KevinMD March 22, 2021
Eta was a 76-year-old woman with a recent heart attack in and out of the hospital over the last several months. Her course had been complicated by social determinants of health, in that she lacked reliable transportation for necessary follow-up, had unstable housing, and her insurance did not cover valuable care from home health agencies. These obstacles made it difficult for her and her doctors to ensure that she recovered. As a geriatrics researcher and emergency physician, I have coordinated care for Medicare patients like Eta, to ensure they get the additional services they need. However, clinicians are often seemingly punished by reduced Medicare reimbursements when caring for these patients, thereby often creating a perverse disincentive to help this population...
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