Commonwealth Fund August 4, 2022
Celli Horstman, Alexandra Bryan, Corinne Lewis

Toplines

Participants in CMMI payment and delivery reform models are implementing a variety of approaches to support beneficiaries with social, economic, and location-based needs that drive health

Standardized screening and performance measures, along with financial incentives and technical support, could help participants address drivers of health

Abstract

  • Issue: Social, economic, and location-based drivers of health (DOH) have an outsize impact on health — especially for Medicare and Medicaid beneficiaries, who are more likely to be elderly, have low income, or have complex medical needs. The Center for Medicare and Medicaid Innovation (CMMI) addresses DOH in many of their health care payment and care delivery models, but lessons from them have not been synthesized.
  • Goals: Describe how CMMI models have...

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Topics: CMS, Equity/SDOH, Govt Agencies, Healthcare System, Insurance, Medicaid, Medicare, Medicare Advantage, Patient / Consumer, Payer, Payment Models, Provider, Value Based
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