Population-based payment models need social as well as clinical risk adjustment, report says

Healthcare Finance News April 23, 2020
Susan Morse

COVID-19 emphasizes how the social determinants are connected to physical health, according to Humana and National Quality Forum.

The COVID-19 crisis has underscored the connection between social needs and physical health, according to a new study by Humana and the National Quality Forum.

The authors argue that because of the effect social determinants have on health, population-based payment models should include a social risk adjustment as well as a clinical risk adjustment.

Humana and the National Quality Forum published their findings in a new paper published in the New England Journal of Medicine. “Clinical and Social Risk Adjustment – Reconsidering Distinctions,” was co-authored by Dr. William H. Shrank, chief medical officer for Humana and Dr. Shantanu K. Agrawal, president and...

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