Accounting for Social Risk Factors in Medicare Payment: by Committee on Accounting for Socioeconomic Status in Medicare

By Committee on Accounting for Socioeconomic Status in Medicare Payment Programs,Board on Population Health and Public Health Practice,Board on Health Care Services,Institute of Medicine,Engineering, and Medicine National Academies of Sciences

Recent healthiness care fee reforms objective to enhance the alignment of Medicare money innovations with pursuits to enhance the standard of care supplied, sufferer reviews with overall healthiness care, and wellbeing and fitness results, whereas additionally controlling charges. those efforts stream Medicare clear of the volume-based money of conventional fee-for-service types and towards value-based buying, during which price keep an eye on is an specific objective as well as medical and caliber objectives. particular check ideas contain pay-for-performance and different caliber incentive courses that tie monetary rewards and sanctions to the standard and potency of care supplied and dependable care firms within which well-being care companies are held responsible for either the standard and value of the care they deliver.

Accounting for Social threat components in Medicare check: selecting Social probability Factors is the 1st in a sequence of 5 reviews commissioned to supply enter into even if socioeconomic prestige (SES) and different social danger elements should be accounted for in Medicare cost and caliber courses. This document specializes in defining SES and different social elements for the needs of program to Medicare caliber dimension and check programs.

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