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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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Detalhes bibliográficos
Main Authors: Newhouse, Joseph P., McWilliams, J. Michael, Price, Mary, Huang, Jie, Fireman, Bruce, Hsu, John
Formato: Artigo
Idioma:Inglês
Publicado em: 2013
Assuntos:
Acesso em linha: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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