Adjusting capitation using chronic disease risk factors: a preliminary study.
Date of Pub
Belanger, Albert J; Crane, Stephen C; Stokes 3d, Joseph
Researchers have sought ways to modify Medicare's capitation formula, the adjusted average per capita cost (AAPCC), by including
measures of individual health status. The present study assesses the value of risk factors for disease as predictors of hospitalization
for Framingham Heart Study participants (1,210 males and 1,496 females) 60-65 years of age. Regression models including several
common physiologic measures and prior hospitalizations yielded adjusted R2s of 9.69 percent for males and 3.61 percent for
females. The contributions of the risk factors and prior hospitalization were about equal and independent. These results confirm
the potential utility of disease risk factors for adjusting the AAPCC.
Capitation Fee : Fees and Charges : Actuarial Analysis : Aged : Chronic Disease/classification : Data Collection : Demography
: Epidemiologic Methods : Health Maintenance Organizations/economics : Health Status : Hospitalization : Human : Massachusetts
: Medicare/economics : Regression Analysis : Risk Factors : Statistics