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**The Latest Research, Commentary, and News from Health Affairs**

**Wednesday, September 16, 2020**

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TODAY ON THE BLOG

ETHICS

Ethical Considerations In The Use Of AI Mortality Predictions In The
Care Of People With Serious Illness

By Charlotta Lindvall, Christine K. Cassel, Steven Z. Pantilat, and
Matthew DeCamp

Having prognostic information in hand could spur patients, families, and
health care professionals to have advanced care planning discussions and
avoid nonbeneficial or unwanted interventions. Yet the rapid
dissemination of mortality algorithms by electronic health record
software raises serious ethical concerns. Read More >>

DETERMINANTS OF HEALTH

The Role Of Racial Justice In Building A Culture Of Health

By Alonzo Plough and Gail Christopher

A culture of racial injustice and a culture of health cannot coexist.
Alonzo Plough and Gail Christopher share highlights from the Robert Wood
Johnson Foundation's 2020 Sharing Knowledge forum, which focused on
racial injustice and health. Read More >>

IN THE JOURNAL

THE PRACTICE OF MEDICINE

Adjustment For Social Risk Factors Does Not Meaningfully Affect
Performance On Medicare's MIPS Clinician Cost Measures

By Alexander T. Sandhu, Jay Bhattacharya, Joyce Lam, Sam Bounds, Binglie
Luo, Daniel Moran, Aimée-Sandrine Uwilingiyimana, Derek Fenson, Nirmal
Choradia, Rose Do, Laurie Feinberg, Thomas MaCurdy, and Sriniketh
Nagavarapu

Alexander Sandhu and coauthors investigate the portion of Medicare's
Merit-based Incentive-based Payment System (MIPS) that evaluates
clinicians based on the risk-adjusted cost of each care episode. The
authors readjust the current model from focusing solely on clinical
conditions into different approaches to incorporate social risk. Read
More >>

Clinicians With High Socially At-Risk Caseloads Received Reduced
Merit-Based Incentive Payment System Scores

By Kenton J. Johnston, Jason M. Hockenberry, Rishi K. Wadhera, and Karen
E. Joynt Maddox

Analyzing data from 2019, Kenton J. Johnston and coauthors find that
there is an important link between clinicians, social risk, and MIPS
scores.Read More >>

High Rates Of Partial Participation In The First Year Of The Merit-Based
Incentive Payment System

By Nate C. Apathy and Jordan Everson

Nate Apathy and Jordan Everson focus on evaluations of clinicians from
the first year of MIPS in 2017. Clinicians were evaluated across three
categories but participation was not consistent. Read More >>

These papers appear in an ongoing

**Health Affairs**article series, The Practice of Medicine
, which is
supported by The Physicians Foundation.

Read the September 2020 Table of Contents
.

Subscribe to Health Affairs for full journal access.

**A CLOSER LOOK**-School-Based Health Care

School-based health centers are critical to youth in underserved
communities. They provide primary care, mental health care, and other
health services otherwise inaccessible to these youths. Last year,
Hayley E. Love and coauthors evaluated the growth and impact of
school-based health care. Now that COVID-19 has made most learning
virtual, what does this mean for the health care services those schools
provided?

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About Health Affairs

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at the intersection of health,
health care, and policy. Published monthly by Project HOPE, the journal
is available in print and online. Late-breaking content is also found
through healthaffairs.org , Health Affairs
Today , and Health Affairs
Sunday Update .  

Project HOPE is a global health and
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health care workers to save lives across the globe. Project HOPE has
published Health Affairs since 1981.

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