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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