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The Structure of Risk Adjustment for Private Plans in Medicare

Medicare bases its risk adjustment method for Medicare Advantage (MA) plan payment on the relative costs of treating various diagnoses in traditional Medicare (TM). But there are many reasons to doubt that the relative cost of treating different diagnoses is similar between MA plans and TM, includin...

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Autors principals: Newhouse, Joseph P., Huang, Jie, Brand, Richard J., Fung, Vicki, Hsu, John
Format: Artigo
Idioma:Inglês
Publicat: 2011
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Accés en línia:https://ncbi.nlm.nih.gov/pmc/articles/PMC3246270/
https://ncbi.nlm.nih.gov/pubmed/21756017
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