New Findings from Columbia University in Healthcare Economics Provides New Insights (Medicaid Social Risk Adjustment In Oregon: Perspectives From Stakeholders): Economics – Healthcare Economics

2022 APR 05 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Investigators publish new report on Economics - Healthcare Economics. According to news reporting out of New York City, New York, by NewsRx editors, research stated, “Health care providers are often evaluated on patient health outcomes and quality of care measures. The social determinants of health play an outsized role in determining patient outcomes regardless of the quality of care delivered.”

Our news journalists obtained a quote from the research from Columbia University, “As a result, providers caring for poor and underserved patients tend to receive lower value-adjusted payments, which exacerbates disparities in access to care. We conducted semi-structured interviews with 30 researchers, health policy constituents, and Medicaid payer and practice leaders in Oregon to better assess how to use social factors in risk adjustment modeling. While all 30 respondents agreed with the importance of social risk adjustment, we find that the experts have divergent perspectives on how to approach individual and community social risk. Moreover, many respondents felt dismayed because the data required are plagued by fragmentation and outdated privacy protection frameworks.”

According to the news editors, the research concluded: “Our findings suggest that alternative payment models must be better developed for low-income and underserved communities.”

This research has been peer-reviewed.

For more information on this research see: Medicaid Social Risk Adjustment In Oregon: Perspectives From Stakeholders. Journal of Health Care for the Poor and Underserved, 2022;33(1):67-87. Journal of Health Care for the Poor and Underserved can be contacted at: Johns Hopkins Univ Press, Journals Publishing Division, 2715 North Charles St, Baltimore, MD 21218-4363, USA.

Our news journalists report that additional information may be obtained by contacting Rachael Edelson, Columbia University, Mailman School of Public Health, Dept. of Population and Family Health, New York, NY 10032, United States. Additional authors for this research include Carlyn M. Hood-Ronick and Peter Muennig.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1353/hpu.2022.0007. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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