Adjusting quality measurements and payments for health care services to reflect the social as well as clinical risk factors of patients is controversial. JAMA Health Forum Editor John Z. Ayanian, MD, MPP, and Deputy Editor Melinda B. Buntin, PhD, discuss a structured approach that can be used to make decisions about social risk factor adjustment in Medicare with Yale’s Kasia J. Lipska, MD. Related Content:

• Adjustment for Social Risk Factors in a Measure of Clinician Quality Assessing Acute Admissions for Patients With Multiple Chronic Conditions