Analysis: Include Social Determinants in Physician Payment
American Academy of Family Physicians
Winston Liaw, M.D., M.P.H., medical director for the Graham Center and a co-author of the article, told AAFP News recently that physicians are realizing it is important to identify "where their patients come from." Many initiatives collect data about social risk, but only a handful tie them directly to health outcomes.
Improve Patient Engagement with Five Public Health-Inspired Principles
As the payment landscape evolves and financial responsibility for outcomes shifts to provider organizations, getting patients to make good choices where it comes to their health is a population health imperative. The fiscal importance of this work is critical. Even the “seemingly simple” step of taking medication is a huge societal challenge, with non-adherence costing $300 billion annually. Furthermore, this is not only hard work, but often frustrating work. As we move away from episodic payment (or bundled payment), we’re not just encouraging patients to take medications and follow discharge instructions, but insisting they exercise, eat better, and smoke less. How many times have you heard a clinician ask, “How can I be responsible for outcomes when I have no way to control what my patient does at home?”
Devil is in the Details for Determining How to Apply Social Determinants of Health
The 21st Century Cures Act, now law, is best known for funding prominent medical research initiatives and for accelerating the review of drugs and devices at the U.S. Food and Drug Administration. But for hospitals, particularly safety net facilities caring for our nation's most underserved communities, the law's passage is an equally important victory.