Health Outcomes,” American Journal of Preventive Medicine 50, no. 2 (Feb. 2016): 129–135.CrossRefGoogle ScholarPubMed
Id. See also Palmer, R. C., Ismond, D., Rodriquez, E. J., and Kaufman, J. S., “Social Determinants of Health: Future Directions for Health Disparities Research,” American Journal of Public Health 109, supp. 1 (2019): S70–S71; Magnan, S., Social Determinants of Health 101 for Health Care: Five Plus Five (October 9, 2017), National Academies of Medicine, available at <https://nam.edu/social-determinants-of-health-101-for-health-care-five-plus-five/> (last visited July 9, 2023); Office of Disease Prevention and Health Promotion, Social Determinants of Health, available at <https://health.gov/healthypeople/priority-areas/social-determinants-health> (last visited July 9, 2023).Google ScholarPubMed
M. McGough, I. Telesford, S. Rakshit, E. Wager, K. Amin, and C. Cox, How Does Health Spending in the U.S. Compare to Other Countries? (February 9, 2023), Peterson Center on Healthcare, available at <https://www.healthsystemtracker.org/chart-collection/health-spending-u-s-compare-countries/#Average%20annual%20growth%20rate%20in%20health%20consumption%20expenditures%20per%20capita,%201980-2021,%20U.S.%20dollars,%20PPP%20adjusted> (last visited July 9, 2023).+(last+visited+July+9,+2023).>Google Scholar
See Wilder, M. E., Kulie, P., Jensen, C., Levett, P., Blanchard, J., Dominguez, L. W., Portela, M., Srivastava, A., Li, Y., and McCarthy, M. L., “The Impact of Social Determinants of Health on Medication Adherence: A Systematic Review and Meta-analysis,” Journal of General Internal Medicine 36, no. 5 (May 2021): 1359–1379; P. Braveman and L. Gottlieb, “The Social Determinants of Health: It’s Time to Consider the Causes of the Causes,” Public Health Reports 129, supp. 2 (Jan-Feb 2014): 19-31; Office of Disease Prevention and Health Promotion, Social Determinants of Health Literature Summaries, available at <https://health.gov/healthypeople/priority-areas/social-determinants-health/literature-summaries> (last visited July 9, 2023).CrossRefGoogle ScholarPubMed
Busacker, A. and Kasehagen, L., “Association of Residential Mobility with Child Health: An Analysis of the 2007 National Survey of Children’s Health,” Maternal and Child Health Journal 16 (2012): 78–87.Google ScholarPubMed
Baggett, T. P., Hwang, S. W., and O’Connell, J. J., “Mortality Among Homeless Adults in Boston: Shifts in Causes of Death Over a 15-Year Period,” JAMA 173, no. 3 (2013): 189–195.Google Scholar
Seligman, H. K., Jacobs, E. A., Lopez, A., Tschann, J. and Fernandez, A., “Food Insecurity and Glycemic Control Among Low Income Patients with Type 2 Diabetes,” Diabetes Care 35, no. 2 (Feb. 2012): 233-238. See also C. A. Gregory and A. Coleman-Jensen, Food Insecurity, Chronic Disease, and Health Among Working-Age Adults (July 2017), United States Department of Agriculture, available at <https://www.ers.usda.gov/publications/pub-details/?pubid=84466> (last visited May 31, 2023).+(last+visited+May+31,+2023).>Google Scholar
Charkchi, P., Dehkordy, S. F. and Carlos, R. C., “Housing and Food Insecurity, Care Access, and Health Status Among the Chronically Ill: An Analysis of the Behavioral Risk Factor Surveillance System,” Journal of General Internal Medicine 33, no. 5 (May 2018): 644–650.CrossRefGoogle Scholar
Tuner, M. C., Krewski, D., Pope, C. A., Chen, Y., Gapstur, S. M., and Thun, M. J., “Long-term Ambient Fine Particulate Matter Air Pollution and Lung Cancer in a Large Cohort of Never-Smokers,” American Journal of Respiratory and Critical Care Medicine 184, no. 12 (2011): 1374–1381. See also World Health Organization, Air Pollution, available at <https://www.who.int/westernpacific/health-topics/air-pollution#tab=tab_1> (last visited July 9, 2023).CrossRefGoogle Scholar
Gómez, C. A., Kleinman, D. V., Pronk, N., Gordon, G. L. Wrenn, Ochiai, E., Blakey, C., Johnson, A., and Brewer, K. H., “Addressing Health Equity and Social Determinants of Health Through Healthy People 2030,” Journal of Public Health Management and Practice 27, supp. 6 (2021): S249–S257.CrossRefGoogle ScholarPubMed
See generally, C. P. Jones, “Levels of Racism: A Theoretic Framework and a Gardener’s Tale,” American Journal of Public Health 90, no. 8 (2000): 1212–1215.Google Scholar
Id. See also Jones, C., “The Impact of Racism on Health,” Ethnicity and Disease 12, no. 1 (2002): 10–13; D. R. Williams and S. A. Mohammed, “Racism and Health I: Pathways and Scientific Evidence,” American Behavioral Scientist 57, no. 8 (2013): 1152-1173; D.R. Williams, J.A. Lawrence, and B.A. Davis, ‘Racism and Health: Evidence and Needed Research,” Annual Review of Public Health 40 (2019): 105-125; R. Yearby, “Structural Racism and Health Disparities: Reconfiguring the Social Determinants of Health Framework to Include the Root Cause,” Journal of Law, Medicine, and Ethics 48, no. 3 (2020): 518-526.Google ScholarPubMed
Office of Disease Prevention and Health Promotion, Social Determinants of Health, available at <https://health.gov/healthypeople/priority-areas/social-determinants-health> (last visited July 9, 2023).+(last+visited+July+9,+2023).>Google Scholar
See Andermann, A., “Taking Action on the Social Determinants of Health in Clinical Practice: A Framework for Health Professionals,” Canadian Medical Association Journal 188, nos. 17-18 (Dec. 2016): E474–E83. For a discussion of MLPs, see D. L. Rosen and E. Ashkin, “Medical Legal Partnerships’ Role in Improving Health Among People Released from Incarceration,” Health Affairs Forefront, October 28, 2021, available at <https://www.healthaffairs.org/content/forefront/medical-legal-partnerships-role-improving-health-among-people-released-incarceration> (last visited May 31, 2023).CrossRefGoogle ScholarPubMed
Lantz, P. M., “The Medicalization of Population Health: Who Will Stay Upstream?” Milbank Quarterly 97 (2019).CrossRefGoogle ScholarPubMed
See C. A. Gómez et al., supra note 10.Google Scholar
For a critique of this localization, see E. Reinhart, “Want to Fix Public Health? Stop Thinking Like a Doctor,” The Nation, Feburary 22, 2023, available at <https://www.thenation.com/article/society/fix-public-health-argument/> (last visited May 31, 2023).+(last+visited+May+31,+2023).>Google Scholar
C. Horstman, A. Bryan, and C. Lewis, How the CMS Innovation Center’s Payment and Delivery Reform Models Seek to Address the Drivers of Health, The Commonwealth Fund (Aug. 8, 2022), available at <https://www.commonwealthfund.org/publications/issue-briefs/2022/aug/how-cmmi-payment-delivery-reforms-address-drivers-health#:~:text=CMMI%20could%20consider%20offering%20direct,explicit%20financial%20and%20nonfinancial%20incentives> (last visited May 31, 2023).+(last+visited+May+31,+2023).>Google Scholar
Id. Google Scholar
M. Guth, Section 1115 Waiver Watch: Approvals to Address Health-Related Social Needs, Kaiser Family Foundation (Nov. 15, 2022), available at <https://www.kff.org/medicaid/issue-brief/section-1115-waiver-watch-approvals-to-address-health-related-social-needs/> (last visited May 31, 2023).+(last+visited+May+31,+2023).>Google Scholar
Id. Google Scholar
Id. Google Scholar
S. Artiga and E. Hinton, Beyond Health Care: The Role of Social Determinants in Promoting Health and Health Equity, Kaiser Family Foundation (May 10, 2018), available at <https://www.kff.org/racial-equity-and-health-policy/issue-brief/beyond-health-care-the-role-of-social-determinants-in-promoting-health-and-health-equity/> (last visited May 31, 2023).+(last+visited+May+31,+2023).>Google Scholar
L. Rudolph, J. Caplan, K. Ben-Moshe, and L. Dillon, Health in All Policies: A Guide for State and Local Governments, American Public Health Association (2013), available at <https://www.apha.org/-/media/Files/PDF/factsheets/Health_inAll_Policies_Guide_169pages.ashx> (last visited May 31, 2023).+(last+visited+May+31,+2023).>Google Scholar
United States Department of Agriculture, Fact Sheet: USDA Support for Food Banks and the Emergency Food System, available at <https://www.fns.usda.gov/fact-sheet/usda-support-for-food-banks-emergency-food-system> (last visited May 31, 2023).+(last+visited+May+31,+2023).>Google Scholar
United States Department of Education, U.S. Department of Education Announces More Than $188 Million from the Bipartisan Safer Communities Act to Support Mental Health and Student Wellness (Feb. 16, 2023), available at <https://www.ed.gov/news/press-releases/us-department-education-announces-more-188-million-bipartisan-safer-communities-act-support-mental-health-and-student-wellness> (last visited May 31, 2023).+(last+visited+May+31,+2023).>Google Scholar
M. M. Mello, N. Lurie, and J. M. Sharfstein, “The Public Health Fixes that Missed the Omnibus,” JAMA Forum, February 9, 2023, available at <https://jamanetwork.com/journals/jama-health-forum/fullarticle/2801519> (last visited May 31, 2023). See also F. Adetosoye, J. Kahn, T. Baer, S. Leonard, and A. Mandel, Federal Funding May Boost Social Determinants of Health Infrastructure, McKinsey & Company (Nov. 1, 2022), available at <https://www.mckinsey.com/industries/healthcare/our-insights/federal-funding-may-boost-social-determinants-of-health-infrastructure> (last visited May 31, 2023).+(last+visited+May+31,+2023).+See+also+F.+Adetosoye,+J.+Kahn,+T.+Baer,+S.+Leonard,+and+A.+Mandel,+Federal+Funding+May+Boost+Social+Determinants+of+Health+Infrastructure,+McKinsey+&+Company+(Nov.+1,+2022),+available+at++(last+visited+May+31,+2023).>Google Scholar
A. K. Jha. “Accreditation, Quality, and Making Hospital Care Better,” JAMA Forum, December 18, 2018, available at <https://jamanetwork.com/journals/jama/fullarticle/2718782> (last visited June 7, 2023).+(last+visited+June+7,+2023).>Google Scholar
Id. See also Joint Commission, Who We Are, available at <https://www.jointcommission.org/who-we-are/> (last visited July 9, 2023).+(last+visited+July+9,+2023).>Google Scholar
R. Tucker-Seeley and S. S. Shastri, “Integrating Social Care into Cancer Care Delivery: Are We Ready?” American Society of Clinical Oncology Daily News, June 15, 2022, available at <https://dailynews.ascopubs.org/do/integrating-social-care-into-cancer-care-delivery-we-ready> (last visited May 31, 2023).+(last+visited+May+31,+2023).>Google Scholar
A. Robeznieks, Quality Data is Key to Addressing Social Determinants of Health, American Medical Association, January 12, 2023, available at <https://www.ama-assn.org/delivering-care/health-equity/quality-data-key-addressing-social-determinants-health> (last visited May 31, 2023).+(last+visited+May+31,+2023).>Google Scholar
Ownby, K. K., “Use of the Distress Thermometer in Clinical Practice,” Journal of the Advanced Practitioner in Oncology 10, no. 2 (2019): 175–179.Google ScholarPubMed
See American College of Emergency Physicians, Social Emergency Medicine, available at <https://www.acep.org/sem/about-us/> (last visited May 31, 2023).+(last+visited+May+31,+2023).>Google Scholar
American Society of Clinical Oncology, Patient-Centered Oncology Payment: A Community-Based Oncology Medical Home Model (November 2019), available at <https://practice.asco.org/sites/default/files/drupalfiles/content-files/billing-coding-reporting/documents/2019%20PCOP%20-%20FINAL_WEB_LOCKED.pdf> (last visited July 9, 2023)+(last+visited+July+9,+2023)>Google Scholar
Boston Medical Center, Preventive Food Pantry, available at <https://www.bmc.org/nourishing-our-community/preventive-food-pantry> (last visited July 9, 2023).+(last+visited+July+9,+2023).>Google Scholar
Yale Law School, Medical-Legal Partnerships, Solomon Center for Health Law and Policy website, available at <https://law.yale.edu/solomon-center/projects-publications/medical-legal-partnerships> (last visited July 9, 2023).+(last+visited+July+9,+2023).>Google Scholar
Cole, M., Jolliffe, M., So-Armah, C., and Gottlieb, B., “Power and Participation: How Community Health Centers Address the Determinants of the Social Determinants of Health,” New England Journal of Medicine 3, no. 1 (2022): 1–19.Google Scholar
E. Sokol, “How an ACO, FQHC Model Leveraged Socail Determinants of Health,” Health IT Analytics (August 25, 2020), available at <https://healthitanalytics.com/news/how-an-aco-fqhc-model-leveraged-social-determinants-of-health>; Centers for Medicare & Medicaid Services, Press Release, Enhancing Oncology Model (June 27, 2022), available at <https://www.cms.gov/newsroom/fact-sheets/enhancing-oncology-model>.;+Centers+for+Medicare+&+Medicaid+Services,+Press+Release,+Enhancing+Oncology+Model+(June+27,+2022),+available+at+.>Google Scholar
Abrams, H. et al., “Financial Toxicity in Cancer Care: Origins, Impact, and Solutions,” Translational Behavioral Medicine 11, no. 11 (2021): 2043–54; Q. Fan et al., “Housing Insecurity Among Patients with Cancer,” Journal of the national Cancer Institute 114, no. 12 (2022): 1584-92; M. Raber et al., “Food Insecurity Among People with Cancer: Nutritional Needs as an Essential Component of Care,” Journal of the National Cancer Institute 114, no. 12 (2022): 1577-83.CrossRefGoogle ScholarPubMed
Gupta, A. et al., “Association of Area-Level Socioeconomic Status and Non-Small Cell Lung Cancer Stage by Race/Ethnicity and Health Care-Level Factors: Analysis of the National Cancer Database,” Cancer 128, no. 16 (2022): 3099–3108.CrossRefGoogle Scholar
Leeds, I. L. et al., “Psychosocial Risks are Independently Associated with Cancer Surgery Outcomes in Medically Comorbid Patients,” Annals of Surgical Oncology 26 (2019): 936–44; A. Artinyan et al., “Infectious Postoperative Complications Decrease Long-Term Survival in Patients Undergoing Curative Surgery for Colorectal Cancer: A Study of 12,075 Patients,” Annals of Surgery 261, no. 3 (2015): 497-505.Google ScholarPubMed
Pinheiro, L. C. et al., “Social Determinants of Health and Cancer Mortality in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) Cohort Study,” Cancer 128, no. 1 (2021): 122–30.CrossRefGoogle ScholarPubMed
Id. Google Scholar
Iqbal, J. et al., “Differences in Breast Cancer Stage at Diagnosis and Cancer-Specific Survival by Race and Ethnicity in the United States,” JAMA 313, no. 2 (2015): 165–73; S. L. Ooi et al., “Disparities in Breast Cancer Characteristics and Outcomes by Race/Ethnicity,” Breast Cancer Research and Treatment 127, no. 3 (2011): 729-38; A. Philipovksiy et al., “Adherence to Aromatae Inhibitors (AI) in Hispanic Patients with Early Stage Breast Cancer,” Journal of Clinical Oncology 36, Supplement 7 (2018): 70-70.CrossRefGoogle ScholarPubMed
Raber, supra note 39.Google Scholar
Fan, supra note 39.Google Scholar
Carter, N. et al., “Navigation Delivery Models and Roles of Navigators in Primary Care: A Scoping Literature Review,” BMC Health Services Research 18, no. 96 (2018).CrossRefGoogle ScholarPubMed
Fan, supra note 39; Commission on Cancer, Optimal Resource for Cancer Care: 2020 Standards (April 2022), available at <https://www.facs.org/media/whmfnppx/2020_coc_standards.pdf> (last visited July 9, 2023).+(last+visited+July+9,+2023).>Google Scholar
Woofter, K. et al., “Oncology Medical Home: ASCO and COA Standards,” Oncology Practice 17, no. 8 (2021): 475–94.Google ScholarPubMed
Association of American Medical Colleges, Evaluating the Impact of Medical-Legal Partnerships on Health and Health Inequities, available at <https://www.aamc.org/what-we-do/mission-areas/medical-research/health-equity/medical-legal-partnerships> (last visited July 9, 2023).+(last+visited+July+9,+2023).>Google Scholar
Yale Law School, supra note 37.Google Scholar
Centers for Disease Control and Prevention, Emergency Department Visits, National Center for Health Statistics Website, available at <https://www.cdc.gov/nchs/fastats/emergency-department.htm> (last visited July 9, 2023).+(last+visited+July+9,+2023).>Google Scholar
Malecha, P. W. et al., “Material Needs of Emergency Department Patients: A Systematic Review,” Academic Emergency Medicine 25, no. 3 (2017): 330–59.CrossRefGoogle Scholar
McCarthy, M. L. et al., “The Influence of Social Determinants of Health on Emergency Departments Visits in a Medicaid Sample,” Annals of Emergency Medicine 77, no. 5 (2021): 511–22.CrossRefGoogle Scholar
Levitt Center, What is Social Emergency Medicine, available at <https://www.levittcenter.org/what-is-social-emergency-medicine> (last visited July 9, 2023).+(last+visited+July+9,+2023).>Google Scholar
American Medical Association, Evaluation and Management (E/M) Services Guidelines, available at <https://www.ama-assn.org/system/files/2023-e-m-descriptors-guidelines.pdf> (last visited July 9, 2023); American College of Emergency Physicians, “Major Documentation Changes are Coming in 2023 – Got Questions? ACEP’s Got Answers” (October 13, 2022), available at <https://www.acep.org/federal-advocacy/federal-advocacy-overview/regs--eggs/regs--eggs-articles/regs--eggs---october-13-2022/>; American College of Emergency Physicians, “2023 Emergency Department Evaluation and Management Guidelines,” available at <https://www.acep.org/administration/reimbursement/reimbursement-faqs/2023-ed-em-guidelines-faqs/> (last visited July 9, 2023).+(last+visited+July+9,+2023);+American+College+of+Emergency+Physicians,+“Major+Documentation+Changes+are+Coming+in+2023+–+Got+Questions?+ACEP’s+Got+Answers”+(October+13,+2022),+available+at+;+American+College+of+Emergency+Physicians,+“2023+Emergency+Department+Evaluation+and+Management+Guidelines,”+available+at++(last+visited+July+9,+2023).>Google Scholar
See American College of Emergency Physicians, Guidelines, supra note 56.Google Scholar
Id. Google Scholar
Samuels-Kalow, M. E., “The Terminology of Social Emergency Medicine: Measuring Social Determinants of Health, Social Risk, and Social Need,” Journal of the American College of Emergency Physicians Open 1, no. 5 (2020): 852–56.CrossRefGoogle ScholarPubMed
A. Robeznieks, “Quality Data is Key to Addressing Social Determinants of Health,” American Medical Association, January 12, 2023, available at <https://www.ama-assn.org/delivering-care/health-equity/quality-data-key-addressing-social-determinants-health>..>Google Scholar
Levitt Center, Highland health Advocates, available at <https://www.levittcenter.org/ed-social-welfare-in-collabor> (last visited July 9, 2023).+(last+visited+July+9,+2023).>Google Scholar
Id. Google Scholar
A. Digiorgio, Opinion, “How Medicaid Mission Creep Undermines Real Healthcare,” The Hill, December 2, 2022, available at <https://thehill.com/opinion/healthcare/3759675-how-medicaid-mission-creep-undermines-real-health-care/>..>Google Scholar
Lantz, supra note 15.Google Scholar
Jones, D. D., “Medicalization of Poverty: A Call to Action for America’s Healthcare Workforce,” Family Medicine and Community Health 10, no. 3 (2022): 1–4.CrossRefGoogle Scholar
Id. Google Scholar
Adetosoye et al., supra note 27.Google Scholar
California Health Care Foundation, Community Health Workers & Promotors in the Future of Medi-Cal, available at <https://www.chcf.org/resource/community-health-workers-promotores-medi-cal/> (last visited June 9, 2023).+(last+visited+June+9,+2023).>Google Scholar
Tucker-Seeley and Shastri, supra note 31Google Scholar
DeCamp, M., DeSalvo, K., and Dzeng, E., “Ethics and Spheres of Influence in Addressing Social Determinants of Health,” Journal of General Internal Medicine 35 (2020): 2743–45.CrossRefGoogle ScholarPubMed
Similar to COVID-19 liability shields, see Gutmann Koch, V. an Hoffmann, D., “Reciprocity and Liability Protections during the Covid‐19 Pandemic,” Hastings Center Report 51, no. 3 (2021): 5–7.CrossRefGoogle Scholar
Centers for Medicare & Medicaid Services, Utilization of Z Codes for Social Determinants of Health among Medicaid Fee-for-Service Beneficiaries, 2019, available at <https://www.cms.gov/files/document/z-codes-data-highlight.pdf> (last visited July 9, 2023).+(last+visited+July+9,+2023).>Google Scholar
R. King, “Survey: The Biggest Obstacles Health Systems Face in Adopting SDOH Programs,” Fierce Healthcare, March 9, 2020, available at <https://www.fiercehealthcare.com/hospitals-health-systems/survey-a-lack-direct-reimbursement-top-reason-healthcare-systems-don-t> (last visited July 9, 2023).+(last+visited+July+9,+2023).>Google Scholar
Adetosoye et al., supra note 28.Google Scholar
Letter from Amir Bassiri, Medicaid Director, State of New York Department of Health to Judith Cash, Director, CMMS State Demonstrations Group (September 2022), available at <https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/ny-medicaid-rdsgn-team-pa-09152022.pdf> (last visited November 16, 2023).+(last+visited+November+16,+2023).>Google Scholar
B. Friedman, 1115 Waiver Demonstration: Update on Health Equity Regional Organization (HEROs), presented to the Public Health and Health Planning Council, New York, March 1, 2022, available at <https://www.health.ny.gov/facilities/public_health_and_health_planning_council/meetings/2022-03-01/docs/medicaid_waiver.pdf> (last visited July 9, 2023); see also D. Crumley, R. Houston, and A. Bank, “Incorporating Community-Based Organizations in Medicaid Efforts to Address Health-Related Social Needs: Key State Considerations,” California Health Care Foundation (April 2023), available at <https://www.chcs.org/media/Incorporating-Community-Based-Organizations-in-Medicaid-Efforts-to-Address-Health-Related-Social-Needs_040623.pdf>(last visited November 16, 2023).+(last+visited+July+9,+2023);+see+also+D.+Crumley,+R.+Houston,+and+A.+Bank,+“Incorporating+Community-Based+Organizations+in+Medicaid+Efforts+to+Address+Health-Related+Social+Needs:+Key+State+Considerations,”+California+Health+Care+Foundation+(April+2023),+available+at+(last+visited+November+16,+2023).>Google Scholar
Office of Disease Prevention and Health Promotion, Social Determinants of Health, supra note 2.Google Scholar