History of risk adjustment in the US

Healthcare Review Online

Volumn 6, Issue 3, 2002, Pages

  Rogal, Deborah L ^a  

^a ACADEMYHEALTH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

HEALTH CARE COST; HEALTH CARE PLANNING; HEALTH CARE POLICY; HEALTH CARE SYSTEM; HEALTH INSURANCE; HIGH RISK POPULATION; MEDICAID; MEDICAL RESEARCH; MEDICARE; REVIEW; RISK ASSESSMENT; UNITED STATES;

EID: 0012444694     PISSN: 11737956     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (20)

1. HCFO News & Progress, Newsletter July 1996, p1.
2. Rogal DL, Gauthier AK. Are health-based payments a feasible tool for addressing risk segmentation, Inquiry Summer 1998;35:115-121.
3. Dunn DL, Rosenblatt A, et al. A comparative analysis of methods of health risk assessment, final report, research sponsored by the Society of Actuaries, 21 December 1995; 2-6.
4. Lee C, Rogal D. Risk adjustment in the health insurance market, prepared by the Alpha Center under The Robert Wood Johnson Foundation's Changes in Health Care Financing and Organization (HCFO) program; March 1997. Available at http://hcfo.net/pdf/riskreport.pdf.
5. Gauthier AK, Lamphere J, Barrand NL. Risk selection in the health care market: a workshop overview, Inquiry Spring 1995; 32:14-22.
6. Risk selection in a reformed health care marketplace. An invitational meeting sponsored by The Robert Wood Johnson Foundation under its Changes in Health Care Financing and Organization (HCFO) initiative and conducted by the Alpha Center; Washington Vista Hotel, Washington, DC; 6 October 1994.
7. US Congress. Balanced Budget Act of 1997. Public Law 105-33, 105th Congress, 5 August 1997.
8. Wilson VM, Smith CA, et al. Case study: the Washington state health care authority. Inquiry Summer 1998; 35: 178-192.
9. Bertko J, Hunt S. Case Study: The health insurance plan of California. Inquiry Summer 1998; 35: 148-153.
10. Knutson D. Case study: the Minneapolis Buyers Health Care Action Group. Inquiry Summer 1998; 35: 171-177.
11. Tollen L, Rothman M. Case study: Colorado Medicaid HMO Risk Adjustment. Inquiry Summer 1998; 35: 154-170.
12. Health-based payments: what do we know about risk adjustment? Invitational conference sponsored by The Robert Wood Johnson Foundation under its Changes in Health Care Financing and Organization (HCFO) initiative and conducted by the Alpha Center; Ritz Carlton Hotel, Arlington, VA; January 29, 1998.
13. Greenwald LM, Al Esposito A, et al. Risk adjustment for the Medicare program: lessons learned from research and demonstrations. Inquiry Summer 1998; 35: 193-209.
14. Dunn DL. Applications of health risk adjustment: what can be learned from experience to date? Inquiry Summer 1998; 35: 132-147.
15. Informal conversation with David Knutson, June 6, 2002.
16. Health-based payment catches on in state Medicaid programs, HCFO News & Progress December 2000; 5.
17. Personal communication, Richard Kronick, April 2002.
18. Informal background memo prepared by Sandi Hunt of PricewaterhouseCooper LLP, for a working meeting on The Future of Medicare Risk Adjustment, conducted by the Academy for Health Services Research and Health Policy under The Robert Wood Johnson Foundation's Changes in Health Care Financing and Organization (HCFO) initiative, 11 July 2001.
19. Rogal D. The future of Medicare risk adjustment. Academy for Health Services Research and Health Policy, unpublished issue brief of The Robert Wood Johnson Foundation's Changes in Health Care Financing and Organization (HCFO) initiative, drafted February 2002.
20. Boulanger J. Memorandum to Medicare+Choice organizations and participants in covered demonstration projects. 29 March 2002. http://www.hcfa.gov/medicare/ letter.pdf