Medicaid risk adjustment model with diagnosis and pharmacy-based adjusters: Does it work?
نویسنده
چکیده
منابع مشابه
Comparison of risk adjusters for medicaid-enrolled children with and without chronic health conditions.
OBJECTIVE Several capitation payment systems have been developed and implemented recently by public and private insurers as well as by individual managed care organizations. Many pediatricians have expressed concern that methods for establishing capitation rates may not adequately account for the higher expected expenditures for children with chronic health conditions. In this study, we evaluat...
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