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Title
Using chronic disease risk factors to adjust Medicare capitation payments.
First Author
Schauffler, Helen H
Date of Pub
1992 Fall
Pages
79-90
Volume
14
Issue
1
Other Authors
Cobb, Janet; Howland, Jonathan
Abstract
This study evaluates the use of risk factors for chronic disease as health status adjusters for Medicare's capitation formula, the average adjusted per capita costs (AAPCC). Risk factor data for the surviving members of the Framingham Study cohort who were examined in 1982-83 were merged with 100 percent Medicare payment data for 1984 and 1985, matching on Social Security number and sex. Seven different AAPCC models were estimated to assess the independent contributions of risk factors and measures of prior utilization and disability in increasing the explanatory power of AAPCC. The findings suggest that inclusion of risk factors for chronic disease as health status adjusters can improve substantially the predictive accuracy of AAPCC.
Abstract Continued
N/A
MeSH
Aged : Capitation Fee/trends : Chronic Disease/economics/epidemiology : Data Collection : Female : Forecasting : Health Maintenance Organizations/economics : Human : Male : Massachusetts/epidemiology : Medical Record Linkage : Medicare/economics : Models, Statistical : Rate Setting and Review/methods : Regression Analysis : Risk Factors : Support, Non-U.S. Gov't : Support, U.S. Gov't, P.H.S. : United States
NTIS Number
PB95-123279