Health Affairs July 20, 2023
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...