Committee on Accounting for SES in Medicare Payment Programs

Type: Consensus Study
Topics: Health Services, Coverage, and Access, Quality and Patient Safety, Select Populations and Health Equity
Boards: Board on Health Care Services, Board on Population Health and Public Health Practice

Activity Description

An ad hoc committee of the National Academies of Sciences, Engineering, and Medicine will convene a committee to recommend a definition of socioeconomic status (SES) relevant to Medicare quality measurement and payment programs; to identify the SES determinants which have been demonstrated to impact health outcomes; and to specify criteria that could be used in determining which SES factors should be accounted for in Medicare quality measurement and payment programs. Further, the committee will suggest which SES factors could be incorporated into quality measurement and/or payment methodologies, and identify methods that could be used in the application of socioeconomic status factors to quality, resource use, or other measures used in Medicare payment programs. The committee will also recommend existing or new sources of data on these SES factors and/or strategies for data collection, while also identifying challenges to obtaining appropriate data and strategies for overcoming these challenges. The committee will identify best practices of high-performing hospitals, health plans,and other providers that serve disproportionately higher shares of socioeconomically disadvantage populations and compare those best practices to practices of low-performing providers serving similar patient populations.

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