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dc.contributor.authorPope, Gregory C.en_US
dc.contributor.authorKautter, Johnen_US
dc.contributor.authorEllis, Randall P.en_US
dc.contributor.authorAsh, Arlene S.en_US
dc.contributor.authorAyanian, John Z.en_US
dc.contributor.authorLezzoni, Lisa I.en_US
dc.contributor.authorIngber, Melvin J.en_US
dc.contributor.authorLevy, Jesse M.en_US
dc.contributor.authorRobst, Johnen_US
dc.coverage.spatialUnited Statesen_US
dc.date.accessioned2018-02-06T19:00:28Z
dc.date.available2018-02-06T19:00:28Z
dc.date.issued2004
dc.identifierhttps://www.ncbi.nlm.nih.gov/pubmed/15493448
dc.identifier.citationGregory C Pope, John Kautter, Randall P Ellis, Arlene S Ash, John Z Ayanian, Lisa I Lezzoni, Melvin J Ingber, Jesse M Levy, John Robst. 2004. "Risk adjustment of Medicare capitation payments using the CMS-HCC model.." Health Care Financ Rev, Volume 25, Issue 4, pp. 119 - 141.
dc.identifier.issn0195-8631
dc.identifier.urihttps://hdl.handle.net/2144/26741
dc.description.abstractThis 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 performance. Modifications to reduce plan data reporting burden and adaptations for disabled, institutionalized, newly enrolled, and secondary payer subpopulations are discussed.en_US
dc.format.extentp. 119 - 141en_US
dc.languageeng
dc.relation.ispartofHealth Care Financ Rev
dc.rightsThis article is in the public domain and may be reproduced or copied without permission; however, citation to source is appreciated.en_US
dc.subjectScience & technologyen_US
dc.subjectLife sciences & biomedicineen_US
dc.subjectHealth care sciences & servicesen_US
dc.subjectHealth policy & servicesen_US
dc.subjectAdolescenten_US
dc.subjectAdulten_US
dc.subjectAged, 80 and overen_US
dc.subjectCapitation feeen_US
dc.subjectCenters for Medicare and Medicaid services (U.S.)en_US
dc.subjectChilden_US
dc.subjectChild, preschoolen_US
dc.subjectFemaleen_US
dc.subjectHumansen_US
dc.subjectInfanten_US
dc.subjectInfant, newbornen_US
dc.subjectInternational Classification of Diseasesen_US
dc.subjectMaleen_US
dc.subjectMedicare part Cen_US
dc.subjectMiddle ageden_US
dc.subjectModels, organizationalen_US
dc.subjectRisk adjustmenten_US
dc.subjectUnited Statesen_US
dc.titleRisk adjustment of Medicare capitation payments using the CMS-HCC modelen_US
dc.typeArticleen_US
pubs.elements-sourcepubmeden_US
pubs.notesEmbargo: Not knownen_US
pubs.organisational-groupBoston Universityen_US
pubs.organisational-groupBoston University, College of Arts & Sciencesen_US
pubs.organisational-groupBoston University, College of Arts & Sciences, Department of Economicsen_US
pubs.publication-statusPublisheden_US


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