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Risk Adjustment of Medicare Capitation Payments Using the CMS-HCC Model
This article describes the CMS hierarchical condition categories (HCC) model implemented in 2004 to adjust Medicare capitation payments to private health care plans for the health expenditure risk of their enrollees. We explain the model's principles, elements, organization, calibration, and pe...
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| Main Authors: | , , , , , , , , |
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| Formato: | Artigo |
| Idioma: | Inglês |
| Publicado em: |
CENTERS for MEDICARE & MEDICAID SERVICES
2004
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| Assuntos: | |
| Acesso em linha: | https://ncbi.nlm.nih.gov/pmc/articles/PMC4194896/ https://ncbi.nlm.nih.gov/pubmed/15493448 |
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