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Do Medicare Advantage Plans Select Enrollees in Higher Margin Clinical Categories?

The CMS-HCC risk adjustment system for Medicare Advantage (MA) plans calculates weights, which are effectively relative prices, for beneficiaries with different observable characteristics. To do so it uses the relative amounts spent per beneficiary with those characteristics in Traditional Medicare...

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Bibliografiska uppgifter
Huvudupphovsmän: Newhouse, Joseph P., McWilliams, J. Michael, Price, Mary, Huang, Jie, Fireman, Bruce, Hsu, John
Materialtyp: Artigo
Språk:Inglês
Publicerad: 2013
Ämnen:
Länkar:https://ncbi.nlm.nih.gov/pmc/articles/PMC3855666/
https://ncbi.nlm.nih.gov/pubmed/24308879
https://ncbi.nlm.nih.govhttp://dx.doi.org/10.1016/j.jhealeco.2013.09.003
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