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June 12, 2019

Heart Failure, Shared Decision-making, and Social Determinants of Health: An Upstream Perspective

Author Affiliations
  • 1Department of Health Management and Policy, College for Public Health and Social Justice, Saint Louis University, St Louis, Missouri
  • 2University of Tennessee Graduate School of Medicine, Knoxville
JAMA Cardiol. 2019;4(7):609-610. doi:10.1001/jamacardio.2019.1763

In a sharply focused agenda to drive value-based care delivery, the US Centers for Medicare and Medicaid Services are progressively establishing carrot-and-stick programs and policies that encourage clinicians to integrate patient-centered approaches to improve care for people affected by chronic medical conditions. Embedded in policies finalized for 2019 are penalties and incentives intended to promote better engagement of patients and families in shared decision-making (SDM) and to improve care coordination for high-risk patient populations with serious medical conditions such as heart failure (HF). A significant proportion of these patients face major challenges related to social determinants of health (SDoH).