-
2
-
-
0028451015
-
Applying population-based case mix adjustment in managed care: The John Hopkins Ambulatory Care Group System
-
Smith NS, Weiner JP. Applying population-based case mix adjustment in managed care: The John Hopkins Ambulatory Care Group System. Manage Care Q 1994;2:21-34.
-
(1994)
Manage Care Q
, vol.2
, pp. 21-34
-
-
Smith, N.S.1
Weiner, J.P.2
-
3
-
-
0025779766
-
Ambulatory Care Groups: A categorization of diagnoses for research and management
-
Starfield B, Weiner J, Mumford L, et al. Ambulatory Care Groups: a categorization of diagnoses for research and management. Health Serv Res 1991;26:53-74.
-
(1991)
Health Serv Res
, vol.26
, pp. 53-74
-
-
Starfield, B.1
Weiner, J.2
Mumford, L.3
-
4
-
-
0026164569
-
Development and application of a population-oriented measure of ambulatory care case-mix
-
Weiner JP, Starfield B, Steinwachs D, et al. Development and application of a population-oriented measure of ambulatory care case-mix. Med Care 1991;29:452-472.
-
(1991)
Med Care
, vol.29
, pp. 452-472
-
-
Weiner, J.P.1
Starfield, B.2
Steinwachs, D.3
-
5
-
-
0026826803
-
The John Hopkins Ambulatory Care Groups (ACGs) - A case-mix system for UR, QA and capitation adjustment
-
Weiner J, Starfield B, Lieberman R. The John Hopkins Ambulatory Care Groups (ACGs) - A case-mix system for UR, QA and capitation adjustment. HMO Practice 1992;6:13-19.
-
(1992)
HMO Practice
, vol.6
, pp. 13-19
-
-
Weiner, J.1
Starfield, B.2
Lieberman, R.3
-
6
-
-
0029950264
-
Risk-adjusted medicare capitation rates using ambulatory and inpatient diagnoses
-
Weiner JP, Dobson A, Maxwell SL, et al. Risk-adjusted Medicare capitation rates using ambulatory and inpatient diagnoses. Health Care Fin Rev 1996;17:77-99.
-
(1996)
Health Care Fin Rev
, vol.17
, pp. 77-99
-
-
Weiner, J.P.1
Dobson, A.2
Maxwell, S.L.3
-
7
-
-
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 Fin Rev 1989;10:17-29.
-
(1989)
Health Care Fin Rev
, vol.10
, pp. 17-29
-
-
Ash, A.1
Porell, F.2
Gruenberg, L.3
-
8
-
-
0029556443
-
Refinements to the diagnostic cost group (DCG) model
-
Ellis RP, Ash A. Refinements to the diagnostic cost group (DCG) model. Inquiry 1995;32:418-429.
-
(1995)
Inquiry
, vol.32
, pp. 418-429
-
-
Ellis, R.P.1
Ash, A.2
-
9
-
-
0029971083
-
Diagnosis-based risk adjustment for medicare capitation payments
-
Ellis RP, Pope GC, Iezzoni L, et al. Diagnosis-based risk adjustment for Medicare capitation payments. Health Care Fin Rev 1996;17:101-128.
-
(1996)
Health Care Fin Rev
, vol.17
, pp. 101-128
-
-
Ellis, R.P.1
Pope, G.C.2
Iezzoni, L.3
-
10
-
-
0031928560
-
Applications of health risk adjustments: What can be learned to date?
-
Dunn DL. Applications of health risk adjustments: what can be learned to date? Inquiry 1998;35:132-147.
-
(1998)
Inquiry
, vol.35
, pp. 132-147
-
-
Dunn, D.L.1
-
11
-
-
0031905056
-
Case study: The Minneapolis buyers health care action group
-
Knutson D. Case study: the Minneapolis buyers health care action group. Inquiry 1998;35:171-177.
-
(1998)
Inquiry
, vol.35
, pp. 171-177
-
-
Knutson, D.1
-
12
-
-
0031928974
-
Case study: The Washington state health care authority
-
Wilson VM, Smith CA, Hamilton JM, et al. Case study: the Washington state health care authority. Inquiry 1998;35:178-192.
-
(1998)
Inquiry
, vol.35
, pp. 178-192
-
-
Wilson, V.M.1
Smith, C.A.2
Hamilton, J.M.3
-
13
-
-
0030764817
-
Assessing quality using administrative data
-
Iezzoni LI. Assessing quality using administrative data. Ann Intern Med 1997;127:666-674.
-
(1997)
Ann Intern Med
, vol.127
, pp. 666-674
-
-
Iezzoni, L.I.1
-
14
-
-
0022629009
-
A primer on patient classification systems and their relevance to ambulatory care
-
Arbitman DB. A primer on patient classification systems and their relevance to ambulatory care. J Ambulatory Care Manage 1986;9:58-81.
-
(1986)
J Ambulatory Care Manage
, vol.9
, pp. 58-81
-
-
Arbitman, D.B.1
-
15
-
-
0026362930
-
Assessing health plan case-mix in employed populations: Self-reported health status models
-
Hornbrook MC, Goodman MC, Bennett MD, et al. Assessing health plan case-mix in employed populations: self-reported health status models. Adv Health Econ Health Serv Res 1991;12:233-272.
-
(1991)
Adv Health Econ Health Serv Res
, vol.12
, pp. 233-272
-
-
Hornbrook, M.C.1
Goodman, M.C.2
Bennett, M.D.3
-
16
-
-
0001836441
-
Ambulatory case-mix methodologies: Application to primary care research
-
Grady M, ed. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, US Department of Health and Human Services; Publication #91-0011
-
Weiner JP. US Department of Health and Human Services. Ambulatory case-mix methodologies: application to primary care research. In: Grady M, ed. Primary care research: theory and methods. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, US Department of Health and Human Services; 1991. Publication #91-0011:75-82.
-
(1991)
Primary Care Research: Theory and Methods
, pp. 75-82
-
-
Weiner, J.P.1
-
17
-
-
0012139935
-
VHA annual performance report: VA-At-A-Glance
-
Fiscal Year
-
Department of Veterans Affairs. VHA Annual Performance Report: VA-At-A-Glance. In: Annual Accountability Report; Fiscal Year, 1999: 2-17. Available at: http://www.va.gov/budget/report.
-
(1999)
Annual Accountability Report
, pp. 2-17
-
-
-
18
-
-
0013007638
-
-
Washington, DC: Department of Veterans Affairs, Veterans Health Administration
-
VHA Directive 96-051. Veterans Health Administration special emphasis programs. Washington, DC: Department of Veterans Affairs, Veterans Health Administration; 1996.
-
(1996)
Veterans Health Administration Special Emphasis Programs
-
-
-
19
-
-
13344269696
-
Transforming the Veterans health care system-the "new VA."
-
Kizer KW. Transforming the Veterans health care system-the "new VA." JAMA 1996;275:1069.
-
(1996)
JAMA
, vol.275
, pp. 1069
-
-
Kizer, K.W.1
-
20
-
-
0003964445
-
-
Washington, DC: Department of Veterans Affairs, Veterans Health Administration
-
Kizer KW. Prescription for change. Washington, DC: Department of Veterans Affairs, Veterans Health Administration; 1996.
-
(1996)
Prescription for Change
-
-
Kizer, K.W.1
-
21
-
-
0030097992
-
The organizational structure for medical information management in the Department of Veterans Affairs: An overview of major health care data-bases
-
Lamoreaux J. The organizational structure for medical information management in the Department of Veterans Affairs: an overview of major health care data-bases. Med Care 1996;34:MS31-MS44.
-
(1996)
Med Care
, vol.34
-
-
Lamoreaux, J.1
-
22
-
-
0003974479
-
-
Washington, DC: Department of Veterans Affairs, Veterans Health Administration
-
VHA Directive 96-057. Ambulatory care data capture. Washington, DC: Department of Veterans Affairs, Veterans Health Administration; 1996.
-
(1996)
Ambulatory Care Data Capture
-
-
-
23
-
-
0033785579
-
Using diagnoses to describe populations and predict costs
-
Ash AS, Ellis RP, Pope GC, et al. Using diagnoses to describe populations and predict costs. Health Care Fin Rev 2000;21:7-28.
-
(2000)
Health Care Fin Rev
, vol.21
, pp. 7-28
-
-
Ash, A.S.1
Ellis, R.P.2
Pope, G.C.3
-
24
-
-
0029909069
-
Taking health status into account when setting capitation rates
-
Fowles JB, Weiner JP, Knutson D. Taking health status into account when setting capitation rates. JAMA 1996;276:1316-1321.
-
(1996)
JAMA
, vol.276
, pp. 1316-1321
-
-
Fowles, J.B.1
Weiner, J.P.2
Knutson, D.3
-
25
-
-
0027741801
-
Patient mix differences among ambulators' providers and their effects on utilization and payment for Maryland Medicaid users
-
Stuart ME, Steinwachs DM. Patient mix differences among ambulators' providers and their effects on utilization and payment for Maryland Medicaid users. Med Care 1993;31:1119-1137.
-
(1993)
Med Care
, vol.31
, pp. 1119-1137
-
-
Stuart, M.E.1
Steinwachs, D.M.2
-
26
-
-
0029655634
-
Profiling primary care physician resource use: Examining the application of case-mix adjustment
-
Tucker A, Weiner J, Honigfeld S, et al. Profiling primary care physician resource use: examining the application of case-mix adjustment. J Ambulatory Care Manage 1996;19:60-80.
-
(1996)
J Ambulatory Care Manage
, vol.19
, pp. 60-80
-
-
Tucker, A.1
Weiner, J.2
Honigfeld, S.3
-
27
-
-
0003522815
-
-
Report from the Manitoba Centre for Health Policy and Evaluation, Department of Community Health Services, Faculty of Medicine, University of Manitoba
-
Reid R, MacWilliam L, Roos N, et al. Measuring morbidity in populations: Performance of the Johns Hopkins Adjusted Clinical Group (ACG) case-mix adjustment system in Manitoba. Report from the Manitoba Centre for Health Policy and Evaluation, Department of Community Health Services, Faculty of Medicine, University of Manitoba; 1999.
-
(1999)
Measuring Morbidity in Populations: Performance of the Johns Hopkins Adjusted Clinical Group (ACG) Case-mix Adjustment System in Manitoba
-
-
Reid, R.1
MacWilliam, L.2
Roos, N.3
-
28
-
-
0030064520
-
Ambulatory care practice variation within a Medicaid program
-
Weiner JP, Starfield BH, Powe NR, et al. Ambulatory care practice variation within a Medicaid program. Health Serv Res 1996b;30:751-770.
-
(1996)
Health Serv Res
, vol.30
, pp. 751-770
-
-
Weiner, J.P.1
Starfield, B.H.2
Powe, N.R.3
-
29
-
-
0030161532
-
Multiyear diagnostic information from prior hospitalization as a risk-adjuster for capitation payments
-
Lamers LM, van Vliet RC. Multiyear diagnostic information from prior hospitalization as a risk-adjuster for capitation payments. Med Care 1996;35:549-561.
-
(1996)
Med Care
, vol.35
, pp. 549-561
-
-
Lamers, L.M.1
Van Vliet, R.C.2
-
30
-
-
0032184933
-
The high costs of death: Should health plans get higher payments when members die?
-
van Vliet RC, Lamers LM. The high costs of death: should health plans get higher payments when members die? Med Care 1998;36:1451-60.
-
(1998)
Med Care
, vol.36
, pp. 1451-1460
-
-
Van Vliet, R.C.1
Lamers, L.M.2
-
31
-
-
0033109795
-
Review of methods to determine VA health care costs
-
Barnett P. Review of methods to determine VA health care costs. Med Care 1999;37:AS9-AS17.
-
(1999)
Med Care
, vol.37
-
-
Barnett, P.1
-
32
-
-
0003520873
-
-
(CPT). Evaluation and Management (E/M) Service Guidelines. Chicago, IL: American Medical Association
-
American Medical Association. Physicians Current Procedural Terminology, 4th ed. (CPT). Evaluation and Management (E/M) Service Guidelines. Chicago, IL: American Medical Association; 1997:9-39.
-
(1997)
Physicians Current Procedural Terminology, 4th Ed.
, pp. 9-39
-
-
-
33
-
-
0029739880
-
Applying case mix adjustment in profiling primary care physician performance
-
Chang W, McCracken SB. Applying case mix adjustment in profiling primary care physician performance. J Health Care Finance 1996;22:1-9.
-
(1996)
J Health Care Finance
, vol.22
, pp. 1-9
-
-
Chang, W.1
McCracken, S.B.2
-
34
-
-
0028104073
-
The case for case-mix adjustment in practice profiling
-
Salem-Schatz S, Moore G, Rucker M, et al. The case for case-mix adjustment in practice profiling. JAMA 1994;272:871-874.
-
(1994)
JAMA
, vol.272
, pp. 871-874
-
-
Salem-Schatz, S.1
Moore, G.2
Rucker, M.3
-
35
-
-
0031437435
-
Utilization of specialty and primary care: The impact of HMO insurance and patient-related factors
-
Clancy CM, Franks P. Utilization of specialty and primary care: the impact of HMO insurance and patient-related factors. J Fam Pract 1997;45:500-508.
-
(1997)
J Fam Pract
, vol.45
, pp. 500-508
-
-
Clancy, C.M.1
Franks, P.2
-
40
-
-
0020110176
-
Hospital case mix: Its definition, measurement and use: Part I. The conceptual framework
-
Hornbrook MC. Hospital case mix: its definition, measurement and use: part I. The conceptual framework. Med Care 1982;39:1-43.
-
(1982)
Med Care
, vol.39
, pp. 1-43
-
-
Hornbrook, M.C.1
-
41
-
-
0029941140
-
Diagnostic risk adjustment for Medicaid: The disability payment system
-
Kronick R, Dreyfus T, Lee L, Zhou Z. Diagnostic risk adjustment for Medicaid: The Disability Payment System. Health Care Fin Rev 1996;17:7-33.
-
(1996)
Health Care Fin Rev
, vol.17
, pp. 7-33
-
-
Kronick, R.1
Dreyfus, T.2
Lee, L.3
Zhou, Z.4
-
42
-
-
0033782246
-
Improving health-based payment for Medicaid beneficiaries: CDPS
-
Kronick R, Gilmer T, Dreyfus T, et al. Improving health-based payment for Medicaid beneficiaries: CDPS. Health Care Fin Rev 2000;21:29-64.
-
(2000)
Health Care Fin Rev
, vol.21
, pp. 29-64
-
-
Kronick, R.1
Gilmer, T.2
Dreyfus, T.3
-
44
-
-
0026930181
-
Clinical versus administrative databases for CABG surgery. Does it matter?
-
Hannan EL, Kilburn H, Lindsey M, et al. Clinical versus administrative databases for CABG surgery. Does it matter? Med Care 1992;30:892-907.
-
(1992)
Med Care
, vol.30
, pp. 892-907
-
-
Hannan, E.L.1
Kilburn, H.2
Lindsey, M.3
-
45
-
-
0028227007
-
A comparison of administrative versus clinical data: Coronary artery bypass surgery as an example
-
Romano PS, Roos LL, Luft HS, et al. A comparison of administrative versus clinical data: coronary artery bypass surgery as an example. J Clin Epidemiol 1994;47:249-260.
-
(1994)
J Clin Epidemiol
, vol.47
, pp. 249-260
-
-
Romano, P.S.1
Roos, L.L.2
Luft, H.S.3
-
46
-
-
0032161098
-
Agreement between administrative files and written medical records: A case of the Department of Veterans Affairs
-
Kashner TM. Agreement between administrative files and written medical records: A case of the Department of Veterans Affairs. Med Care 1998;36:1324-1336.
-
(1998)
Med Care
, vol.36
, pp. 1324-1336
-
-
Kashner, T.M.1
-
47
-
-
0026588103
-
Comorbidities, complications, and coding bias: Does the number of diagnosis codes matter in predicting in-hospital mortality?
-
Iezzoni LI, Foley SM, Daley J, et al. Comorbidities, complications, and coding bias: does the number of diagnosis codes matter in predicting in-hospital mortality? JAMA 1992;267:2197-2203.
-
(1992)
JAMA
, vol.267
, pp. 2197-2203
-
-
Iezzoni, L.I.1
Foley, S.M.2
Daley, J.3
|