Social Determinants of Health and Quality Measurement: Issues & Recommendations 2022

The SNP Alliance supports quality measurement to evaluate and improve care for Medicare beneficiaries. However, our Alliance and other stakeholders believe that the MA Quality Measurement System may not adequately take into account the underlying effect of high-risk beneficiary characteristics which impact outcomes observed. We are concerned that the scoring results do not provide an accurate picture of quality of care, and that the measures and methods are not well-matched to complex and diverse populations.

There are three priority issues the SNP Alliance has invested to focus on this calendar year:

#1) Test/Modify Measures and Methods for High-Risk Groups in MA Quality Measurement

#2) Adjust for High-Risk Groups in Policy & Payment Tied to MA Quality Measurement

#3) Improve Usefulness of Information from MA Quality Measurement