HealthLeaders Media September 19, 2022
Laura Beerman

The agency embeds equity in quality benchmark payments as part of a “zero-sum game” to support the underserved.

Health equity is the lynchpin that will enable CMS’ ACO REACH program to introduce upside and downside incentives, even for participants who enter the model at lower risk thresholds.

The goal? Rewarding providers for serving more vulnerable populations and addressing their social determinants of health (SDOH)—a component that largely has been missing from value-based reimbursement.

In a Q&A with Ashley Perry, chief strategy and solutions officer for Socially Determined, she highlighted how the model can help speed health equity data collection, analysis, and use. Socially Determined is a healthcare analytics company that delivers Social Risk Intelligence to organizations committed to addressing SDOH.

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