Systems Practices for the Care of Socially At-Risk Populations


Report at a Glance

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The U.S. Department of Health and Human Services, acting through the Office of the Assistant Secretary for Planning and Evaluation (ASPE), asked the National Academies of Sciences, Engineering, and Medicine to convene an ad hoc committee to identify social risk factors that affect the health outcomes of Medicare beneficiaries and methods to account for these factors in Medicare payment programs. The committee’s work will be conducted in phases and will produce five brief consensus reports. In the first report, Accounting for Social Risk Factors in Medicare Payment Programs: Identifying Social Risk Factors, the committee presented a conceptual framework and described the results of a literature search linking social risk factors, including socioeconomic position, to health-related measures of importance to Medicare payment and quality programs. In this second report, Systems Practices for the Care of Socially At-Risk Populations, the committee identifies what high-quality health systems do to achieve good health outcomes for socially at-risk populations.