Today in the Journal and on the Blog
 
 
 
 
 
Health Affairs Today
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.

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

Health Affairs is the leading peer-reviewed journal 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 humanitarian relief organization that places power in the hands of local health care workers to save lives across the globe. Project HOPE has published Health Affairs since 1981.

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