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Adjusting Medicare capitation payments using prior hospitalization data

The diagnostic cost group approach to a reimbursement model for health maintenance organizations is presented. Diagnostic information about previous hospitalizations is used to create empirically determined risk groups, using only diagnoses involving little or no discretion in the decision to hospit...

Ausführliche Beschreibung

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Bibliographische Detailangaben
Hauptverfasser: Ash, Arlene, Porell, Frank, Gruenberg, Leonard, Sawitz, Eric, Beiser, Alexa
Format: Artigo
Sprache:Inglês
Veröffentlicht: CENTERS for MEDICARE & MEDICAID SERVICES 1989
Schlagworte:
Online Zugang:https://ncbi.nlm.nih.gov/pmc/articles/PMC4192932/
https://ncbi.nlm.nih.gov/pubmed/10313277
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