Social Determinants of Health
The Important Role of Social Determinants of Health
Forward thinking managed care organizations realize that social determinants of health play a huge role in health risks and outcomes. In fact, according to the Robert Johnson Wood Foundation, these factors can drive as much as 80% of health outcomes.
A healthy lifestyle starts in our homes, schools, workplaces, neighborhoods, and communities, and unfortunately, is frequently predetermined by the social and economic opportunities afforded to us. Medicaid members, who are low-income by definition, are especially at a disadvantage, as they often struggle with basic needs like food, employment, and shelter—which negatively impacts their future health.
Where Does Transportation Fit?
Transportation is a missing piece of the puzzle. When a member has access to reliable transportation, they have a way to get to better employment and education opportunities; an improved ability to connect with friends and family for social and recreational outings; and a consistent method for accessing basic daily needs like grocery stores, pharmacies, and healthy food options.
Every year, MTM provides more than 20 million trips to members connecting with healthcare services. We’re ready to help you do more with our robust existing networks and customer service facilities, and can support you in expanding your transportation benefit to include more than just trips to the doctor.
We are the transportation partner that can help you bridge the gap between members and community:
Economic Stability & Employment
Employment impacts so much of our daily lives: our overall economic stability, our ability to afford food and housing, and our overall feeling of self-worth. According to the Brookings Institution’s Metropolitan Policy Program, nearly 40 million working age US citizens live in metropolitan areas that lack public transportation, lessening their ability to get to places of employment. These struggles are even more difficult for people who are low-income and can’t afford a personal vehicle, as well as individuals with disabilities. In the long-term, limited access to employment can result in long-term economic hardship, generational wage gaps, social isolation, inability to sustain a healthy lifestyle, and a lower perception of meaning and self-worth.
How can MTM help you address access to employment among your membership?
Neighborhood & Physical Environment
Based on research from the Monroe Group, 46 million U.S. residents live in poverty, which negatively impacts their ability to afford quality housing. Housing quality is so much more than just the neighborhood we live in—it also refers to the physical environment of our homes, from air quality and presence of toxins like mold and asbestos, to the space allotted per resident. Low-income families, like those who qualify for Medicaid, are more likely to live in poor quality housing that can have long-term negative effects on health, including chronic disease, injury, and poor mental health.
How can MTM help you address physical environment and housing quality among your membership?
From traditional schooling to job training, literacy, and vocational skills, access to education has a direct impact on other social determinants of health like employment and living conditions. According to 2016 research from The Nation’s Health, individuals over the age of 25 who lack a high school degree have an 8% unemployment rate, compared to a 2.8% unemployment rate among those with a college degree. The same study also found that those who graduate from college live an astounding five years longer on average than those who don’t finish high school.
A lack of education has a direct correlation with lack of employment, which can lead to long-term economic hardship, wage gaps, and social isolation.
How can MTM help you address access to education among your membership?
Food Quality & Stability
According to the U.S. Department of Agriculture, food insecurity—when a household has limited or uncertain access to adequate food supply, resulting in disrupted eating patterns or reduced food intakes—affects an estimated 11.1% of U.S. households. When families and individuals face food insecurity, they are at increased risk of developing chronic disease and developmental issues, and often have higher rates of hospitalization and readmissions.
How can MTM help you address food insecurity among your membership?
Community & Social Contact
When members lack a sense of belonging and engagement due to limited social contact, it often results in social isolation. A Kaiser Family Foundation study found that 22% of U.S. adults say they often or always feel lonely, and that they lack companionship and feel isolated from others.
Socially isolated people—especially seniors—face higher mortality rates stemming from dementia, stroke, and coronary heart disease. They are also more prone to depression, high blood pressure, and cognitive decline, all of which increase medical spend.