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Title
Improving health-based payment for Medicaid beneficiaries: CDPS
First Author
Kronick, Richard
Date of Pub
2000 Spring
Pages
29-64
Volume
21
Issue
3
Other Authors
Dreyfus, Tony; Gilmer, Todd; Lee, Lora
Abstract
This article describes the Chronic Illness and Disability Payment System (CDPS), a diagnostic classification system that Medicaid programs can use to make health-based capitated payments for TANF and disabled Medicaid beneficiaries. The authors describe the diversity of diagnoses and different burdens of illness among disabled and AFDC Medicaid beneficiaries. Claims from seven States are analyzed, and payment weights are provided that States can use when adjusting HMO payments. The authors also compare the taxonomy and statistical performance of CDPS to other leading diagnostic classification systems and find that the new model performs better in a number of respects.
Abstract Continued
N/A
MeSH
Costs and Cost Analysis/methods : Health Expenditures : Insurance Selection Bias : Chronic Disease : Diagnosis-Related Groups : Disabled Persons : Fee-for-Service Plans : Health Maintenance Organizations : Medicaid : Regression Analysis : Risk Factors : Support, U.S. Gov't, non-P.H.S. : United States
NTIS Number
N/A