CMMI releases three new models aimed at lower generic, novel drug costs

February 14, 2023acoACO care teams, ACO participation, CMMI, CMMS, group practice, MSSP, SDOA, SDOH, SDOHY

The Biden administration rolled out three new payment models intended to lower drug costs, including new Medicare coverage options for drugs cleared under accelerated approval. The release of the three models on Tuesday is in response to an executive order President Biden delivered last year calling for the federal government to search for ways to…

Understanding Education as a Social Determinant of Health

December 27, 2022acoeducation, food insecurity, patient access, racial disparities, risk modeling, SDOH

Education is a critical social determinant of health, largely because of its outsized impact on income and therefore other SDOH. There’s some clear-cut evidence underscoring the impact education has on overall health and well-being. In 2021, researchers published in PNAS that folks with higher educational attainment tend to live longer. Adults with a bachelor’s degree are expected…

Health Equity Roundup 2022: Policy Moves Forward

December 22, 2022acohealth equity, SDOH

Health equity became an increasingly important topic this past year. There has been a significant increase in initiatives from legislators and policymakers, as well as increased funding toward historically underserved groups. We reported on Feb. 28 that “Washington has become the second state to begin to create Health Equity Zones to support communities in addressing…

New coalition calls for collective action on health equity

December 20, 2022acohealth equity, policy, racial disparities, SDOH

The Rise to Health Coalition seeks to catalyze individuals and organizations committed to health equity and justice. WHY IT MATTERS Dr. Kedar Mate, president and CEO of the Institute for Healthcare Improvement, announced the new coalition at the recent IHI Forum 2022 in Orlando, Florida. Joined by Dr. Aletha Maybank, chief health equity officer and senior…

Using Social Determinants of Health Data in Machine Learning Reduced Bias

December 20, 2022acoAI, health disparities, SDOH

Published in Circulation: Heart Failure, a recent study conducted by Northwestern Medicine researchers found that adding social determinants of health (SDOH) data into machine learning models led to less bias when predicting outcomes for heart failure patients. Healthcare bias can lead to detrimental outcomes for patients. For example, in April, a study published in PLOS digital health found that digital health…

Digital health companies must act on health equity. This is the time.

August 3, 2022acodigital health, health equity, health technology, SDOH

Health equity in America is a vast topic, and I’m sure there are people much more expert in this area than I am. However, as a Black man, and as the CEO of a healthcare technology company that works with thousands of clinical organizations, I believe it’s my obligation to learn, speak out, and take…

HEDIS Changes Reflect Focus on Health Equity

August 1, 2022acohealth equity, HEDIS, quality measures, SDOH

The nonprofit National Committee for Quality Assurance has revised quality measures for health plans in the Healthcare Effectiveness Data and Information Set (HEDIS) for measurement year 2023. NCQA has added race/ethnicity stratifications and made revisions to acknowledge and affirm member gender identity. Collecting race and ethnicity data is key to improving health disparities, NCQA said….

Four ways to improve digital health equity

July 15, 2022acodigital health, health equity, SDOH

Over the past few years, we have seen an increase in tech-based approaches to improving maternal outcomes and the birthing journey. While most women still have in-person visits to check the progress of their pregnancy, deliver or check-in following delivery, technology can expand the reach of health care services. Digital solutions, including remote patient monitoring,…

Study: Health system’s social needs program reduced utilization, but not enough to cover its high costs

July 6, 2022acoSDOH

An integrated county health system that spent more than $22 million on a social needs case management program for its adult Medicaid patients was rewarded with significant reductions in hospital admissions and a minor dip in emergency department visits, according to a new study published this week in Annals of Internal Medicine. However, reduced utilization…

Why Social Determinants of Health Are a Critical Factor for Preventing Member Risk Escalation in the Value-Based Care Equation

June 27, 2022acoRisk, SDOH

The role of homecare providers is central as the industry transitions to value-based care. Rather than reimbursing providers based on the quantity of services delivered, value-based care rewards providers for the quality of their services and their impact on member outcomes. However, when considering factors that impact the health of a member receiving care in…

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