Medicaid Spending and Health-Related Social Needs in the North Carolina Healthy Opportunities Pilots Program

2/27/25 – Key Points

Question  Is North Carolina Medicaid’s Healthy Opportunities Pilots 1115 waiver program, which provides nonmedical services to address health-related social needs, associated with lower Medicaid spending?

Findings  This comparative interrupted time series evaluation found that spending increased near program enrollment, followed by a significantly decreasing trend in spending relative to what would have been expected in the absence of the program.

Meaning  Because lower need for expensive health services can indicate better health, these findings are consistent with the idea that programs to address health-related social needs may help improve health for Medicaid beneficiaries.

Read the full article at JAMA 

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