Social drivers or social determinants of health are the nonmedical conditions and experiences that help contribute to a person's whole wellbeing. In this episode of the HPI podcast, we’ll be learning about the Healthy Opportunities Pilot, a program that uses Medicaid funds to address critical housing, food security, transportation, safety needs of qualifying individuals. Expected to be expanded in November of 2024, this pilot represents a new direction for healthcare funding in N.C. and may influence health policy nationwide.

North Carolina’s population is rapidly aging. By 2028, 1 in 5 residents will be over age 65, and by 2038 most North Carolina counties will have more residents aged 60+ than those under age 18. This signifies major changes in the health care needs of our state for which families, communities, medical providers, and policymakers must prepare.

A new report, A Place to Thrive: Creating Opportunities to Age Well in North Carolina, from the North Carolina Institute of Medicine’s Task Force on Healthy Aging recommends 30 actionable strategies for improving social connections, falls prevention, food and nutrition security, and mobility to support healthy aging for all North Carolinians. 

North Carolina’s Healthy Opportunities Pilot - an innovative program designed to use Medicaid funds to improve health outcomes and reduce healthcare costs by addressing social determinants of health - is making the news…and making a difference.

A lack of reliable access to a sufficient quantity of affordable, nutritious food can have significant impacts on health and wellbeing. And this is especially true when it comes to children who need a steady intake of nutritious food to grow healthy bodies and develop healthy minds.

In North Carolina, however, one in six children are food insecure, and over 1.6 million North Carolinians live in a food desert - areas where healthy foods are not accessible. And since 2012, the number of food deserts in NC has only increased.

In this installment of the HPI Podcast, we speak with Marianne Weant and Alecia Sanders of the NCAH about food insecurity, the School Meals for All Campaign, and what we learned from implementing a similar program in NC during COVID, along with the political challenges and both state and local considerations for a more permanent implementation of this program.

Social determinants of health (such as access to housing, transportation, social support, food security, financial and economic stability, etc.) have a significant impact on health, function, and quality of life, and this is especially true as we grow older. Check out the Office of Disease Prevention and Health Promotion’s new resource designed to help individuals and organizations improve SDOH and support older adults’ health and well-being.