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 wellbeing and fitness care money reforms objective to enhance the alignment of Medicare check ideas with pursuits to enhance the standard of care supplied, sufferer studies with health and wellbeing care, and healthiness results, whereas additionally controlling expenditures. those efforts circulation Medicare clear of the volume-based fee of conventional fee-for-service versions and towards value-based buying, within which price keep an eye on is an specific objective as well as scientific and caliber ambitions. particular cost innovations contain pay-for-performance and different caliber incentive courses that tie monetary rewards and sanctions to the standard and potency of care supplied and liable care corporations during which wellbeing and fitness care companies are held answerable for either the standard and value of the care they deliver.

Accounting for Social threat elements in Medicare check: deciding on Social possibility Factors is the 1st in a sequence of 5 stories commissioned to supply enter into even if socioeconomic prestige (SES) and different social probability components might be accounted for in Medicare cost and caliber courses. This record makes a speciality of defining SES and different social elements for the needs of program to Medicare caliber size and money programs.

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