ArticleHealth affairs scholar2023
Comparison of social determinants of health in Medicaid vs commercial health plans.
Article in Health affairs scholar, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed.
- Changes in documentation of social risk factor diagnosis codes: comparison of Medicaid Accountable Care Organization model types.Health affairs scholar · 2026Article
- Relationship between extended-release buprenorphine adherence and reduced risk of return to use in patients with opioid use disorder: A retrospective claims data analysis.Drug and alcohol dependence reports · 2026Article
- Potential for Bias in Social Needs Data Collection and Screening Activities in Health Care Settings.JAMA health forum · 2026Article
- Socioeconomic Status and Postpartum Depression Risk After the Dobbs v Jackson Women's Health Organization Decision, Based on State Trigger Laws.JAMA network open · 2026Article
- Social Determinants of Health ICD-10 Code Use by a Large Integrated Healthcare System.Healthcare (Basel, Switzerland) · 2025Article
- Use of Z-codes related to social determinants of health among adult inpatients in France: a nationwide study from 2014 to 2022.BMC public health · 2025Observational
- Autism, Obesity, and PTSD Among Adolescents and Young Adults: An Analysis of National Medicaid Claims Data.Journal of autism and developmental disorders · 2025Article
- Insurance Type and Social Determinants of Health for Individuals Seeking Gender-Affirming Care in the United States.Journal of general internal medicine · 2025Article
- Improving Medication Adherence and Medication Optimization With a Medicaid-Funded Statewide Diabetes Quality Improvement Project.Clinical diabetes : a publication of the American Diabetes Association · 2025Article
- Procedural Prescription Denials and Risk of Acute Care Utilization and Spending Among Medicaid Patients.JAMA network open · 2025Article
- Open Access to Antipsychotics in State Medicaid Programs: Effect on Healthcare Resource Utilization and Costs among Patients with Serious Mental Illness.Journal of health economics and outcomes research · 2025Article
- The Effect ofJournal of health economics and outcomes research · 2025Article
- Social determinants of health Z-code documentation practices in mental health settings: a scoping review.Health affairs scholar · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Incorporating the measurement of social determinants of health (SDOH) into health care practice and US health policy reforms is a promising approach to improving population health nationwide. One way health care practitioners have started to incorporate consideration of SDOH in clinical care is by using International Classification of Diseases, Tenth Revision (ICD-10), Z-codes, a set of diagnosis codes spanning a range of social and economic circumstances. Our study summarizes Z-codes used by code type, setting, and patient demographics between Medicaid and commercial insurance to help identify strategies to optimize their use within each program and understand their differences. Overall, Z-code use was highly limited nationwide in Medicaid and commercial insurance between 2020 and 2021. Still, we found notable differences in the use of Z-codes between the programs; Medicaid beneficiaries were more likely to receive Z-codes related to financial and economic issues, while commercially insured beneficiaries were more likely to receive Z-codes indicating problems with social and familial relationships. Policy efforts focused on increasing the rate and ease of patient SDOH screening will potentially expand SDOH measurement and facilitate actions to address patient social needs.
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Registered trials
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