Health Equity & SDoH
Expert articles and analysis related to health equity & sdoh.
AI Summary — Last 30 Days
Health equity and SDoH strategy in VBC is shifting from standalone equity initiatives toward risk-bearing infrastructure: kidney, home health, rural, and dual-eligible populations are being framed as tests of whether payment models can align financial risk with social complexity, as seen in Blue Cross NC’s value-based Advanced Kidney Care program and findings that Home Health VBP may reduce dementia-care disparities. At the same time, Medicaid financing and AI governance are becoming central equity risks: the House-passed One Big Beautiful Bill Act would reduce federal Medicaid spending by an estimated $793 billion over ten years and lower enrollment by 10.3 million people, including 1.3 million dual-eligible Medicare beneficiaries, while MACPAC is pushing for greater transparency and human oversight in Medicaid AI prior authorization to prevent biased access restrictions. For ACOs, payers, and health systems, the strategic tension is whether AI-enabled risk adjustment, prior authorization, and population health tools can improve targeting without exacerbating disparities—especially as Medicaid cuts and rural delivery stress could weaken the social supports VBC models depend on (KFF on Medicaid reconciliation impacts; MACPAC on Medicaid AI prior authorization
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