- Title
- Improving the AAPCC (adjusted average per capita cost) with health-status measures from the MCBS (Medicare Current Beneficiary Survey).
- First Author
- Gruenberg, Leonard
- Date of Pub
- 1996 Spring
- Pages
- 59-75
- Volume
- 17
- Issue
- 3
- Other Authors
- Hornbrook, Mark C; Kaganova, Eugenia
- Abstract
- Using data from the 1991 Medicare Current Beneficiary Survey (MCBS), multiple regression-based models predicting 1992 Medicare costs are developed and compared. A comprehensive model incorporating demographic, diagnostic, perceived health, and disability variables is shown to be stable and to fit the data well over the full range of Medicare-covered annual per capita expenses and for a variety of beneficiary subgroups defined by their health and functional status. This model produces stable unbiased estimates of expenditures on validation samples. A variant of this model is being considered for use in setting Medicare capitation payments for the second phase of the social/health maintenance organization (S/HMO) demonstration.
- Abstract Continued
- N/A
- MeSH
- Capitation Fee : Health Status Indicators : Activities of Daily Living : Aged : Chronic Disease/classification/epidemiology : Disability Evaluation : Female : Health Care Costs : Health Maintenance Organizations/economics/standards : Human : Insurance Selection Bias : Male : Medicare/organization & administration/statistics & numerical data : Models, Economic : Regression Analysis : Risk Management : Support, U.S. Gov't, Non-P.H.S. : United States
- NTIS Number
- PB99-106510
