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Title
Rate adjusters for Medicare under capitation.
First Author
Newhouse, Joseph P
Date of Pub
1986 Supp.
Pages
45-55
Volume
Supp.
Issue
N/A
Other Authors
N/A
Abstract
This article addresses three issues related to capitation. First, the average adjusted per capita cost (AAPCC) fluctuates with the mix of risks in the fee-for-service system. More sensitive adjusters in the AAPCC are needed. Second, the AAPCC, as now estimated, exhibits large geographic variance; so-called shrinkage estimators may help. Third, the AAPCC requires new adjusters to yield more homogeneous risk classes. Otherwise, the portion of the Medicare population under capitation may experience access problems at alternative delivery systems. Until such adjusters are developed, it seems better to rely upon a blend of capitation and fee-for-service than the present AAPCC.
Abstract Continued
N/A
MeSH
Capitation Fee : Fees and Charges : Fees, Medical : Aged : Health Maintenance Organizations/economics : Health Status : Human : Medicare/economics : Population Dynamics : Rate Setting and Review/methods : Risk : Support, U.S. Gov't, Non-P.H.S. : United States
NTIS Number
PB88-131552