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Mispricing in the Medicare Advantage Risk Adjustment Model

The Centers for Medicare and Medicaid Services (CMS) implemented hierarchical condition category (HCC) models in 2004 to adjust payments to Medicare Advantage (MA) plans to reflect enrollees’ expected health care costs. We use Verisk Health’s diagnostic cost group (DxCG) Medicare models, refined “de...

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Detalles Bibliográficos
Autores principales:	Chen, Jing, Ellis, Randall P., Toro, Katherine H., Ash, Arlene S.
Formato:	Online Artículo Texto
Lenguaje:	English
Publicado:	SAGE Publications 2015
Materias:	Original Research
Acceso en línea:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5950933/ https://www.ncbi.nlm.nih.gov/pubmed/25933614 http://dx.doi.org/10.1177/0046958015583089

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