The role of social, cognitive, and functional risk factors in Medicare spending for dual and nondual enrollees
KJ Johnston, KE Joynt Maddox - Health Affairs, 2019 - healthaffairs.org
The Centers for Medicare and Medicaid Services is increasingly focused on value-based
payment programs, which tie payment to performance on quality and cost measures. In this …
payment programs, which tie payment to performance on quality and cost measures. In this …
Neighborhood disadvantage and chronic disease management
SNM Durfey, AJH Kind, WR Buckingham… - Health services …, 2019 - Wiley Online Library
Objective To assess the relationship between a composite measure of neighborhood
disadvantage, the Area Deprivation Index (ADI), and control of blood pressure, diabetes …
disadvantage, the Area Deprivation Index (ADI), and control of blood pressure, diabetes …
Area deprivation and respiratory morbidities in children with bronchopulmonary dysplasia
E Banwell, JM Collaco, GR Oates, JL Rice… - Pediatric …, 2022 - Wiley Online Library
Introduction Infants and children diagnosed with bronchopulmonary dysplasia (BPD) have a
higher likelihood of recurrent hospitalizations and asthma‐like symptoms. Socio …
higher likelihood of recurrent hospitalizations and asthma‐like symptoms. Socio …
Incorporating machine learning and social determinants of health indicators into prospective risk adjustment for health plan payments
Background Risk adjustment models are employed to prevent adverse selection, anticipate
budgetary reserve needs, and offer care management services to high-risk individuals. We …
budgetary reserve needs, and offer care management services to high-risk individuals. We …
A Framework for the Design of Risk-Adjustment Models in Health care Provider Payment Systems
A Panturu, R van Kleef, F Eijkenaar… - … Care Research and …, 2024 - journals.sagepub.com
Prospective payments for health care providers require adequate risk adjustment (RA) to
address systematic variation in patients' health care needs. However, the design of RA for …
address systematic variation in patients' health care needs. However, the design of RA for …
Perspectives of Medicare Advantage plan representatives on addressing social determinants of health in response to the CHRONIC Care Act
KS Thomas, SNM Durfey, EA Gadbois… - JAMA network …, 2019 - jamanetwork.com
Importance The passage of the Creating High-Quality Results and Outcomes Necessary to
Improve Chronic (CHRONIC) Care Act in 2018 allows Medicare Advantage (MA) plans …
Improve Chronic (CHRONIC) Care Act in 2018 allows Medicare Advantage (MA) plans …
Racial and ethnic disparities in access to and enrollment in high‐quality Medicare Advantage plans
Objective Racial and ethnic minority enrollees in Medicare Advantage (MA) plans tend to be
in lower‐quality plans, measured by a 5‐star quality rating system. We examine whether …
in lower‐quality plans, measured by a 5‐star quality rating system. We examine whether …
Neighborhood disadvantage and hospital quality ratings in the Medicare Hospital Compare Program
J Fahrenbach, MH Chin, ES Huang, MK Springman… - Medical care, 2020 - journals.lww.com
Background: The Centers for Medicare and Medicaid Services provide nationwide hospital
ratings that may influence reimbursement. These ratings do not account for the social risk of …
ratings that may influence reimbursement. These ratings do not account for the social risk of …
Incentivizing excellent care to at-risk groups with a health equity summary score
D Agniel, SC Martino, Q Burkhart… - Journal of General …, 2021 - Springer
Abstract Background Social risk factors (SRFs) such as minority race-and-ethnicity or low
income are associated with quality-of-care, health, and healthcare outcomes. Organizations …
income are associated with quality-of-care, health, and healthcare outcomes. Organizations …
The association of area deprivation and state child health with respiratory outcomes of pediatric patients with cystic fibrosis in the United States
G Oates, S Rutland, L Juarez, A Friedman… - Pediatric …, 2021 - Wiley Online Library
Background Differences in socioenvironmental exposures influence overall child health, but
their association with pediatric cystic fibrosis (CF) outcomes is less clear. This observational …
their association with pediatric cystic fibrosis (CF) outcomes is less clear. This observational …