-
1
-
-
0022833759
-
Capitation Pricing: Adjusting for Prior Utilization and Physician Discretion
-
Winter
-
Anderson, G.F.,Cantor, J.C.,Steinberg, E.P.,and Holloway, J.: Capitation Pricing: Adjusting for Prior Utilization and Physician Discretion. Health Care Financing Review 8(2):27-34, Winter 1986.
-
(1986)
Health Care Financing Review
, vol.8
, Issue.2
, pp. 27-34
-
-
Anderson, G.F.1
Cantor, J.C.2
Steinberg, E.P.3
Holloway, J.4
-
2
-
-
8944246826
-
-
Contract Number 17-C-98990/3-01. Prepared for the Health Care Financing Administration. Center for Hospital Finance and Management, Johns Hopkins University. Baltimore. December
-
Anderson, G.F.,Lupu, D.,et al.: Payment Amount for Capitated Systems. Contract Number 17-C-98990/3-01. Prepared for the Health Care Financing Administration. Center for Hospital Finance and Management, Johns Hopkins University. Baltimore. December 1989.
-
(1989)
Payment Amount for Capitated Systems
-
-
Anderson, G.F.1
Lupu, D.2
-
3
-
-
0001706087
-
-
Cooperative Agreement Number 18-C-98526/1-03. Prepared for the Health Care Financing Administration. Baltimore, MD. June
-
Ash, A.,Ellis, R.,and Iezzoni, L.: Clinical Refinements to the Diagnostic Cost Group Model. Cooperative Agreement Number 18-C-98526/1-03. Prepared for the Health Care Financing Administration. Baltimore, MD. June 1990.
-
(1990)
Clinical Refinements to the Diagnostic Cost Group Model
-
-
Ash, A.1
Ellis, R.2
Iezzoni, L.3
-
4
-
-
0024677147
-
Adjusting Medicare Capitation Payments Using Prior Hospitalization
-
Ash, A.,Porell, F.,Gruenberg, L.,et al.: Adjusting Medicare Capitation Payments Using Prior Hospitalization. Health Care Financing Review 10(4):17-29, 1989.
-
(1989)
Health Care Financing Review
, vol.10
, Issue.4
, pp. 17-29
-
-
Ash, A.1
Porell, F.2
Gruenberg, L.3
-
5
-
-
0006693446
-
-
Contract Number 99-C-98526/1. Prepared for the Health Care Financing Administration. Health Policy Research Consortium, Brandeis University and Boston University, September
-
Ash, A.,Porell, F.,Gruenberg, L.,et al.: An Analysis of Alternative AAPCC Models Using Data from the Continuous Medicare History Sample. Contract Number 99-C-98526/1. Prepared for the Health Care Financing Administration. Health Policy Research Consortium, Brandeis University and Boston University, September, 1986.
-
(1986)
An Analysis of Alternative AAPCC Models Using Data from the Continuous Medicare History Sample
-
-
Ash, A.1
Porell, F.2
Gruenberg, L.3
-
6
-
-
0022033825
-
Using Prior Utilization to Determine Payments for Medicare Enrollees in Health Maintenance Organizations
-
Spring
-
Beebe, J.,Lubitz, J.,and Eggers, P.: Using Prior Utilization to Determine Payments for Medicare Enrollees in Health Maintenance Organizations. Health Care Financing Review 6(3): 27-38, Spring 1985.
-
(1985)
Health Care Financing Review
, vol.6
, Issue.3
, pp. 27-38
-
-
Beebe, J.1
Lubitz, J.2
Eggers, P.3
-
7
-
-
0027073260
-
An Outlier Pool for Medicare HMO Payments
-
Fall
-
Beebe, J.C.: An Outlier Pool for Medicare HMO Payments. Health Care Financing Review 14(1):59-63, Fall 1992.
-
(1992)
Health Care Financing Review
, vol.14
, Issue.1
, pp. 59-63
-
-
Beebe, J.C.1
-
8
-
-
8944255037
-
Enrollment Patterns in Medicare HMOs: Implications for Access to Care
-
Scheffler, R.M.,and Rossiter, L.S.,eds.: JAI Press. Greenwich, CT
-
Brown, R.,and Langwell, K.: Enrollment Patterns in Medicare HMOs: Implications for Access to Care. In Scheffler, R.M.,and Rossiter, L.S.,eds.: Advances in Health Economics and Health Services Research. JAI Press. Greenwich, CT. 1987.
-
(1987)
Advances in Health Economics and Health Services Research
-
-
Brown, R.1
Langwell, K.2
-
9
-
-
0346605055
-
-
Contract Number 500-83-0047. Prepared for the Health Care Financing Administration. Mathematica Policy Research, Inc.,Princeton, NJ. September
-
Brown, R.,Langwell, K.,Berman, K.,et al.: Enrollment and Disenrollment in Medicare Competition Demonstration Plans: A Descriptive Analysis. Contract Number 500-83-0047. Prepared for the Health Care Financing Administration. Mathematica Policy Research, Inc.,Princeton, NJ. September 1986.
-
(1986)
Enrollment and Disenrollment in Medicare Competition Demonstration Plans: A Descriptive Analysis
-
-
Brown, R.1
Langwell, K.2
Berman, K.3
-
10
-
-
0027818841
-
Do Health Maintenance Organizations Work for Medicare?
-
Brown, R.,Clement, D.C.,HIll, J.W.,et al.: Do Health Maintenance Organizations Work for Medicare? Health Care Financing Review 15(1):7-23, 1993.
-
(1993)
Health Care Financing Review
, vol.15
, Issue.1
, pp. 7-23
-
-
Brown, R.1
Clement, D.C.2
Hill, J.W.3
-
11
-
-
0038086188
-
-
Contract Number 500-83-0047. Prepared for the Health Care Financing Administration. Mathematica Policy Research, Inc.,Princeton, NJ. February
-
Brown, R.,Bergeron, J.W.,Clement, D.G.,et al.: Biased Selection in the Medicare Competition Demonstrations. Contract Number 500-83-0047. Prepared for the Health Care Financing Administration. Mathematica Policy Research, Inc.,Princeton, NJ. February 1988.
-
(1988)
Biased Selection in the Medicare Competition Demonstrations
-
-
Brown, R.1
Bergeron, J.W.2
Clement, D.G.3
-
12
-
-
0023092594
-
A New Method of Classifying Prognostic Comorbidity in Longitudinal Studies: Development and Validation
-
Charlson, M.E.,Pompei, P.,Ales, K.L.,and MacKensie, C.R.: A New Method of Classifying Prognostic Comorbidity in Longitudinal Studies: Development and Validation. Journal of Chronic Disease 40:373-383, 1987.
-
(1987)
Journal of Chronic Disease
, vol.40
, pp. 373-383
-
-
Charlson, M.E.1
Pompei, P.2
Ales, K.L.3
MacKensie, C.R.4
-
13
-
-
0026639706
-
Adapting a Clinical Comorbidity Index for Use with ICD-9-CM Administrative Databases
-
Deyo, R.,Gherkin, D.,and Ciol, M.: Adapting a Clinical Comorbidity Index for Use With ICD-9-CM Administrative Databases. Journal of Clinical Epidemiology 45(6):613-619, 1992.
-
(1992)
Journal of Clinical Epidemiology
, vol.45
, Issue.6
, pp. 613-619
-
-
Deyo, R.1
Gherkin, D.2
Ciol, M.3
-
14
-
-
8944245752
-
-
Final Report to the Society of Actuaries. Harvard University School of Public Health. October 12
-
Dun, D.L.,Rosenblatt, A.,Jaira, D.,et al.: A Comparative Analysis of Methods of Health Risk Assessment. Final Report to the Society of Actuaries. Harvard University School of Public Health. October 12, 1995.
-
(1995)
A Comparative Analysis of Methods of Health Risk Assessment
-
-
Dun, D.L.1
Rosenblatt, A.2
Jaira, D.3
-
15
-
-
0020378165
-
Pre-Enrollment Reimbursement Patterns of Medicare Beneficiaries Enrolled in 'At Risk' HMOs
-
September
-
Eggers, P.,and Prihoda, R.: Pre-Enrollment Reimbursement Patterns of Medicare Beneficiaries Enrolled in 'At Risk' HMOs. Health Care Financing Review 4(1):55-73, September 1982.
-
(1982)
Health Care Financing Review
, vol.4
, Issue.1
, pp. 55-73
-
-
Eggers, P.1
Prihoda, R.2
-
16
-
-
0003496416
-
-
Research Note 17, AHCPR Publication Number 93-0043. Public Health Service, Agency for Health Care Policy and Research, U.S. Department of Health and Human Services. Washington. U.S. Government Printing Office, August
-
Elixhauser, A.,Andrews, R.,and Fox, S.: Clinical Classifications for Health Policy Research: Discharge Statistics by Principal Diagnosis and Procedure. Research Note 17, AHCPR Publication Number 93-0043. Public Health Service, Agency for Health Care Policy and Research, U.S. Department of Health and Human Services. Washington. U.S. Government Printing Office, August 1993.
-
(1993)
Clinical Classifications for Health Policy Research: Discharge Statistics by Principal Diagnosis and Procedure
-
-
Elixhauser, A.1
Andrews, R.2
Fox, S.3
-
17
-
-
8944230076
-
-
Cooperative Agreement Number 18-C-98526/1-03. Prepared for the Health Care Financing Administration. Health Policy Research Consortium, Boston University, June
-
Ellis, R.P.: Time Dependent DCG Model. Cooperative Agreement Number 18-C-98526/1-03. Prepared for the Health Care Financing Administration. Health Policy Research Consortium, Boston University, June 1990.
-
(1990)
Time Dependent DCG Model
-
-
Ellis, R.P.1
-
18
-
-
0029556443
-
Refinements to the Diagnostic Cost Group Model
-
Winter
-
Ellis, R.P.,and Ash, A.: Refinements to the Diagnostic Cost Group Model. Inquiry, 32: 1-12, Winter 1995.
-
(1995)
Inquiry
, vol.32
, pp. 1-12
-
-
Ellis, R.P.1
Ash, A.2
-
19
-
-
0345267900
-
-
Cooperative Agreement Number 18-C-98526/1-03, Health Care Financing Administration. Health Policy Research Consortium, Boston University, June
-
Ellis, R.P.,and Ash, A.: The Continuous Update Diagnostic Cost Group Model. Cooperative Agreement Number 18-C-98526/1-03, Health Care Financing Administration. Health Policy Research Consortium, Boston University, June 1989.
-
(1989)
The Continuous Update Diagnostic Cost Group Model
-
-
Ellis, R.P.1
Ash, A.2
-
20
-
-
0005067145
-
-
Health Care Financing Administration. Health Policy Research Consortium, Boston University, February
-
Ellis, R.P.,and Ash, A.: Refining the Diagnostic Cost Group Model: A Proposed Modification to the AAPCC for HMO Reimbursement. Health Care Financing Administration. Health Policy Research Consortium, Boston University, February, 1988.
-
(1988)
Refining the Diagnostic Cost Group Model: A Proposed Modification to the AAPCC for HMO Reimbursement
-
-
Ellis, R.P.1
Ash, A.2
-
22
-
-
0024237543
-
Insurance Principles and the Design of Prospective Payment Systems
-
September
-
Ellis, R.P.,and McGuire, T.G.: Insurance Principles and the Design of Prospective Payment Systems. Journal of Health Economics 7(3)-.215-238, September 1988.
-
(1988)
Journal of Health Economics
, vol.7
, Issue.3
, pp. 215-238
-
-
Ellis, R.P.1
McGuire, T.G.2
-
23
-
-
0022616494
-
Provider Behavior under Prospective Payment
-
Summer
-
Ellis, R.P.,and McGuire, T.G.: Provider Behavior under Prospective Payment. Journal of Health Economics 5(2):129-152, Summer 1986.
-
(1986)
Journal of Health Economics
, vol.5
, Issue.2
, pp. 129-152
-
-
Ellis, R.P.1
McGuire, T.G.2
-
24
-
-
0008680852
-
-
Contract Number 500-92-0020. Prepared for the Health Care Financing Administration by Health Economics Research, Inc.,April
-
Ellis, R.P.,Pope, G.C.,Iezzoni, L.,et al.: Diagnostic Cost Group (DCG) and Hierarchical Coexisting Conditions (HCC) Models for Medicare Risk Adjustment. Contract Number 500-92-0020. Prepared for the Health Care Financing Administration by Health Economics Research, Inc.,April 1996.
-
(1996)
Diagnostic Cost Group (DCG) and Hierarchical Coexisting Conditions (HCC) Models for Medicare Risk Adjustment
-
-
Ellis, R.P.1
Pope, G.C.2
Iezzoni, L.3
-
25
-
-
0024271154
-
Capitation Payment: Using Predictors of Medical Utilization to Adjust Rates
-
Fall
-
Epstein, A.M.,and Cumella, E.: Capitation Payment: Using Predictors of Medical Utilization to Adjust Rates. Health Care Financing Review 10(1): 51-70, Fall 1988.
-
(1988)
Health Care Financing Review
, vol.10
, Issue.1
, pp. 51-70
-
-
Epstein, A.M.1
Cumella, E.2
-
26
-
-
0029098001
-
Agreement between Physicians' Office Records and Medicare Part B Claims Data
-
Summer
-
Fowles, J.B.,Lawthers, A.,and Weiner, J.: Agreement Between Physicians' Office Records and Medicare Part B Claims Data. Health Care Financing Review 16(4):189-200, Summer 1995.
-
(1995)
Health Care Financing Review
, vol.16
, Issue.4
, pp. 189-200
-
-
Fowles, J.B.1
Lawthers, A.2
Weiner, J.3
-
27
-
-
0003987845
-
-
Contract Number 500-88-0006. Prepared for the Health Care Financing Administration. Mathematica Policy Research, Inc.,Washington, D.C.,September
-
Hill, J.W.,and Brown, R.S.: Biased Selection in the TEFRA HMO/CMP Program. Contract Number 500-88-0006. Prepared for the Health Care Financing Administration. Mathematica Policy Research, Inc.,Washington, D.C.,September 1990.
-
(1990)
Biased Selection in the TEFRA HMO/CMP Program
-
-
Hill, J.W.1
Brown, R.S.2
-
29
-
-
0025107097
-
Changes in Sickness at Admission Following the Introduction of the Prospective Payment System
-
October 17
-
Keeler, E.,Kahn, K.L.,Draper, D.,et al.: Changes in Sickness at Admission Following the Introduction of the Prospective Payment System. Journal of the American Medical Association 264(15):1962-1968, October 17, 1990.
-
(1990)
Journal of the American Medical Association
, vol.264
, Issue.15
, pp. 1962-1968
-
-
Keeler, E.1
Kahn, K.L.2
Draper, D.3
-
30
-
-
0024259971
-
Insurance Aspects of DRG Outlier Payments
-
September
-
Keeler, E.B.,Carter, G.M.,and Trude, S.: Insurance Aspects of DRG Outlier Payments. Journal of Health Economics 7(3):193-214, September 1988.
-
(1988)
Journal of Health Economics
, vol.7
, Issue.3
, pp. 193-214
-
-
Keeler, E.B.1
Carter, G.M.2
Trude, S.3
-
31
-
-
0021709801
-
Use and Cost of Medicare Services in the Last Years of life
-
Spring
-
Lubitz, J.,and Prihoda, R.: Use and Cost of Medicare Services in the Last Years of life. Health Care Financing Review 5(3): 117-131, Spring 1984.
-
(1984)
Health Care Financing Review
, vol.5
, Issue.3
, pp. 117-131
-
-
Lubitz, J.1
Prihoda, R.2
-
32
-
-
8944222909
-
Reimbursing Health Plans and Health Providers: Efficiency in Production Versus Selection
-
Winter
-
Newhouse, J.P.: Reimbursing Health Plans and Health Providers: Efficiency in Production Versus Selection. Journal of Economic Literature Winter 1995.
-
(1995)
Journal of Economic Literature
-
-
Newhouse, J.P.1
-
34
-
-
0024337682
-
Adjusting Capitation Rates Using Objective Health Measures and Prior Utilization
-
Spring
-
Newhouse, J.P.,Manning, W.G.,Keeler, E.B.,and Sloss, E.M.: Adjusting Capitation Rates Using Objective Health Measures and Prior Utilization. Health Care Financing Review 10(3):41-54, Spring 1989.
-
(1989)
Health Care Financing Review
, vol.10
, Issue.3
, pp. 41-54
-
-
Newhouse, J.P.1
Manning, W.G.2
Keeler, E.B.3
Sloss, E.M.4
-
35
-
-
8944241659
-
-
Contract Number 500-92-0020. Prepared for the Health Care Financing Administration by Health Economics Research, Inc.,May
-
Pope, G.,Merrill, A.R.,Gillani, F.S.,and Ellis R.P.: Internal Consistency of Diagnostic Coding on Medicare Provider Claims. Contract Number 500-92-0020. Prepared for the Health Care Financing Administration by Health Economics Research, Inc.,May 1994.
-
(1994)
Internal Consistency of Diagnostic Coding on Medicare Provider Claims
-
-
Pope, G.1
Merrill, A.R.2
Gillani, F.S.3
Ellis, R.P.4
-
36
-
-
0003535686
-
-
DHHS Publication Number 80-1260. Public Health Service. Washington. U.S. Government Printing Office, September
-
Public Health Service and Health Care Financing Administration: International Classification of Diseases, 9th Revision, Clinical Modification. DHHS Publication Number 80-1260. Public Health Service. Washington. U.S. Government Printing Office, September 1980.
-
(1980)
International Classification of Diseases, 9th Revision, Clinical Modification
-
-
-
38
-
-
0027101851
-
Using Chronic Disease Risk Factors to Adjust Medicare Capitation Payments
-
Fall
-
Schauffler, H.,Howland, J.,and Cobb, J.: Using Chronic Disease Risk Factors to Adjust Medicare Capitation Payments. Health Care Financing Review 14(1):79-90, Fall 1992.
-
(1992)
Health Care Financing Review
, vol.14
, Issue.1
, pp. 79-90
-
-
Schauffler, H.1
Howland, J.2
Cobb, J.3
-
39
-
-
0022651789
-
Including Health Status in Medicare's Adjusted Average per Capita Cost Capitation Formula
-
Thomas, J.W.,and Lichtenstein, R.; Including Health Status in Medicare's Adjusted Average per Capita Cost Capitation Formula. Medical Care 24(3): 259-275, 1986.
-
(1986)
Medical Care
, vol.24
, Issue.3
, pp. 259-275
-
-
Thomas, J.W.1
Lichtenstein, R.2
-
43
-
-
0029013954
-
Variation in Office-Based Quality: A Claims-Based Profile of Care Provided to Medicare Patients with Diabetes
-
May 17
-
Weiner, J.,Parente, S.,Garnick, D.,et al.: Variation in Office-Based Quality: A Claims-Based Profile of Care Provided to Medicare Patients With Diabetes. Journal of the American Medical Association 273(19):1503-1508, May 17, 1995.
-
(1995)
Journal of the American Medical Association
, vol.273
, Issue.19
, pp. 1503-1508
-
-
Weiner, J.1
Parente, S.2
Garnick, D.3
-
44
-
-
0026714732
-
Rates of Avoidable Hospitalization by Insurance in Massachusetts and Maryland
-
November 4
-
Weissman, J.,Gatsonis, C.,and Epstein, A.: Rates of Avoidable Hospitalization by Insurance in Massachusetts and Maryland. Journal of the American Medical Association 268(17):2388-2394, November 4, 1992.
-
(1992)
Journal of the American Medical Association
, vol.268
, Issue.17
, pp. 2388-2394
-
-
Weissman, J.1
Gatsonis, C.2
Epstein, A.3
-
45
-
-
0026779548
-
Alternative Geographic Adjustments in Medicare Payment to Health Maintenance Organizations
-
Spring
-
Welch, W.P.: Alternative Geographic Adjustments in Medicare Payment to Health Maintenance Organizations. Health Care Financing Review 13(3): 97-110, Spring 1992.
-
(1992)
Health Care Financing Review
, vol.13
, Issue.3
, pp. 97-110
-
-
Welch, W.P.1
-
46
-
-
0024796420
-
Using Health Indicators in Calculating tile AAPCC
-
Whitmore, R.,Paul, J.,Gibbs, D.,and Beebe, J.: Using Health Indicators in Calculating tile AAPCC. Advances in Health Economics and Health Services Research 10: 75-409, 1989.
-
(1989)
Advances in Health Economics and Health Services Research
, vol.10
, pp. 75-409
-
-
Whitmore, R.1
Paul, J.2
Gibbs, D.3
Beebe, J.4
|