Accounting for Social Risk Factors in Medicare Payment (2017) / Chapter Skim
Currently Skimming:
4 Moving Forward
4 Moving Forward
Pages 99-106
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 99... ...
At the same time, although Chapter 3 provides some additional guidance on how CMS could use the methods identified individually or in combination to achieve policy goals, the committee recognizes that implementing any approach to accounting for social risk factors in Medi care quality measurement and payment can be complex and will require substantial analyses to identify the best approaches to do so for different Medicare incentive programs. Implementing any approach to accounting for social risk factors in any of Medicare's many value-based payment (VBP)
|
From page 100... ...
Other social risk factors might require new data collection efforts, some of which CMS could start collecting in a standardized way in the near term. For example, although area-level education data that could be used as a proxy for individual education are available from census data in the near term, CMS could begin collecting individual education at the time of enrollment for use in the longer term. Similarly, CMS has some existing data on preferred language.
|
From page 101... ...
, as well as the selection criteria the committee identified for inclusion of social risk factors in Medicare quality measurement and payment. Further research could inform ASPE or CMS as it determines the optimal way in which to adjust indicators used in VBP for social risk factors.
|
From page 102... ...
SYSTEMS PRACTICES FOR THE CARE OF SOCIALLY AT-RISK POPULATIONS Even if it is appropriate to account for social risk factors in Medicare quality measurement and payment, incentivizing providers to find strategies to improve access, quality, and outcomes for socially at-risk populations is critical to the goal of promoting health equity (NASEM, 2016a)
|
From page 103... ...
. If accounting for social risk factors in Medicare payment improves fairness in compensating providers disproportionately serving socially at-risk populations, this would increase the resources available to support delivery of high-quality care and quality improvement efforts.
|
From page 104... ...
Accounting for social risk factors in payment and designing and delivering care responsive to social risk factors are therefore complementary approaches to promoting health equity. CONCLUDING REMARKS Although accounting for social risk factors in Medicare payment is critical for improving equity among Medicare beneficiaries, the committee
|
From page 105... ...
In the case of accounting for social risk factors, changes to the current VBP system would especially influence the lives of patients with social risk factors who have historically experienced barriers to accessing high quality health care. Together, accounting for social risk factors in quality measurement and payment in combination with complementary approaches -- other payment reforms, implementing strategies to improve the quality of care for patients with social risk factors and to reduce disparities, and further research to identify what drives observed differences in quality and outcomes for patients with social risk factors -- may achieve the policy goals of reducing disparities in access, quality, and outcomes, and quality improvement and efficient care delivery for all patients, and thereby promote health equity.
|
From page 106... ...
2016b. Accounting for social risk factors in Medicare payment: Data.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.