Report to Congress: Social Risk Factors and Performance Under Medicare's Value-Based Purchasing Program

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Uses Medicare data to examine the relationship between social risk factors and the performance of value-based purchasing programs. Discusses policy considerations that could help ensure value-based purchasing programs achieve their intended results, especially among high social risk populations. Categorizes rurality as a community risk factor and discusses whether beneficiaries with social risk factors such as rurality have worse outcomes due to their social risk profile, or because of the providers they see. Also provides rural-specific statistics and recommendations for using value-based purchasing to improve health outcomes among high social risk populations. Appendices summarize and provide additional details for each of the 9 programs evaluated. See the second report.

12/2016

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HHS Office of the Assistant Secretary for Planning and Evaluation

Health disparities · Health reform · Healthcare quality · Medicare · Reimbursement and payment models · Rural-urban differences · Service delivery models · Statistics and data