Social Risk Factors and Medicare's Value-Based Purchasing Programs: Request for Information

Section 2(d) of the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014 calls for the Secretary of Health and Human Services (HHS), acting through the Assistant Secretary for Planning and Evaluation (ASPE), to conduct a study evaluating the effect of individuals’ socioeconomic status (SES) on quality measures and measures of resource use under the Medicare program. The first component of the required work, a 2016 Report to Congress, focused on socioeconomic information currently available in Medicare data. Following up on ASPE’s first Report to Congress, HHS is interested in:

  • How plans and providers serving Medicare beneficiaries identify beneficiaries with social risk factors
  • Approaches plans and providers have used to address the needs of beneficiaries with social risk factors
  • Evidence regarding the impact of these approaches on quality outcomes and the total cost of care
  • Ways in which plans and providers disentangle beneficiaries’ social and medical risks and address each

Please click here to download the detailed request for information document

The comment period for this request closed on November 16, 2018.