(Q33578337)

28 July 2017

title

Diagnosis-based risk adjustment for Medicare capitation payments (English)

1 reference

28 July 2017

0 references

4

J Z Ayanian

1 reference

28 July 2017

3

L Iezzoni

1 reference

28 July 2017

R P Ellis

1

1 reference

28 July 2017

G C Pope

2

1 reference

28 July 2017

D W Bates

5

1 reference

28 July 2017

H Burstin

6

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28 July 2017

A S Ash

7

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28 July 2017

publication date

1 January 1996

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Health Care Financing Review

28 July 2017

published in

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28 July 2017

volume

17

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28 July 2017

issue

3

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28 July 2017

page(s)

101-128

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Adjusting Medicare capitation payments using prior hospitalization data.

28 July 2017

cites work

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4193604

Adjusting capitation rates using objective health measures and prior utilization

21 June 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4193604

Capitation payment: using predictors for medical utilization to adjust rates.

21 June 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4193604

Capitation pricing: adjusting for prior utilization and physician discretion.

21 June 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4193604

Rate adjusters for Medicare under capitation

21 June 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4193604

Using prior utilization to determine payments for Medicare enrollees in health maintenance organizations

21 June 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4193604

The use and costs of Medicare services in the last 2 years of life

21 June 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4193604

Pre-enrollment reimbursement patterns of Medicare beneficiaries enrolled in "at-risk" HMOs

21 June 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4193604

Using health indicators in calculating the AAPCC (adjusted average per capita cost).

21 June 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4193604

Agreement between physicians' office records and Medicare Part B claims data.

21 June 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4193604

Do health maintenance organizations work for Medicare?

21 June 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4193604

Using chronic disease risk factors to adjust Medicare capitation payments

21 June 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4193604

An outlier pool for Medicare HMO payments

21 June 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4193604

Alternative geographic adjustments in Medicare payment to health maintenance organizations

21 June 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4193604

Capitation payments based on prior hospitalizations

21 June 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4193604

Variation in office-based quality. A claims-based profile of care provided to Medicare patients with diabetes

21 June 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4193604

A new method of classifying prognostic comorbidity in longitudinal studies: development and validation

21 June 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4193604

Including health status in Medicare's Adjusted Average Per Capita Cost capitation formula.

21 June 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4193604

Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases

21 June 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4193604

Rates of avoidable hospitalization by insurance status in Massachusetts and Maryland.

21 June 2018

1 reference

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pmc&linkname=pmc_refs_pubmed&retmode=json&id=4193604

Refinements to the Diagnostic Cost Group (DCG) model

21 June 2018

1 reference

12 December 2020

Changes in sickness at admission following the introduction of the prospective payment system

1 reference

12 December 2020

Provider behavior under prospective reimbursement. Cost sharing and supply

1 reference

12 December 2020

Supply-side and demand-side cost sharing in health care

1 reference

12 December 2020

Insurance aspects of DRG outlier payments

1 reference

12 December 2020

Insurance principles and the design of prospective payment systems

1 reference

12 December 2020

Identifiers

PMC publication ID

4193604

1 reference

28 July 2017

1 reference