It is time to make a dent in social determinants of health

September 16, 2021Garrett SchmittNo CommentsSDOH, social determinants, social determinants of health

As a doctor, it is pretty humbling to reflect on the fairly minimal impact our health care system has on individuals’ overall health. One study I find particularly intriguing shows that socioeconomic factors (e.g., education and income), and physical environment (e.g., security and safety at home and reliable access to transportation), affect a person’s health…

How Do Healthcare Workers Face Social Determinants of Health?

September 8, 2021Garrett SchmittNo Commentsfood insecurity, health equity, health inequity, healthcare workers, SDOH, social determinants, social determinants of health

Many healthcare workers experience social determinants of health, with new data published in Health Affairs particularly outlining disparities in food insecurity between healthcare support staff and clinical staff. Although food insecurity is lower among the total healthcare worker population than the rest of the United States, healthcare support staff are significantly more likely to experience food insecurity…

If we’re not careful, value-based care could worsen health disparities

September 7, 2021Garrett SchmittNo CommentsCMMI, CMS, health disparities, health equity, health inequity, heath outcomes, SDOH, social determinants, social determinants of health, value-based care, vbc

Decades in the making, the transition to value-based care may soon be complete. In June, Liz Fowler, the new deputy administrator of the Centers for Medicare & Medicaid Services (CMS) and director of its Center for Medicare & Medicaid Innovation (CMMI), suggested that CMS may soon require providers to be reimbursed based on patient outcomes. This…

Leveraging SDOH in Post-Pandemic Risk Modeling to Overcome Distorted Care Projections for 2021 and Beyond

September 3, 2021Garrett SchmittNo CommentsCOVID-19, data sources, health analytics, pandemic, post-pandemic, risk modeling, SDOH, social determinants, social determinants of health

The uncertainty and risk created by pandemic-related disruptions in care have health plans in uncharted water when it comes to relying on claims data and utilization patterns to inform their risk models. But while these disruptions weakened the reliability of traditional risk models, they also created opportunities to deepen and enrich member data by leveraging…

How to Add, Pay Community-Based Organizations in Value-based Care Contracts

August 12, 2021Garrett SchmittNo CommentsCBOs, community healthcare, community organizations, SDOH, social determinants, social determinants of health, value-based care, value-based healthcare, vbc

Value-based care is now firmly entrenched in our healthcare system. Payers credit value-based care with lowering costs, improved outcomes, enhanced payer/provider relationships, and improved patient engagement. With the growth of value-based care models, a trend gaining traction is the transition from treatment at a provider’s site to a patient’s home. This shift to home and…

BMA: Number of MA plans offering social determinants of health benefits increased threefold in 2021

August 5, 2021Garrett SchmittNo CommentsBetter Medicare Alliance, BMA, Medicare Advantage, NORC, SDOH, social determinants, social determinants of health

The number of Medicare Advantage plans investing in supplemental benefits to address social determinants of health tripled in a single year, but additional guidance and standards from the Biden administration are needed, a new report said. The report, released Thursday by the Better Medicare Alliance, comes as the Biden administration has made it a priority…

Medicaid Authorities and Options to Address Social Determinants of Health (SDOH)

August 5, 2021Garrett SchmittNo CommentsACOs, CMS, COVID-19, Medicaid, SDOH, social determinants, social determinants of health

Extensive research and the pandemic have elevated the importance of addressing social determinants of health (SDOH) to improve health and reduce longstanding disparities in health and health care.1 Social determinants of health include factors like socioeconomic status, education, neighborhood and physical environment, employment, and social support networks, as well as access to health care. Prior…

Health Plan Investment in Social Determinants of Health Likely to Accelerate

August 5, 2021Garrett SchmittNo Commentshealth plans, MA, Medicare Advantage, NORC, SDOH, social determinants, social determinants of health

In recent years, Medicare Advantage (MA) plans have increasingly turned their attention to addressing members’ social determinants of health (SDoH), with the home playing a crucial role. That’s according to a new report from NORC at the University of Chicago. NORC conducted the report on behalf of Better Medicare Alliance’s (BMA) Center for Innovation in…

Realizing Equitable Access and Quality of Care

August 4, 2021Garrett SchmittNo Commentsequitable access, equitable care, equitable healthcare, quality care, quality of care, SDOH, social determinants

In conversation with NEJM Catalyst’s Executive Editor, the Director of the Johns Hopkins Center for Health Equity and Johns Hopkins Urban Health Institute defines health equity, equitable access, and equitable quality of care, describes how antiracism strategies at both the structural and personal level support these concepts and will improve care for all patients, and…

Applying the Equity Lens to Quality and Safety Initiatives

August 3, 2021Garrett SchmittNo Commentshealth equity, quality care, quality initiatives, safety initiatives, SDOH, social determinants, social determinants of health, staff wellness

Top leaders in quality at NYC Health + Hospitals discuss how restoring psychological safety among their staff affects not just how health care is delivered, but how it feels to deliver that care. The Chief Quality Officer for NYC Health + Hospitals/Jacobi and Senior Vice President and Chief Quality Officer for NYC Health + Hospitals…

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