From Health Affairs Today <[email protected]>
Subject Risk Adjustment & Health Equity
Date January 13, 2023 9:01 PM
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Friday, January 13, 2023 | The Latest Research, Commentary, And News
From Health Affairs

Dear John,

In case you missed it, yesterday we released the first episode of the
new Pathways podcast series. In "A Disproportionate Share," NYC Health +
Hospitals' Michael Shen, a primary care doctor and Chief Creative
Officer for the medical education podcast Core IM, explores safety-net
hospitals and how we pay for them.
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Risk Adjustment & Equity

In their new Health Affairs article, J. Michael McWilliams and coauthors
examine spending among community dwelling, fee-for-service Medicare
beneficiaries
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with an eye to risk adjustment methods.

Risk adjustment methods, the authors argue, "should encourage the
desired level and distribution of spending, not entrench the status
quo."

To advance equity, the authors suggest that payments must be set above
current levels of spending for historically disadvantaged groups.

The article indicates that the risk-adjusted spending for Black and
Hispanic populations is lower than spending for White beneficiaries
despite the former populations' worse risk-adjusted health and
functional status.

Overall, the authors find that adding social factors to the Hierarchical
Conditions Categories (HCC) model can entrench health disparities
instead of reducing them, by lowering population-based payments to more
accurately predicted levels of spending.

Read More
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University of Miami Herbert Business School Health Care Conference

The University of Miami Herbert Business School
<[link removed]> holds its 12th annual
Business of Health Care Conference
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on February 24. Industry leaders will tackle cost, staffing, access,
consolidation, technology, and other pressing challenges. Participate
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in person or via livestream in this signature event hosted by a leader
in health management education
<[link removed]>.

Sponsored by The University of Miami Herbert Business School

Advertisement

Elsewhere At Health Affairs

In Forefront, Michael Hodin writes that two global trends are on a
collision course
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to upend decades of medical progress and health outcomes: antimicrobial
resistance and our rapidly aging society.

Helen DuPlessis and coauthors argue that equitable access to and uptake
of monoclonal antibodies
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particularly in Medicaid where the impact of respiratory syncytial virus
(RSV) falls disproportionately on low-income children, will be best
achieved by coverage in the Vaccines for Children program.

Enjoying Forefront? Bookmark our website
<[link removed]> and never miss an article.

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Leqembi & Health Equity

In the first episode of the "Health Equity Corner" series on This Week,
Health Affairs' Ryann Tanap and Vabren Watts discuss the latest from the
health equity department and unpack what Leqembi, the newly approved
Alzheimer's disease drug, could mean in the health equity space.

Listen Here
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Daily Digest

Risk Adjustment And Promoting Health Equity In Population-Based Payment:
Concepts And Evidence
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J. Michael McWilliams et al.

Antimicrobial Resistance: A Major Threat To The Promise Of Healthy Aging
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Michael W. Hodin

Coverage By Vaccines For Children Program Is Critical For RSV Therapy
Access
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Helen DuPlessis et al.

 

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mailto:[email protected]

About Health Affairs

Health Affairs is the leading peer-reviewed journal
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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 <healthaffairs.org>, Health Affairs Today
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Update <[link removed]>.  

Project HOPE <[link removed]> 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.

Copyright © Project HOPE: The People-to-People Health Foundation, Inc.

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