Payment to health maintenance organizations and the geographic factor.
Rossiter, Louis F
Date of Pub
Adamache, Killard W
The adjusted average per capita cost (AAPCC) payment system for Medicare risk-based plans uses a county level geographic adjustment
factor to account for differences in beneficiary costs across areas. The implications of abandoning the county unit as the
basis of the geographic area are examined and the merging of counties to match the geographic definition used in the prospective
payment system are considered. Year-to-year variation in a county AAPCC is inversely associated with county population size
and, based on year-to-year AAPCC variation, 86 percent of all counties are too small to be used for the geographic adjustment.
Capitation Fee : Aged : Catchment Area (Health)/economics : Costs and Cost Analysis/statistics & numerical data : Geography
: Health Maintenance Organizations/economics : Human : Long-Term Care/economics : Medicare/economics : Rate Setting and Review/methods
: Support, U.S. Gov't, Non-P.H.S. : United States