Arlene S. Ash

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

Gregory C. Pope, John Kautter, +6 authors John M Robst
Health care financing review
2004

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… (More)

Using Diagnoses to Describe Populations and Predict Costs

Arlene S. Ash, Randall P. Ellis, +6 authors Wei Yu
Health care financing review
2000

The Diagnostic Cost Group Hierarchical Condition Category (DCG/HCC) payment models summarize the health care problems and predict the future health care costs of populations. These models use the… (More)

Adjusting Medicare capitation payments using prior hospitalization data

Arlene S. Ash, Frank W. Porell, Leonard Gruenberg, Eric Sawitz, Alexa Beiser
Health care financing review
1989

The diagnostic cost group approach to a reimbursement model for health maintenance organizations is presented. Diagnostic information about previous hospitalizations is used to create empirically… (More)

Principal Inpatient Diagnostic Cost Group Model for Medicare Risk Adjustment

Gregory C. Pope, Randall P. Ellis, +6 authors Melvin J. Ingber
Health care financing review
2000

The Balanced Budget Act (BBA) of 1997 required HCFA to implement health-status-based risk adjustment for Medicare capitation payments for managed care plans by January 1, 2000. In support of this… (More)

Statistical Issues in Assessing Hospital Performance

Preface The Centers for Medicare and Medicaid Services (CMS), through a subcontract with Yale New is supporting a committee appointed by the Committee of Presidents of Statistical Societies (COPSS)… (More)

Relation of family responsibilities and gender to the productivity and career satisfaction of medical faculty.

Phyllis L. Carr, Arlene S. Ash, +5 authors Mark A. Moskowitz
Annals of internal medicine
1998

Greater family responsibilities and more child rearing duties have been suggested as possible reasons for lower academic productivity and slower career progress for women compared with men in… (More)

Finding future high-cost cases: comparing prior cost versus diagnosis-based methods.

Arlene S. Ash, Yingxu Zhao, Randall P. Ellis, M Schlein Kramer
Health services research
2001

OBJECTIVE To examine the value of two kinds of patient-level dat a (cost and diagnoses) for identifying a very small subgroup of a general population with high future costs that may be mitigated with… (More)

Junior faculty members' mentoring relationships and their professional development in U.S. medical schools.

Anita Palepu, Robert H. Friedman, +4 authors Mark A. Moskowitz
Academic medicine : journal of the Association of…
1998

PURPOSE To determine (1) the prevalence of mentoring relationships for U.S. medical school junior faculty; (2) the quality of these mentoring relationships; (3) any variation by gender or race; and… (More)

Chemotherapy use among Medicare beneficiaries at the end of life.

Ezekiel J. Emanuel, Yinong Young-Xu, Norman G. Levinsky, Gail Gazelle, Olga Saynina, Arlene S. Ash
Annals of internal medicine
2003

Context Some worry that physicians prescribe chemotherapy for patients with cancer at the end of life even when treatment is unlikely to prolong life or palliate symptoms. Contribution Among the… (More)

Predicting pharmacy costs and other medical costs using diagnoses and drug claims.

Yang Zhao, Arlene S. Ash, +4 authors Lori Weyuker
Medical care
2005

BACKGROUND Predicting health care costs for individuals and populations is essential for managing care. However, the comparative power of diagnostic and drug data for predicting future costs has not… (More)

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