Diagnostic Risk Adjustment for Medicaid: The Disability Payment System

@inproceedings{Kronick1996DiagnosticRA,
  title={Diagnostic Risk Adjustment for Medicaid: The Disability Payment System},
  author={Richard Kronick and Tony Dreyfus and Lora Lee and Zhiyuan Zhou},
  booktitle={Health care financing review},
  year={1996}
}
This article describes a system of diagnostic categories that Medicaid programs can use for adjusting capitation payments to health plans that enroll people with disability. Medicaid claims from Colorado, Michigan, Missouri, New York, and Ohio are analyzed to demonstrate that the greater predictability of costs among people with disabilities makes risk adjustment more feasible than for a general population and more critical to creating health systems for people with disability. The application… CONTINUE READING

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References

Publications referenced by this paper.
Showing 1-10 of 14 references

A Comparative Analysis of Methods of Health Risk Assessment

D. L. Dunn, A. Rosenblatt, Taira, D.A
Final Report. Chicago: Society of Actuaries, • 1995

Assessing relative health plan risk with the RAND-36 health survey.

Inquiry : a journal of medical care organization, provision and financing • 1995
View 3 Excerpts

Making risk adjustment work for everyone.

Inquiry : a journal of medical care organization, provision and financing • 1995
View 1 Excerpt

Refinements to the Diagnostic Cost Group (DCG) model.

Inquiry : a journal of medical care organization, provision and financing • 1995

Predictability of Individual Health Care Expenditures

R. C. J. A. van Vliet
Health Economics • 1993

W.P.M.M.: Capitation Payments Based on Prior Hospitalizations

van Vliet, RC.J.A, van de Ven
Health Economics 2:177-188, • 1993

R.C.J.A.: Predictability of Individual Health Care Expenditures

van Vliet
Journal of Risk and Insurance • 1992

Development and Application of a Population-Oriented Measure of Ambulatory Care Case-Mix

Weiner, J.P, B. H. Starfield, D. M. Steinwachs, L. M. Mumford
Medical Care 29(5):452-471, • 1991
View 1 Excerpt

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