Health Justice in the Age of Alternative Facts and Tax Cuts: Medicaid Reform, Value-Based Care and the Social Determinants of Health

Elizabeth Tobin-Tyler, Health Justice in the Age of Alternative Facts and Tax Cuts: Value-Based Care, Medicaid Reform, and the Social Determinants of Health, 12 St. Louis U. J. Health L. & Pol'y (2018). Available at: https://scholarship.law.slu.edu/jhlp/vol12/iss1/5

31 Pages Posted: 14 Jan 2022

See all articles by Liz Tobin-Tyler

Liz Tobin-Tyler

Brown University - School of Public Health and Alpert Medical School

Date Written: January 1, 2018

Abstract

Some provisions of the Patient Protection and Affordable Care Act of 2010 (ACA) as well as regulatory policies under the Obama administration reflected the overwhelming evidence that to reduce health care costs, and to improve quality of care and population health, the social determinants of health (SDOH) must be addressed. These policies included funding for partnerships between public health agencies, community organizations, and health care institutions, promotion of value-based payment models that incentivize integrated health and social care delivery, and support for Medicaid program innovations that directly address social needs as part of health care. The Trump administration, through a series of legislative and regulatory changes, has undermined many of these efforts, reversing the momentum toward a more preventive and integrated health care system. This article traces how the Trump administration’s policy approach to investments in value-based and integrated care models, state Medicaid waivers, and funding of the safety net backtrack from Obama administration evidence-based reforms that acknowledged the large role that SDOH play in health inequity, worsening population health outcomes in the U.S., and out of control health care costs.

Note:
Funding Information: None to declare.

Declaration of Interests: None to declare.

Keywords: health justice, social determinants of health, health disparities, Medicaid, HHS, CMS

Suggested Citation

Tobin-Tyler, Liz, Health Justice in the Age of Alternative Facts and Tax Cuts: Medicaid Reform, Value-Based Care and the Social Determinants of Health (January 1, 2018). Elizabeth Tobin-Tyler, Health Justice in the Age of Alternative Facts and Tax Cuts: Value-Based Care, Medicaid Reform, and the Social Determinants of Health, 12 St. Louis U. J. Health L. & Pol'y (2018). Available at: https://scholarship.law.slu.edu/jhlp/vol12/iss1/5, Available at SSRN: https://ssrn.com/abstract=3998241

Liz Tobin-Tyler (Contact Author)

Brown University - School of Public Health and Alpert Medical School ( email )

Providence, RI 02912
United States

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