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Risk adjustment in Medicare ACO program deters coding increases but may lead ACOs to drop high-risk beneficiaries
The Medicare Shared Savings Program (MSSP) adjusts savings benchmarks by beneficiaries’ baseline risk scores. To discourage increased coding intensity, the benchmark is not adjusted upward if beneficiaries’ risk scores rise while in the MSSP. As a result, accountable care organizations (ACOs) face a...
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| Publicado no: | Health Aff (Millwood) |
|---|---|
| Main Authors: | , , , , , , |
| Formato: | Artigo |
| Idioma: | Inglês |
| Publicado em: |
2019
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| Assuntos: | |
| Acesso em linha: | https://ncbi.nlm.nih.gov/pmc/articles/PMC6394223/ https://ncbi.nlm.nih.gov/pubmed/30715995 https://ncbi.nlm.nih.govhttp://dx.doi.org/10.1377/hlthaff.2018.05407 |
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