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Reporting SDOH to CMS

Reporting SDOH – social determinants of health is important to CMS (Centers for Medicare & Medicaid Services) for several reasons:

1. Improved Patient Care

Collecting SDOH data helps healthcare providers better understand the social and economic factors that influence a patient’s health. This information can be used to tailor care plans to address the unique needs and challenges of individual patients.

2. Addressing Health Disparities

SDOH play a significant role in health disparities. By tracking and reporting on SDOH, CMS can identify and address disparities in healthcare outcomes among different populations, such as racial and ethnic groups, socioeconomic status, and geographic locations.

3. Preventative Measures

Understanding SDOH can enable CMS to implement preventative measures and interventions that aim to address the root causes of health issues. This can ultimately reduce healthcare costs by preventing more serious health conditions.

4. Value-Based Care:

CMS is increasingly moving toward value-based care models, which emphasize the quality and outcomes of care rather than just the quantity of services provided. SDOH data helps in assessing the quality of care and the impact of social factors on health outcomes.

5. Payment Models

CMS is exploring new payment models that reward healthcare providers for addressing SDOH and improving patient outcomes. Reporting on SDOH is crucial for developing and implementing these models effectively.

6. Research and Policy Development

SDOH data is essential for researchers and policymakers to understand the impact of social and economic factors on healthcare outcomes and to develop evidence-based policies to improve the healthcare system.

7. Accountability and Transparency

Reporting on SDOH promotes transparency in the healthcare system, holding healthcare providers and organizations accountable for addressing social factors that influence health.

8. Community Health Improvement

By understanding and reporting SDOH conditions, CMS can work collaboratively with community organizations and social service agencies to improve community health outcomes, leading to healthier populations.

In summary, reporting SDOH to CMS is critical to advance its goals of improving patient care, reducing disparities in healthcare, promoting value-based care, and addressing the social determinants that affect health outcomes. It helps drive data-informed decision-making, policy development, and initiatives aimed at enhancing the overall health of the population.

Learn more about our core SDOH Pathways solution and how we can help reporting SDOH to CMS for your organization.  Other considerations are reporting for local and state governments.

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