On the Blog: Accounting for social risk in health care payment
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The Latest Research, Commentary, And News From Health Affairs
Thursday, September 16, 2021
Dear John,
New articles examine the Medicare Advantage quality bonus payment
program and the association of unemployment with Medicaid enrollment.
Medicare Advantage & Medicaid Enrollment
The September issue includes a paper discussing Medicare and one
discussing Medicaid.
The first paper is focused on the Medicare Advantage (MA) quality bonus
payment program
,
which provides a "double bonus" to high-quality plans in certain
metropolitan areas.
Adam Markovitz and colleagues found that double bonuses are not
significantly associated with changes in quality performance or in MA
enrollment, and "Black beneficiaries were substantially less likely to
reside in counties offered double bonuses than White
beneficiaries."Â Â
In the second paper, Paul Shafer and coauthors examined the association
ofunemployment with Medicaid enrollment
by social vulnerability in North Carolina during COVID-19.
They estimated that the total share of the state's population enrolled
in Medicaid rose after the onset of the pandemic, ranging from 19.4 to
19.8 percent between January 2018 and February 2020 and increasing to
21.2 percent by August 2020. More socially vulnerable counties have had
a stronger relationship between rising unemployment and Medicaid
enrollment during COVID-19, they found.
Today on Health Affairs Blog, Anna Morenz and Joshua Liao discuss
directing health care payment
in ways that account for social determinants of health.
Leandro Mena, director of the CDC's National Center for HIV/AIDS, Viral
Hepatitis, STD, and TB Prevention, discusses new data that show that
rates of congenital and adult syphilis
are on the rise.
Myechia Minter-Jordan and Wenyuan Shi discuss a recent CareQuest
Institute for Oral Health survey revealing that six million people lost
their dental coverage
due to the pandemic.
Elevating Voices: Hispanic Heritage Month: In the October 2020
Children's Health issue, Dolores Acevedo-Garcia and coauthors argued
that, to improve children's health
and well-being, the health sector must move beyond a focus on treating
disease or modifying individual behavior to a broader focus on
neighborhood conditions.
Check out our COVID-19 Resource Center
for Health
Affairs content about all things related to the pandemic.
Your Daily Digest
Medicare Advantage Plan Double Bonuses Drive Racial Disparity In
Payments, Yield No Quality Or Enrollment Improvements
Adam A. Markovitz et al.
Association Of Unemployment With Medicaid Enrollment By Social
Vulnerability In North Carolina During COVID-19
Paul R. Shafer et al.
Using Area-Level Measures To Account For Social Risk In Health Care
Payment
Anna M. Morenz and Joshua M. Liao
Babies With Syphilis: A Catastrophic Failure Of The US Health Care
System
Leandro Mena
How Access, Advocacy, and Innovation Can Help Us Achieve Health Equity
Myechia Minter-Jordan and Wenyuan Shi
Racial And Ethnic Inequities In Children's Neighborhoods: Evidence
From The New Child Opportunity Index 2.0
Dolores Acevedo-Garcia et al.
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