Risk Adjustment with Social Determinants of Health and Implications for Federally Qualified Health Centers under the Affordable Care Act

Autor:	Sherry Hirota, Thu Quach, Ninez A. Ponce, Todd P. Gilmer
Rok vydání:	2014
Předmět:	Actuarial science Payment reform media_common.quotation_subject food and beverages Risk adjustment Health outcomes Payment Nursing Patient Protection and Affordable Care Act Health insurance General Materials Science Business Social determinants of health Inclusion (education) media_common
Zdroj:	AAPI Nexus: Policy, Practice and Community. 12:73-82
ISSN:	1545-0317
DOI:	10.17953/appc.12.1-2.y407l72765v08556
Popis:	Adjustments for the underlying differences in risks among patients in payment approaches has been widely used and accepted; yet current risk adjustment approaches are limited because they do not account for the various social determinants of health (SDH) that can also influence health outcomes. This can have implications for providers serving disadvantaged populations. This article discusses why the inclusion of SDH in the formulas for risk adjustment is important for federally qualified health centers (FQHCs) under the Patient Protection and Affordable Care Act (ACA) and recommends ways in which FQHCs can be leaders in informing payment reform policies.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::f3cac2f0a669ee1b1d9ab306d9d9956e https://doi.org/10.17953/appc.12.1-2.y407l72765v08556 Zobrazit plný text záznamu