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How the Biden Administration Can Improve Health Equity for Racial and Ethnic Minority Populations | Health Disparities | JAMA


Stacie B. Dusetzina, PhD
Health in the US is inequitable. Racial and ethnic minority populations, most notably those who identify as Black or African American, Hispanic or Latino, and Native American, American Indian, or Alaska Native, have more chronic disease,
1 worse self-reported health status,
2 and worse health outcomes than White individuals.
3 An increasing body of evidence points to access to care, quality of care, and social determinants of health, including the direct effects of racism and disadvantage, as playing key roles.
These issues are complex, but not intractable. Many of the circumstances that have led to the deep inequities observed in the US can be traced to either the intended or unintended consequences of policy decisions, and therefore those inequities can and should be addressed with policy solutions. In this Viewpoint we outline actions that the incoming federal administration could consider as they relate to access, quality, and soc ....

United States , Joynt Maddox , Karene Joynt Maddox , John Lewis , Centers For Medicare Medicaid Services , Human Services , National Institutes Of Health , National Institute On , Washington University School Of Medicine , Hospital Readmissions Reduction Program , Determinants Of Health , Robert Wood Johnson Foundation , National Healthcare Quality , Us Department Of Health , Accountable Health Communities , Office Of Management , Blood Institute , National Heart , African American , Native American , American Indian , Alaska Native , Critical Access Hospital , Disparities Reports , Medicaid Services , Century Cures ,

Accounting for social risk factors can have meaningful impact on healthcare quality measures


Accounting for social risk factors can have meaningful impact on healthcare quality measures
A new analysis by a team of researchers led by Dr. David Nerenz of Henry Ford Health System suggests that accounting for social risk factors like poverty, housing instability and transportation insecurity can have meaningful impact on healthcare quality measures without compromising quality of care.
In a report published today in
Health Affairs, researchers make the case for using social risk factors in specific circumstances to level the playing field for adjusting quality measures used in quality reporting and value-based purchasing programs. Social risk adjustment would apply to scenarios in which providers cannot mitigate the impact of social risk factors and when those risk factors directly impact care outcomes. ....

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