Podcast: Brian Castrucci on the health of the public health workforce
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Tuesday, March 7, 2023 | The Latest Research, Commentary, And News From Health Affairs
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Social Drivers Of Health
While up-front investment in interventions that address social drivers of health (SDH) can reduce future health care costs, Medicaid managed care organizations face volatile enrollment patterns and coverage changes that may prevent them from realizing the full benefits of these investments.

In their Policy Insight in this month’s issue of Health Affairs, Pinar Karaca-Mandic and coauthors describe a potential solution to the problem of Medicaid managed care organizations underinvesting in SDH interventions: a SDH bond.

“The SDH bond we propose would be issued and administered jointly by multiple Medicaid managed care organizations,” the authors explain.

“Individual investors would purchase the bond, expecting a return in the future. The funds raised would finance SDH interventions that create a demonstrable positive impact on social drivers of health for groups of people and thus would be expected to improve health outcomes and reduce health spending.”

Karaca-Mandic and coauthors discuss the types of SDH interventions best suited to bond financing and examine other challenges and key considerations associated with their proposal.

Two Perspective articles in the March issue dive deeper into the topic. Nathan Chomilo sheds light on the benefits and risks of SDH bonds and Jo Ellen McNamara and Emily Chen discuss the challenges associated with their implementation.
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Elsewhere At Health Affairs
Today in Forefront, William Padula and coauthors argue that using health technology assessment across the spectrum of health care delivery—from services to biotechnologies—could curb some of the $1 trillion spent annually on “defects in value” in the US.

Tejas Sathe and coauthors write that a CMS requirement to include Unique Device Identifier (UDI) information in billing data is the key to realizing the benefits of UDIs.
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Brian Castrucci On The Health Of The Public Health Workforce

Health Affairs Editor-in-Chief Alan Weil interviews Brian Castrucci, president and CEO of the de Beaumont Foundation, about his paper examining the state and local public health workforce between 2017 and 2021, before and during the COVID-19 pandemic.
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Daily Digest
This week we're remembering the life and work of Judy Heumann, who passed away this past weekend at age 75. Heumann was a renowned disability rights activist, and late last year we had the privilege of meeting with her to discuss the intersections of health, health policy, and disability.
For Women's History Month, we're highlighting influential voices and organizations that have made an impact on women's health equity and policy.

In a December 2022 article, Sara Yeatman and coauthors examine whether federal and state policies restricting or expanding access to the full range of contraceptive methods can affect women’s attainment of higher education in addition to their reproductive health.
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About Health Affairs

Health Affairs is the leading peer-reviewed journal at the intersection of health, health care, and policy. Published monthly by Project HOPE, the journal is available in print and online. Late-breaking content is also found through healthaffairs.org, Health Affairs Today, and Health Affairs Sunday Update.  

Project HOPE is a global health and humanitarian relief organization that places power in the hands of local health care workers to save lives across the globe. Project HOPE has published Health Affairs since 1981.

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