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Systems practices for the care of socially at-risk populations
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| 자료유형 | 단행본 |
|---|---|
| 서명/저자사항 | Systems practices for the care of socially at-risk populations/ Committee on Accounting for Socioeconomic Status in Medicare Payment Programs, Board on Population Health and Public Health Practice ; Board on Health Care Services, Health and Medicine Division, the National Academies of Sciences, Engineering, Medicine. |
| 단체저자명 | National Academies of Sciences, Engineering, and Medicine (U.S.). Committee on Accounting for Socioeconomic Status in Medicare Payment Programs,author. United States. Department of Health and Human Services. Office of the Assistant Secretary for Planning and Evaluation,sponsoring body. |
| 발행사항 | Washington, D.C.: National Academies Press, [2016]. |
| 형태사항 | 1 online resource (xii, 82 pages): illustrations. |
| ISBN | 9780309391986 0309391989 |
| 기타표준부호 | 10.17226/21914doi |
| 서지주기 | Includes bibliographical references. |
| 요약 | "The Centers for Medicare & Medicaid Services (CMS) have been moving from volume-based, fee-for-service payment to value-based payment (VBP), which aims to improve health care quality, health outcomes, and patient care experiences, while also controlling costs. Since the passage of the Patient Protection and Affordable Care Act of 2010, CMS has implemented a variety of VBP strategies, including incentive programs and risk-based alternative payment models. Early evidence from these programs raised concerns about potential unintended consequences for health equity. Specifically, emerging evidence suggests that providers disproportionately serving patients with social risk factors for poor health outcomes (e.g., individuals with low socioeconomic position, racial and ethnic minorities, gender and sexual minorities, socially isolated persons, and individuals residing in disadvantaged neighborhoods) may be more likely to fare poorly on quality rankings and to receive financial penalties, and less likely to receive financial rewards. The drivers of these disparities are poorly understood, and differences in interpretation have led to divergent concerns about the potential effect of VBP on health equity. Some suggest that underlying differences in patient characteristics that are out of the control of providers lead to differences in health outcomes. At the same time, others are concerned that differences in outcomes between providers serving socially at-risk populations and providers serving the general population reflect disparities in the provision of health care. Systems Practices for the Care of Socially At-Risk Populations seeks to better distinguish the drivers of variations in performance among providers disproportionately serving socially at-risk populations and identifies methods to account for social risk factors in Medicare payment programs. This report identifies best practices of high-performing hospitals, health plans, and other providers that serve disproportionately higher shares of socioeconomically disadvantaged populations and compares those best practices of low-performing providers serving similar patient populations. It is the second in a series of five brief reports that aim to inform the Office of the Assistant Secretary of Planning and Evaluation (ASPE) analyses that account for social risk factors in Medicare payment programs mandated through the Improving Medicare Post-Acute Care Transformation (IMPACT) Act"--Publisher's description. |
| 기금정보주기 | Supported by the Department of Health and Human Services Office of the Assistant Secretary for Planning and EvaluationHHSP23320140020B |
| 주제명(단체명) | Centers for Medicare & Medicaid Services (U.S.) United States. --Improving Medicare Post-Acute Care Transformation Act of 2014 or the IMPACT Act of 2014. |
| 일반주제명 | Medical care --United States --Finance. Medicaid --Finance. Medicare --Finance. BUSINESS & ECONOMICS / Industries / General |
| 언어 | 영어 |
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