Risk Adjustment of Medicare Capitation Payments Using the CMS-HCC Model.

This article describes the CMS hierarchical condition categories (HCC) model implemented in 2004 to adjust Medicare capitation payments to private health care plans for the health expenditure risk of their enrollees. We explain the model's principles, elements, organization, calibration, and perform...

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Publicado en:	Health Care Financing Review Vol. 25; no. 4; pp. 119 - 142
Autores principales:	Pope, Gregory C., Kautter, John, Ellis, Randall P.
Formato:	Artículo
Publicado:	HCFA ORDS Publications Summer 2004
Materias:	Capitation fees (Medical care) Medicare Medical care Risk assessment
Acceso en línea:	Ver este registro en EBSCOhost