Health Affairs May 25, 2023
Joshua M. Liao, Amol S. Navathe

Population-based payment models may not be designed to promote health equity without explicit intention—recognition that has spurred the emergence of new models focused specifically on reducing disparities in care.

One promising design strategy would be to provide participating organizations with upfront payments that are earmarked explicitly for work that can address inequities. Historically, only a limited number of participants in small demonstrations have been able to access advanced payments—much less those provided specifically to address patient needs in ways that reduce disparities.

That is set to change in January 2024, when policymakers will begin offering new Advance Investment Payments to new, inexperienced, and low-revenue Medicare Shared Savings Program participants. As of May 18, 2023, eligible organizations can apply to receive...

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Topics: ACO (Accountable Care), Equity/SDOH, Healthcare System, Medicare, Payment Models, Population Health Mgmt, Provider, Value Based
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