Proposed method of incorporating health status risk adjustors into Medicare+Choice payments
Subtitle: report to Congress
By: prepared by the Health Care Financing Administration, Office of Strategic Planning, Research and Evaluation Group, Division of Payment Research
Publisher: Health Care Financing Administration, Office of Strategic Planning, Research and Evaluation Group, Division of Payment Research
Published: 2002
Place of publication: Baltimore, Maryland?]
Language: eng
Subjects: Medicare; Claims administration; Diagnosis related groups; Capitation fees (Medical care); Managed care plans (Medical care); Medicare+Choice Program (U.S.)
Notes: "Project specifics: SR number 97-269; Project number OSP-IM-97269; Project title: Health risk adjustors for Medicare+Choice payments; Project Officer: Melvin Ingber; Start date: 09/01/1997; End date: 03/01/1999"--Centers for Medicare & Medicaid Services R & D projects database PDF tracking form.

Includes bibliographical references.

Photocopy. [Baltimore, Maryland?] : Centers for Medicare & Medicaid Services, [2002]. 28 cm.
Table of contents: title: Executive summary; title: ch. 1. Purpose and background; title: ch. 2. Derivation of the PIP-DCG model; title: ch. 3. Integration of the PIP-DCG risk factor into the Medicare+Choice payment system; title: ch. 4. Simulated impact of the PIP DCG-based risk-adjustment payment system; title: ch. 5. Summary and future policy directions; title: Appendices. Appendix 1. Submission of encounter data ; Appendix 2. Principal inpatient diagnostic cost group models for Medicare risk adjustment : second draft report / submitted by Gregory C. Pope [and 9 others] (January 1999) ; Appendix 3. 45 day notice (January 15, 1999) ; Appendix 4. Actuarial review of the health status risk adjustor methodology / report by the American Academy of Actuaries, [Risk Adjustor] Work Group.