Advisory Board June 29, 2023

CMS last year began using the area deprivation index (ADI) in certain payment models to encourage providers to offer care in disadvantaged communities. However, research suggests that the ADI’s methodology may not accurately represent health disparities, and provider organizations have pushed for changes to be made in the future, Kara Hartnett writes for Modern Healthcare.

What is the ADI?

In 2022, CMS began using the ADI to adjust payment rates and quality incentives in certain payment models, including the ACO Realizing Equity, Access, and Community Health (REACH) and the Medicare Shared Savings Program (MSSP). The agency is also considering adding the ADI to the Medicare Advantage Star...

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Topics: ACO (Accountable Care), CMS, Equity/SDOH, Govt Agencies, Healthcare System, Patient / Consumer, Payment Models, Provider, Value Based
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