Topics: Social determinants of health
In a survey of 500 physicians conducted on LinkedIn in February, nearly 50% supported a single-payer system. The two primary reasons cited in support of a single-payer system were improved access to health care and the complexities of managing relationships with multiple payers who have indvidual billing procedures. Doctors opposed to a single-payer system argued that it would stifle innovation and competition and give the government too much power over reimbursement rates. Beyond this, many were skeptical the government was capable of creating a sustainable single-payer system.
Topics: Healthcare payments
I sat down with Crossing Healthcare CEO, Tanya Andricks, and CMO, Dana Ray MD, to discuss how they improved their UDS measures while growing their patient population by 65% and reducing cost by 15%. In 2015, Crossing implemented a physician incentive program to improve measure performance and improve the quality of data in their EHR. They have seen double-digit improvements on preventative care measures and wanted to share advice from their learnings.
In 2008, the World Health Organization published a report titled: Closing the gap in a generation: Health equity through action on the social determinants of health outlining social determinants as the primary driver of preventable health inequity. Despite this, commonly used risk scores like Medicare’s and Medicaid’s still neglect to incorporate clinical biological disease severity and socio-behavioral risk factors. This is due in large part to the inaccessibility of incorporating socio-behavioral data.
While social determinants of health have become an increasingly popular topic, people don’t always define what that means. Social determinants of health are “the structural determinants and conditions in which people are born, grow, live, work and age.” Commonly used determinants include socioeconomic status, education and social support or lack thereof.