Hello partners,
Families USA is excited to share our latest publication, Risk Adjustment 101: Protecting Access to High-Quality Health Care.
Over the past 10 years, value-based payment models have become a cornerstone of efforts to transform the U.S. health care system into a system that pays health care providers for the quality of care they deliver rather than the volume of services they provide.
In order to ensure value-based payments are fair and adequate, risk adjustment is used account for factors that drive differences in patients’ health care costs and underlying health care needs when setting health care payments. The goal of risk adjustment is to reduce incentives to "cherry-pick" healthy patients, to ensure fairness in payment, and to protect access to care for people with chronic or costly conditions. Despite its importance, many consumer health advocates and other stakeholders may not fully understand the role of risk adjustment in supporting a patient's health.
Risk Adjustment 101: Protecting Access to High-Quality Health Care, gives you a primer on what risk adjustment is, how it is used and what you should consider when evaluating risk adjustment in health care payment models.
You can read the fact sheet here.
Thank you, and please reach out if you have any questions.
Mike Persley
Strategic Partnerships Campaign Manager
Families USA
