A Positive Step toward Recognizing Social Risk Factors in Provider Payment Models

Decades of research and experience show that patients with social risk factors such as low income or low education are at greater risk for adverse health outcomes.  One concern about value-based payment models is that providers who serve folks with social risk factors will be penalized if their patients require more resources or do not reach quality goals.  A positive step toward solving this challenge can be found in a recent report to Congress from the US Department of Health and Human Services.  This report presents a high-level framework for incorporating social risk factors into Medicare payment models.  There is still much work to be done, but this is an important starting point.  You can scan the report here or through the window below. (It is a long report, but the essentials are on pp 10-18).

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2017-03-20T16:20:27+00:00December 27th, 2016|