# Early Adoption of Services for Health-Related Social Needs in Medicare

**Authors:** Jessica I. Billig, Joseph H. Joo, Jennifer R. Cardin, Michael D. Dang, Ching-Ching Claire Lin, Jim P. Stimpson, Joshua M. Liao

PMC · DOI: 10.1001/jamahealthforum.2025.6261 · JAMA Health Forum · 2026-01-23

## TL;DR

This study examines how Medicare handled payments for new health-related social services in their first year of coverage.

## Contribution

Analyzes early Medicare adoption of services addressing social determinants of health.

## Key findings

- Reimbursement and denial patterns were assessed for new health-related social services.
- The study covers risk assessment, community integration, and illness navigation services.
- Findings highlight initial trends in Medicare's coverage of these services.

## Abstract

This cross-sectional study assesses the provision of and reimbursement or payment denials for social determinants of health risk assessment, community health integration, and principal illness navigation services in the first year they were reimbursed by Medicare.

## Full-text entities

- **Genes:** APP (amyloid beta precursor protein) [NCBI Gene 351] {aka AAA, ABETA, ABPP, AD1, APPI, CTFgamma}
- **Diseases:** functional decline (MESH:D060825), CHI (MESH:D003147), food insecurity (MESH:D005517), pain (MESH:D010146), death (MESH:D003643), oncology (MESH:D000072716)
- **Chemicals:** HRSN (-)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC12831150/full.md

## References

6 references — full list in the complete paper: https://tomesphere.com/paper/PMC12831150/full.md

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Source: https://tomesphere.com/paper/PMC12831150