Health Affairs July 28, 2021
Steven Sheingold, Rachael Zuckerman, Nancy De Lew, Benjamin D. Sommers

Recent Health Affairs articles and blog posts have advocated for social risk adjustment in value-based payment (VBP) systems. This has been an area of significant analysis and deliberation within the Office of the Assistant Secretary for Planning and Evaluation (ASPE) at the Department of Health and Human Services. It was also the subject of two Reports to Congress by our team required by the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014, the first in December 2016 and the second in March 2020.

In those reports, we did not recommend wide-scale social risk adjustment in Medicare’s VBP programs. We contend that a debate over social risk adjustment in isolation is too narrow a lens for considering the systematic...

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Topics: Equity/SDOH, Govt Agencies, Healthcare System, Insurance, Patient / Consumer, Payment Models, Provider, Value Based
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