Social determinants of health

Association between community-level social risk and spending among Medicare beneficiaries: Implications for social risk adjustment and Health Equity

By: Brian W Powers; Jose F Figueroa; Melanie Canterberry; Suhas Gondi; Stephanie M Franklin; William H Shrank; Karen E Joynt Maddox

Puzzel pieces

In this cross-sectional study of Medicare beneficiaries, the ADI explained little variation in health care spending, was negatively correlated with spending conditional on demographic and clinical characteristics, and was poorly correlated with self-reported social risk factors. This prompts caution and nuance when using community-level measures of social risk such as the ADI for social risk adjustment within Medicare value-based payment programs.

Read article: JAMA Health Forum