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Accounting for Social Risk Factors in Medicare Payment

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Fifth and final report in a series designed to identify social risk factors that affect the health outcomes of Medicare beneficiaries and methods to account for these factors in Medicare payment programs. Offers thoughts about selecting the best methods to account for social risk factors and achieve policy goals. Chapter 2 includes a discussion about urbanicity and rurality, and suggests that a beneficiary's place of residence is a stronger indicator of social risk than their provider's location. Report was assembled by an ad hoc committee under the direction of the U.S. Department of Health and Human Services, Office of the Assistant Secretary of Planning and Evaluation.
Committee on Accounting for Socioeconomic Status in Medicare Payment Programs
Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Health reform · Healthcare quality · Medicare · Reimbursement and payment models · Social determinants of health