Health Affairs July 20, 2023
W. Ryan Powell, Ann M. Sheehy, Amy J.H. Kind

Social determinants of health are widely recognized as fundamental drivers of health inequities. To address such inequities, health policy must take a brave new approach, recognizing that what we have done historically does not meet the needs of the most under-resourced US communities. Any federal action designed to target resources towards improved health equity must recognize the fundamental truth: some areas of the US have much higher burdens of disadvantage than others. Fiscally responsible cost-neutral policy argues that resources should be efficiently targeted to areas of greatest need.

This year, the Center for Medicare and Medicaid Innovation (CMMI) took a ground-breaking step, creating policy aligning with multi-level equity science and targeting resources based on both individual-level and exposome (neighborhood-level) disadvantage...

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