Fully managed SDoH

FwdSlash enables Medicaid Organizations to coordinate and refer health plan members identified as socially vulnerable into a comprehensive community-based social services model as a bridge to improved health and reduced social vulnerability. 

How does it work?

FwdSlash works with community-based organizations, vendors and partners to simplify Payer initiatives on SDoH and streamline service delivery. Members are identified in tandem with local services and resources such as food from local farmers and guaranteed housing from our master leases. Clients are provided with a suite of critical services that help ensure social stability: housing case management, harm reduction, job and income training, food, and transportation. This suite of social resources then coordinates with the Plan’s resources, ensuring optimization of fully managed & integrated health and social care services. 

What should we expect to see happen?

Models like this have demonstrated significant cost savings, improved health outcomes, and are becoming the trend across Medicaid and Managed Care. FwdSlash launched this model in Morgantown, West Virginia where (as of January 2024) 17 people have been housed, ending over 5000 days of collective homelessness. Program participants represent a diversity of experience, background and conditions: pregnant moms, recent parents, older adults, people with Substance Use Disorder and/or Serious Mental Illness, formerly incarcerated individuals, transition aged foster youth, and more. The program directly has helped racial minorities and transgender/non-binary individuals who have directly experienced housing discrimination and enables all potential participants the opportunity for success.  Clients have stabilized their social needs, obtained jobs, and gotten connected to primary care and behavioral health resources. 

How and why should medicaid get involved?

FwdSlash has designed the program to enable the seamless participation of a suite of community based, often non-profit services, with the complex contracting requirements of healthcare and Medicaid. Plans have the flexibility to engage through a PMPM, or risk-based contracting in a value-based, shared-savings arrangement. Federal and state partners can utilize this model to push innovation, prepare for 1115 and ILOS waiver changes, and increase test new models of change.