![]() A key question remains: what are the factors that influence leadership in MCOs and ACOs to move upstream and invest in the social determinants of health? These social determinants of health contribute to long-term wellness-or sickness-and play a large role in chronic disease development. Though many MCOs and ACOs already engage in population health and prevention work, not all invest in upstream interventions that address the root social determinants of health. This is especially true in pediatric care without the leverage of a national payment system and standard-setting authority like Medicare, those providing and paying for pediatric care must navigate complex political, cultural, and financial environments that are unique to each state and local community. ![]() ![]() As managed care organizations (MCOs) and accountable care organizations (ACOs) begin to invest in population health improvement, they are faced with significant and diverse challenges. ![]()
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