Matt Dutton’s Post

If you are working on your Medicare Star rating, you may want to read this article. #medicare #medicarestar #healthequity

Last year, CMS announced changes to Medicare Star Program measures, which raised the threshold for obtaining high-star ratings and signaled an increased focus on health equity. Is your organization ready? Here are four actionable ways to maintain or increase star ratings in 2024 and beyond.  ... #healthequity #starratings #medicareadvantage

The U.S. government is driving health equity by integrating Social Determinants of Health (SDOH) into healthcare policies. Discover how initiatives like Healthy People 2030 and CMS mandates are paving the way for better health outcomes. Read more: https://loom.ly/WpDXbtQ #HealthEquity #SDOH #HealthcareAnalytics #MedicalResearch #HealthcareReform #IQR HealthPolicy

Health equity means every patient has a fair opportunity to attain the highest level of health possible. To achieve this, stakeholders must work to address social determinants of health and health disparities among the populations they serve. As the industry shifts from fee-for-service to value-based care, incorporating health equity into alternative payment models (APMs) can help patients receive more equitable care. Edifecs https://lnkd.in/dzBk-8Wp

A proposed CMS rule mandates #MedicareAdvantage plans to incorporate health equity into utilization management activities. Health plans can prepare by embracing data and integrating equity into their operational fabric: http://bit.ly/3RWS4zA   #healthplans #healthequity

Health is not just about individual choices or medical interventions. It's influenced by the social and environmental conditions we live in. Social Determinants of Health (SDoH) encompass various domains that impact our overall well-being. Education Access & Quality, Economic Stability, Social and Community Context, Health Care Access & Quality, and Neighborhood/Built Environment are the key domains within SDoH. Each plays a vital role in shaping community health. To address the significance of SDoH, the Centers for Medicare and Medicaid Services (CMS) have proposed the CY 2024 Medicare Physician Fee Schedule. This rule aims to enhance healthcare providers' ability to manage patients with social risk factors and improve health outcomes. In our latest article, we shed light on the importance of SDoH and advocate for the integration of SDoH considerations in provider/payer contracts. By appropriately compensating providers for managing patients with social risk factors, we can drive better health outcomes and reduce the total cost of care. Read it here> https://lnkd.in/gy4m4vdH #OWActuarial #SocialDeterminantsOfHealth #ManagedMedicaid

Our health and quality of life are not solely determined by genetics or individual choices. Social Determinants of Health (SDoH) play a crucial role in shaping our overall well-being. Recognizing the significant influence of healthcare providers in improving access, quality of care, and community health, the Centers for Medicare and Medicaid Services (CMS) have proposed enhancements and incentives in the CY 2024 Medicare Physician Fee Schedule. These changes aim to address SDoH and promote better health outcomes. In our latest article, working with HealthWise Data, we shed light on the importance of SDoH in relation to health outcomes. We advocate for the inclusion of SDoH in provider/payer contracts to appropriately compensate healthcare providers for managing patients with social risk factors. By doing so, we can drive better health outcomes, reduce healthcare costs, and create healthier communities. Read more> https://owy.mn/3GGGdR5 #OWActuarial #Medicaid #ManagedMedicaid

Health is not just about individual choices or medical interventions. It's influenced by the social and environmental conditions we live in. Social Determinants of Health (SDoH) encompass various domains that impact our overall well-being. Education Access & Quality, Economic Stability, Social and Community Context, Health Care Access & Quality, and Neighborhood/Built Environment are the key domains within SDoH. Each plays a vital role in shaping community health. To address the significance of SDoH, the Centers for Medicare and Medicaid Services (CMS) have proposed the CY 2024 Medicare Physician Fee Schedule. This rule aims to enhance healthcare providers' ability to manage patients with social risk factors and improve health outcomes. In our latest article, my colleagues Steve Prasad, Nilabh Sanat, and I, in conjunction with our partners at HealthWise Data, shed light on the importance of SDoH and advocate for the integration of SDoH considerations in provider/payer contracts. By appropriately compensating providers for managing patients with social risk factors, we can drive better health outcomes and reduce the total cost of care. Read it here> https://lnkd.in/gszTKn2F #OWActuarial #SocialDeterminantsOfHealth #ManagedMedicaid

Health disparities persist due to various factors beyond individual control. Social Determinants of Health (SDoH) encompass the environmental and societal conditions that significantly impact health outcomes and community well-being. Education Access & Quality, Economic Stability, Social and Community Context, Health Care Access & Quality, and Neighborhood/Built Environment are the key domains within SDoH. Addressing these domains is crucial for achieving health equity. In our latest article, we emphasize the importance of integrating SDoH considerations into provider/payer contracts. By appropriately compensating providers for addressing social risk factors, we can drive better health outcomes and foster healthier communities while reducing healthcare costs. Read the latest article here> https://lnkd.in/gV9iki7h #OWActuarial

With CMS and the NCQA laser-focused on health equity, health plans must reduce disparities for their member populations. Health equity is challenging, but with the right strategies and regulatory insights, teams can improve health outcomes for vulnerable members while improving plan performance.  Explore three areas where teams can get started addressing health equity: https://lnkd.in/extKuK5W