CMS has made substantial progress on its goal for all people with Traditional Medicare to be in a care relationship with accountability for quality and total cost of care by 2030. As of January 2025, 53.4% of people with Traditional (fee-for-service) Medicare are in an accountable care relationship with a provider. This represents more than…
Generative artificial intelligence can identify social determinants of health within EHR notes, accurately and without bias, determining which patients might need extra support, according to Somerville, Mass.-based Mass General Brigham. The health system’s researchers fine-tuned large language models to automatically extract information about social determinants — factors such as housing, employment and family status that…
Patients who have had vascular surgeries are often readmitted to the hospital for a variety of reasons — often preventable — more often than patients who undergo different types of surgeries. These readmissions could be largely avoided if other aspects of the discharge process were improved, according to research led by the University of Missouri in Columbia….
As the medical industry continues to understand how social determinants of health impact overall wellness, the topics of environment and climate change have come into view. SDOH specifically refer to the environments in which individuals live, work, and play. Currently, most stakeholders are zooming in on factors like houselessness or food insecurity as leading SDOH…
This week, a group of senior officials from the Centers for Medicare and Medicaid Services (CMS), some from the Center for Medicare, some from the Center for Medicare & Medicaid Innovation (CMMI, also called The Innovation Center) authored an op-ed in the Perspectives section of The New England Journal of Medicine online, in which they outline their…
For Morgan Honea, CEO of CORHIO (a Contexture organization), the value of interoperability between healthcare and dental settings revealed itself during his earlier career running federally qualified health centers (FQHCs). “I’ve spent most of my career integrating primary, oral, and behavioral healthcare in a service delivery setting,” Honea told EHRIntelligence in an interview. “There are so many medical…
Data standards and community stewardship are critical elements for social determinants of health (SDOH) data exchange, according to Greg Bloom, strategic advisor on community resources and engagement for the Gravity Project, a community-led HL7 Fast Healthcare Interoperability Resources (FHIR) Accelerator. The Gravity Project worked with healthcare stakeholders such as health IT vendors, payers, providers, philanthropies,…
Loneliness and social isolation rose alarmingly during the COVID-19 pandemic as lockdowns proliferated and in-person gatherings were discouraged. A critical social determinant of health (SDOH), social isolation is estimated to have increased by 6.7 percentage points during the pandemic. To help combat this and other SDOH issues, providers and payers are turning to data analytics. Several companies have…
For health care providers and payers, changes to the Stark Law, the Anti-Kickback Statute, and the reimbursement landscape encourage providing care that addresses social determinants of health for certain patient populations. Research shows that when medical care is delivered alongside non-medical services that affect health, patients, providers, and the health care system overall are better…
As we reported on Wednesday, Jan. 12, “The top officials at the federal Centers for Medicare and Medicaid Services (CMS) on Tuesday, Jan. 11, made a major public statement regarding the goal of moving the healthcare system towards health equity, and a major component of that statement focused on leveraging Medicare’s value-based programs, particularly those…