Profiling the health service needs of populations using diagnosis-based classification systems

Journal of Ambulatory Care Management

Volumn 20, Issue 3, 1997, Pages 1-18

  Muldoon, John H ^a   Neff, John M ^b   Gay, James C ^c  

^a Natl Assoc Children's Hosp/R I   (United States)

^b UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

^c VANDERBILT UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

Capitation payment; Case mix adjustment; Children with special health care needs; Managed care, methodology; Population based studies; Profiling

Indexed keywords

ADOLESCENT; ADULT; CHILD; CHILD HEALTH CARE; CHILDHOOD DISEASE; CHRONIC DISEASE; CONGENITAL MALFORMATION; DIAGNOSIS RELATED GROUP; DISEASE CLASSIFICATION; DISEASE SEVERITY; HANDICAPPED CHILD; HEALTH CARE DELIVERY; HEALTH CARE UTILIZATION; HEALTH SERVICE; HUMAN; INFANT; MAJOR CLINICAL STUDY; MANAGED CARE; MEDICAID; MENTAL RETARDATION MALFORMATION SYNDROME; NEWBORN; REVIEW;

EID: 0031461982     PISSN: 01489917     EISSN: None     Source Type: Journal    
DOI: 10.1097/00004479-199707000-00002     Document Type: Review

References (5)

1. Division of Services for Children with Special Health Care Needs. (1996, December). Children with special health care needs in managed care organizations: Definitions and identification, family participation, capitation and risk adjustment, quality of care - Summary of expert work group meetings. Rockville, MD: Maternal and Child Health Bureau, U.S. Department of Health and Human Services.
2. Ellis, R., Pope, G., Iezzonni, L.I., Ayanian, J., Bates, D., Burnstein, H., & Ash, A. (1996, Spring). Diagnosis-based risk adjustment for Medicare capitation payments. Health Care Financing Review, 17(3), 101-128.
3. Kronick, R., Dreyfus, T., Lee, L., & Zhou, Z. (1996, Spring). Diagnostic risk adjustment for Medicaid: The disability payment system. Health Care Financing Review, 17(3), 7-33.
4. Washington State Health Care Advisory Board. (1997, January). Children with special health care needs report. Olympia, WA: Author.
5. Weiner, J., Dobson, A., Maxwell, S., Coleman, K., Starfield, B., & Anderson, G. (1996, Spring). Risk adjusted Medicare capitation rates using ambulatory and inpatient diagnoses. Health Care Financing Review, 17(3), 77-99.