ArticleBMC health services research2024
Identifying and addressing health-related social needs: a Medicaid member perspective.
Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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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
6 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
- Bridging the Digital Divide with Digital Navigation in the California Safety Net: A Mixed-Methods Study.Journal of general internal medicine · 2026Article
- Beyond capacity: qualitative stakeholder perspectives on demand for health-related social needs navigation through patient self-navigation tools.BMC health services research · 2026Article
- A qualitative exploration of multi-level factors that support effective community health worker-social worker collaboration.BMC health services research · 2025Article
- Medicaid Accountable Care Organization Implementation and Perinatal Claims Documentation of Social Risk Factors.JAMA network open · 2025Article
- Are unmet health related social needs associated with emergency department utilization among Medicare beneficiaries?BMC health services research · 2025Article
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Authors and funding
4 authors.
Funding
Abstract
backgroundMultiple state and national health care organizations have invested in activities to screen for and address the health-related social needs (HRSNs) of their patients. However, patient perspectives concerning HRSN screening discussions and facilitated referrals to supports are largely unexplored. The main objectives of this study were to explore the ways in which Massachusetts Medicaid (MassHealth) members engage with their health care clinicians to discuss HRSNs, to identify common needs discussed, and to describe whether members feel these needs are being addressed by health care clinicians and staff.
methodsThe study team performed a cross-sectional, qualitative research study that included in-depth, open-ended interviews with 44 adult MassHealth members. Interviews were conducted between June and October 2022. Interviews were recorded, transcribed, and systematically coded for analysis, and common themes were reported. The data collected for this study were part of a larger independent evaluation of MassHealth's 2017-2022 Section 1115 Demonstration that granted authority from CMS to implement health care delivery system reforms in Massachusetts.
resultsIn this qualitative study of Medicaid members, some reportedly felt comfortable freely discussing all of their clinical and social needs with their health care clinicians, while others noted feelings of apprehension. Several members recalled being asked about their HRSNs in various clinical or community settings, while others did not. The majority of members endorsed having an unmet HRSN, including housing, nutrition, financial, or transportation issues, and many barriers to addressing these HRSNs were discussed. Finally, many members cited a preference for discussing HRSNs with community-based care coordinators and social workers at the community partner organizations rather than with their health care clinicians. Community-based care coordinators were lauded as essential facilitators in making the connection to necessary resources to help address HRSNs.
conclusionsStudy results highlight an opportunity to increase the effectiveness of HRSN screening and referral practices within the health care setting through relationship building between Medicaid members and diverse interdisciplinary care teams that include staff such as community health workers. Continued investment in cross-sector partnerships, screening workflows, and patient-clinician relationships may contribute to establishing an environment in which members can comfortably discuss HRSNs and connect with needed services to improve their health.
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