Medicare risk adjustment for the frail elderly

Health Care Financing Review

Volumn 30, Issue 2, 2008, Pages 83-93

  Kautter, John ^a   Ingber, Melvin ^a   Pope, Gregory C ^a  

^a RTI INTERNATIONAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; AGED, 80 AND OVER; FEMALE; FRAIL ELDERLY; HUMANS; MALE; MEDICARE; MIDDLE AGED; RISK ADJUSTMENT; UNITED STATES;

EID: 62349121782     PISSN: 01958631     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (13)

1. Centers for Medicare & Medicaid Services: Advance Notice of Methodological Changes for Calendar Year 2009 for Medicare Advantage (MA) Capitation Rates. 2008.
2. Centers for Medicare & Medicaid Services: Advance Notice of Methodological Changes for Calendar Year 2008 for Medicare Advantage (MA) Capitation Rates. 2007a.
3. Centers for Medicare & Medicaid Services: Announcement of Calendar Year (CY) 2008 Medicare Advantage Capitation Rates and Payment Policies. 2007b.
4. Centers for Medicare & Medicaid Services: Health Care Financing Review, Medicare and Medicaid Statistical Supplement, 2006. Publication Number 03477. December 2006. Internet address: http://www.cms.hhs.gov/review/ default.asp (Accessed 2008.)
5. Kautter, J., Ingber, M., and Pope, G.C.: Frailty Adjustment of Medicare Capitation Payments. Final Report to CMS. RTI International. October 2007.
6. Kautter, J. and Pope, G.C.: CMS Frailty Adjustment Model. Health Care Financing Review 26(2):1-19, Winter 2004-2005.
7. Kautter, J. and Pope, G.C.: Predictive Accuracy of Diagnostic Cost Group (DCG) Risk Adjustment Models. Final Report to the Centers for Medicare and Medicaid Services. RTI International. 2001.
8. McCall, N., Petersons, A., Moore, S., et al.: Utilization of Home Health Services before and after the Balanced Budget Act of 1997: What Were the Initial Effects? Health Services Research 38(1 PL 1): 85-106, February 2003.
9. Medicare Payment Advisory Commission: Selected Medicare Issues. Report to Congress. 1999.
10. 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.
11. Pope, G.C., Ellis, R.P., and Ash, A.S.: Principal Inpatient Diagnostic Cost Group Model for Medicare Risk Adjustment. Health Care Financing Review 21(3): 93-118, Spring 2000.
12. Pope, G.C., Adamache, K.A, Walsh, E.G., et al.: Evaluating Alternative Risk Adjusters for Medicare. Health Care Financing Review 20(2): 109-125, Winter 1998.
13. RTI International: Implementation of Medicare CAHPS® Fee-For-Service Survey. Report for the 2003 Survey. 2005.