Focuses on patient outcomes and quality of care

Reference no: EM133632213

Summarize : " Social Determinants of Health (SDoH) are increasingly recognized as significant factors in health outcomes, including behavioral health. Health policy and payer reimbursement are evolving to address these factors in several ways:

1. Value-Based Care: This model focuses on patient outcomes and quality of care rather than the volume of services provided. It encourages healthcare providers, including behavioral health rehabilitation centers, to consider SDoH in their treatment plans. Providers are incentivized to address SDoH because better patient outcomes lead to higher reimbursements.

2. Accountable Care Organizations (ACOs): ACOs are groups of healthcare providers who voluntarily collaborate to provide coordinated care to their patients. They are incentivized to address SDoH because they share in the savings achieved from improved patient outcomes and reduced healthcare costs.

3. Medicaid Managed Care Organizations (MCOs: Many states are requiring their Medicaid MCOs to implement strategies to address SDoH. This can include providing services not traditionally covered by Medicaid, such as housing support or transportation to medical appointments.

4. Social Risk Adjustment: Some policymakers and payers are advocating for social risk adjustment in payment models. This would adjust payments to providers based on the social risk factors of their patients, incentivizing.

Reference no: EM133632213

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