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Recent models such as ACO REACH [122] and Making Care Primary [123] have incorporated risk adjustment for social risk factors, such as Part D Low Income Subsidy enrollment status and Area Deprivation Index, to better capture factors relevant to care of the patient

Specifically, if the particular condition is present on admission (that is, a Y indicator is associated with the diagnosis on the claim), it is not a HAC, and the hospital is paid for the higher severity (and, therefore, the higher weighted MS-DRG)