Accounting for social risk factors in Medicare payment, Criteria, factors, and methods

Resource Information

The work Accounting for social risk factors in Medicare payment, Criteria, factors, and methods represents a distinct intellectual or artistic creation found in University of Missouri-Kansas City Libraries. This resource is a combination of several types including: Work, Language Material, Books.

Label

Accounting for social risk factors in Medicare payment, Criteria, factors, and methods

Title part

Criteria, factors, and methods

Statement of responsibility

Committee on Accounting for Socioeconomic Status in Medicare Payment Programs, Board on Population Health and Public Health Practice, Board on Health Care Services, Health and Medicine Division, the National Academies of Sciences, Engineering, Medicine

Title variation

Criteria, factors, and methods

Contributor

• National Academies of Sciences, Engineering, and Medicine (U.S.), Committee on Accounting for Socioeconomic Status in Medicare Payment Programs

Issuing body

• National Academies of Sciences, Engineering, and Medicine (U.S.), Committee on Accounting for Socioeconomic Status in Medicare Payment Programs

Subject

• BUSINESS & ECONOMICS -- Insurance | Risk Assessment & Management
• Healthcare Disparities
• Medicare -- Cost control
• Medicare -- Cost control
• Medicare -- economics
• Outcome and Process Assessment, Health Care
• Risk Factors
• Socioeconomic Factors
• United States
• Value-Based Purchasing

Language

eng

Summary

Recent health care payment reforms aim to improve the alignment of Medicare payment strategies with goals to improve the quality of care provided, patient experiences with health care, and health outcomes, while also controlling costs. These efforts move Medicare away from the volume-based payment of traditional fee-for-service models and toward value-based purchasing, in which cost control is an explicit goal in addition to clinical and quality goals. Specific payment strategies include pay-for-performance and other quality incentive programs that tie financial rewards and sanctions to the quality and efficiency of care provided and accountable care organizations in which health care providers are held accountable for both the quality and cost of the care they deliver. Accounting For Social Risk Factors in Medicare Payment: Criteria, Factors, and Methods is the third in a series of five brief reports that aim to inform ASPE analyses that account for social risk factors in Medicare payment programs mandated through the IMPACT Act. This report builds on the conceptual relationships and empirical associations between social risk factors and performance indicators used in value-based payment identified in the first report to provide guidance on which factors could be considered for Medicare accounting purposes, criteria to identify these factors, and methods to do so in ways that can improve care and promote greater health equity for socially at-risk patients

Cataloging source

NLM

Dewey number

368.42600973

Funding information

This activity was supported by Contract No. HHSP233201400020B from the Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluation. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.

Index

no index present

LC call number

RA412.3

Literary form

non fiction

Nature of contents

• dictionaries
• bibliography
• technical reports

NLM call number

• 2016 I-639
• WT 31