Socioeconomic factors can have a significant impact on a patient’s health status and could be responsible for as much as 70%-80% of a patient’s overall health. These factors, called the social determinants of health (SDoH), define a patient’s day-to-day experiences. While the influence of such factors is well recognized, who ultimately is responsible for addressing SDoH in health care remains unclear. Physicians and other clinicians are suitably placed to assess SDoH factors that can impact clinical decision making. Understanding Medicare Advantage (MA)-contracted primary care provider (PCP) SDoH perceptions has yet to be fully explored.
Measures of medication adherence to noninsulin diabetes medications (NIDM), statins, and renin angiotensin system antagonists (RASA) have been continuously used in the star ratings program since 2012. Adherence to these treatments is undoubtedly important. However, the consistent use of these measures in the star ratings program over time has limitations.
AMCP CEO Blog: This truism lies at the heart of much of what managed care pharmacy does. AMCP members and their organizations have long championed the use of preventive-care services to achieve better health outcomes and lower overall health care costs.
AMCP webinar that detailed the state of the performance measurement landscape, profiles how quality impacts team-based models of care, the Enhanced MTM program, and others, and describes why this impact matters in managed care.