Use Of Patient Health Survey Data For Risk Adjustment To Limit Distortionary Coding Incentives In Medicare.

A core problem with the current risk-adjustment system in Medicare Advantage and accountable care organization (ACO) programs--the Hierarchical Condition Categories (HCC) model--is that the inputs (coded diagnoses) can be influenced for gain by risk-bearing plans or providers. Using existing survey...

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Detalles Bibliográficos
Publicado en:Health Affairs Vol. 44; no. 1; pp. 48 - 58
Autores principales: McWilliams, J. Michael, Weinreb, Gabe, Landrum, Mary Beth, Chernew, Michael E.
Formato: research tables/charts Journal Article
Publicado: Health Affairs Publishing, LLC Jan2025
Acceso en línea:Ver este registro en EBSCOhost