-
1
-
-
0010340068
-
Finding Future High-Cost Cases: Comparing Prior Cost Versus Diagnosis-Based Methods
-
December
-
Ash, A.S., Zhao, Y., Ellis, R.P. et al.: Finding Future High-Cost Cases: Comparing Prior Cost Versus Diagnosis-Based Methods. Health Services Research 36(6):194-206, December 2001.
-
(2001)
Health Services Research
, vol.36
, Issue.6
, pp. 194-206
-
-
Ash, A.S.1
Zhao, Y.2
Ellis, R.P.3
-
2
-
-
36849009686
-
Improving the Management of Care for High-Cost Medicaid Patients
-
November/December
-
Billings, J. and Mijanovich, T.: Improving the Management of Care for High-Cost Medicaid Patients. Health Affairs 26(6):1643-1655, November/December 2007.
-
(2007)
Health Affairs
, vol.26
, Issue.6
, pp. 1643-1655
-
-
Billings, J.1
Mijanovich, T.2
-
3
-
-
55949126993
-
-
Chronic Illness and Disability Payment System: Chronic Illness and Disability Payment System Software, Version 2.5. 2005
-
Chronic Illness and Disability Payment System: Chronic Illness and Disability Payment System Software, Version 2.5. 2005.
-
-
-
-
4
-
-
55949118783
-
-
DxCG: DxCG RiskSmart™ Stand Alone Software, Version 2.2. 2007
-
DxCG: DxCG RiskSmart™ Stand Alone Software, Version 2.2. 2007.
-
-
-
-
5
-
-
27744576702
-
-
DxCG:, Internet address:, Accessed 2008
-
DxCG: DxCG Methodology. Internet address: http://www.dxcg.com/ research-resources/index.asp (Accessed 2008.)
-
DxCG Methodology
-
-
-
6
-
-
0035513625
-
The Medicaid Rx Model: Pharmacy-Based Risk Adjustment for Public Programs
-
November
-
Gilmer, T., Kronick, R., Fishman, P., et al.: The Medicaid Rx Model: Pharmacy-Based Risk Adjustment for Public Programs. Medical Care 39(11):1188-1202, November 2001.
-
(2001)
Medical Care
, vol.39
, Issue.11
, pp. 1188-1202
-
-
Gilmer, T.1
Kronick, R.2
Fishman, P.3
-
7
-
-
24144442442
-
Return on Investments in Disease Management: A Review
-
Summer
-
Goetzel, R.Z., Ozminkowski, R.J., Villagra, V.G., et al: Return on Investments in Disease Management: A Review. Health Care Financing Review 26(4):1-19, Summer 2005.
-
(2005)
Health Care Financing Review
, vol.26
, Issue.4
, pp. 1-19
-
-
Goetzel, R.Z.1
Ozminkowski, R.J.2
Villagra, V.G.3
-
9
-
-
77954991701
-
-
Johns Hopkins University, School of Public Health:, Internet address:, Accessed 2008
-
Johns Hopkins University, School of Public Health: The Johns Hopkins University ACG Case-Mix System. Internet address: http://www.acg.jhsph.edu/ html/AboutACGs.htm (Accessed 2008.)
-
The Johns Hopkins University ACG Case-Mix System
-
-
-
10
-
-
0029941140
-
Diagnostic Risk Adjustment for Medicaid: The Disability Payment System
-
Spring
-
Kronick, R. and Dreyfus, T.: Diagnostic Risk Adjustment for Medicaid: The Disability Payment System. Health Care Financing Review 17(3):7-33, Spring 1996.
-
(1996)
Health Care Financing Review
, vol.17
, Issue.3
, pp. 7-33
-
-
Kronick, R.1
Dreyfus, T.2
-
11
-
-
0033782246
-
Improving Health-Based Payment for Medicaid Beneficiaries: CDPS
-
Spring
-
Kronick, R., Gilmer, T., Dreyfus, T., et al.: Improving Health-Based Payment for Medicaid Beneficiaries: CDPS. Health Care Financing Review 21(3):29-64, Spring 2000.
-
(2000)
Health Care Financing Review
, vol.21
, Issue.3
, pp. 29-64
-
-
Kronick, R.1
Gilmer, T.2
Dreyfus, T.3
-
12
-
-
55949100229
-
Health-Based Risk Assessment: Risk-Adjusted Payments and Beyond
-
January
-
Martin, K., Rogal, D., and Arnold, S.: Health-Based Risk Assessment: Risk-Adjusted Payments and Beyond. Robert Wood Johnson, Changes in Health Care Financing and Organization (HCFO) Program. January 2004.
-
(2004)
Robert Wood Johnson, Changes in Health Care Financing and Organization (HCFO) Program
-
-
Martin, K.1
Rogal, D.2
Arnold, S.3
-
13
-
-
36849051372
-
Comprehensive Health Care Reform in Vermont: A Conversation with Governor Jim Douglas
-
November/December
-
Maxwell, J.: Comprehensive Health Care Reform in Vermont: A Conversation with Governor Jim Douglas. Health Affairs 26(6):W697-W702, November/December 2007.
-
(2007)
Health Affairs
, vol.26
, Issue.6
-
-
Maxwell, J.1
-
14
-
-
55949097126
-
-
Office of Vermont Health Access:, Internet address:, Accessed 2008
-
Office of Vermont Health Access: Clinical Initiatives. 2007a. Internet address: http://ovha.vermont.gov/for-consumers/ clinical_initiatives_brochure_6-21-07.pdf (Accessed 2008.)
-
(2007)
Clinical Initiatives
-
-
-
15
-
-
55949101791
-
-
Office of Vermont Health Access: Care Coordination: Identification, Verification, and Stratification. Personal communication. 2007b.
-
Office of Vermont Health Access: Care Coordination: Identification, Verification, and Stratification. Personal communication. 2007b.
-
-
-
-
16
-
-
55949118219
-
-
Office of Vermont Health Access: Risk Stratification and Intervention Services. Personal communication. 2008.
-
Office of Vermont Health Access: Risk Stratification and Intervention Services. Personal communication. 2008.
-
-
-
-
17
-
-
4444292273
-
Risk Adjustment of Medicare Capitation Payments Using the CMS-HCC Model
-
Summer
-
Pope, G.C., Kautter, J., Ellis, R.P., et al.: Risk Adjustment of Medicare Capitation Payments Using the CMS-HCC Model. Health Care Financing Review 25(4):119-141, Summer 2004.
-
(2004)
Health Care Financing Review
, vol.25
, Issue.4
, pp. 119-141
-
-
Pope, G.C.1
Kautter, J.2
Ellis, R.P.3
-
18
-
-
0035403824
-
Evaluating Diagnosis-Based Case-Mix Measures: How Well Do They Apply to the VA Population?
-
July
-
Rosen, A.K., Loveland, S., Anderson, J.J., et al.: Evaluating Diagnosis-Based Case-Mix Measures: How Well Do They Apply to the VA Population? Medical Care 39(7):692-704, July 2001.
-
(2001)
Medical Care
, vol.39
, Issue.7
, pp. 692-704
-
-
Rosen, A.K.1
Loveland, S.2
Anderson, J.J.3
-
19
-
-
33745327352
-
Development and Validation of a Psychiatric Case-Mix System
-
June
-
Sloan, K.L., Montez-Rath, M.E., Spiro, A., et al.: Development and Validation of a Psychiatric Case-Mix System. Medical Care 44(6):568-580, June 2006.
-
(2006)
Medical Care
, vol.44
, Issue.6
, pp. 568-580
-
-
Sloan, K.L.1
Montez-Rath, M.E.2
Spiro, A.3
-
20
-
-
0028451015
-
Applying Population-Based Case Mix Adjustment in Managed Care: The Johns Hopkins ACG System
-
Summer
-
Smith, N. and Weiner, J.: Applying Population-Based Case Mix Adjustment in Managed Care: The Johns Hopkins ACG System. Managed Care Quarterly 2(3):21-34, Summer 1994.
-
(1994)
Managed Care Quarterly
, vol.2
, Issue.3
, pp. 21-34
-
-
Smith, N.1
Weiner, J.2
-
21
-
-
55949128847
-
San Diego:
-
Internet address:, Accessed 2008
-
University of California, San Diego: Medicaid Rx. Internet address: http://medicaidrx.ucsd.edu/ (Accessed 2008.)
-
Medicaid Rx
-
-
-
22
-
-
55949108866
-
San Diego:
-
Internet address:, Accessed 2008
-
University of California, San Diego: Chronic Illness and Disability Payment System. Internet address: http://cdps.ucsd.edu/index.html (Accessed 2008.)
-
Chronic Illness and Disability Payment System
-
-
-
24
-
-
0029950264
-
Risk-Adjusted Medicare Capitation Rates Using Ambulatory and Inpatient Diagnoses
-
Spring
-
Weiner, J., Dobson, A., Maxwell, S., et al.: Risk-Adjusted Medicare Capitation Rates Using Ambulatory and Inpatient Diagnoses. Health Care Financing Review 17(3):77-99, Spring 1996.
-
(1996)
Health Care Financing Review
, vol.17
, Issue.3
, pp. 77-99
-
-
Weiner, J.1
Dobson, A.2
Maxwell, S.3
-
25
-
-
0031709878
-
The Development of a Risk-Adjusted Capitation Payment System: The Maryland Medicaid Model
-
October
-
Weiner, J., Tucker, A., Collins, A., et al.: The Development of a Risk-Adjusted Capitation Payment System: The Maryland Medicaid Model. Journal of Ambulatory Care Management 21(4):29-52, October 1998.
-
(1998)
Journal of Ambulatory Care Management
, vol.21
, Issue.4
, pp. 29-52
-
-
Weiner, J.1
Tucker, A.2
Collins, A.3
-
27
-
-
12344259418
-
Predicting Pharmacy Costs and Other Medical Costs Using Diagnoses and Drug Claims
-
January
-
Zhao, Y., Ash, A., Ellis, R., et al.: Predicting Pharmacy Costs and Other Medical Costs Using Diagnoses and Drug Claims. Medical Care 43(1):34-43, January 2005.
-
(2005)
Medical Care
, vol.43
, Issue.1
, pp. 34-43
-
-
Zhao, Y.1
Ash, A.2
Ellis, R.3
-
28
-
-
0036692168
-
Disease Burden Profiles: An Emerging Tool for Managing Managed Care
-
August
-
Zhao, Y., Ash, A.S., Ellis, R.P., et al.: Disease Burden Profiles: An Emerging Tool for Managing Managed Care. Health Care Management Science 5(3):211-219, August 2002.
-
(2002)
Health Care Management Science
, vol.5
, Issue.3
, pp. 211-219
-
-
Zhao, Y.1
Ash, A.S.2
Ellis, R.P.3
-
29
-
-
0038684012
-
Identifying Future High-Cost Cases Through Predictive Modeling
-
June
-
Zhao, Y., Ash, A.S., Haughton, J., et al.: Identifying Future High-Cost Cases Through Predictive Modeling. Disease Management & Health Outcomes 11(6):389-397, June 2003.
-
(2003)
Disease Management & Health Outcomes
, vol.11
, Issue.6
, pp. 389-397
-
-
Zhao, Y.1
Ash, A.S.2
Haughton, J.3
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