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1 Introduction
Pages 17-22

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From page 17...
... Because current VBP programs do not account for social risk factors for poor health outcomes, these programs may underestimate the quality of care provided by providers disproportionally serving socially at-risk populations. Consequently, these providers may be more likely to fare poorly on quality rankings (Berenson and Shih, 2012; Elliott et al., in press; Gilman et al., 2014, 2015; Joynt and Jha, 2013a; Rajaram et al., 2015; Shih et al., 2015; Williams et al., 2014)
From page 18...
... contracted with the National Academies of Sciences, Engineering, and Medicine to convene an ad hoc committee to provide a definition of socioeconomic status for the purposes of application to Medicare quality measurement and payment programs; identify the social factors that have been shown to impact health outcomes of Medicare beneficiaries; specify criteria that could be used in determining which social factors should be accounted for in Medicare quality measurement and payment programs; identify methods that could be used in the application of these social factors to quality measurement and/or payment methodologies; and recommend existing or new sources of data and/or strategies for data collection. The committee comprises expertise in health care quality, clinical medicine, health services research, health disparities, social determinants of health, risk adjustment, and Medicare programs (see the Appendix A for biographical sketches)
From page 19...
... • Identify methods that could be used in the application of SES factors and other social factors to quality, resource use, or other measures used in Medicare payment programs. The fourth report will: • For each of the SES factors or other social factors described above, recommend existing or new sources of data on these factors and/or strategies for data collection, while also identifying challenges to obtaining appropriate data and strategies for overcoming these challenges.
From page 20...
... These include • wealth, • acculturation, • gender identity and sexual orientation, • emotional and instrumental social support, and • environmental measures of residential and community context. In this report, the committee provides guidance on data sources for and strategies to collect data on the indicators that could be included in Medicare quality measurement and payment programs that the committee identified in its third report.
From page 21...
... health care. New England Journal of Medicine 372(10)
From page 22...
... New England Journal of Medicine 371(11)

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