Principles to Inform Risk Adjustment Policy-Reference-Cited by-同舟云学术

Principles to Inform Risk Adjustment Policy

Published:2023-09-05 Issue:9 Volume:330 Page:805
ISSN:0098-7484
Container-title:JAMA
language:en
Short-container-title:JAMA

Author:

Horn Daniel M.¹²,Navathe Amol S.³⁴

Affiliation:

1. Division of General Internal Medicine, Massachusetts General Hospital, Boston

2. Harvard Medical School, Boston, Massachusetts

3. Department of Medical Ethics and Health Policy, University of Pennsylvania, Philadelphia

4. Corporal Michael J. Cresencz VA Medical Center, Philadelphia, Pennsylvania

Abstract

This Viewpoint discusses the benefits and drawbacks of current risk adjustment tools, outlines the pressures clinicians may face to use these tools, and proposes principles and policy solutions to ensure that risk adjustment is clinically meaningful and to minimize gaming and waste.

Publisher

American Medical Association (AMA)

Subject

General Medicine

Link

https://jamanetwork.com/journals/jama/articlepdf/2808470/jama_horn_2023_vp_230089_1693922862.79523.pdf

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4. Gilfillan? R, Berwick? DM. Medicare Advantage, direct contracting, and the Medicare “money machine,” part 1: the risk-score game. Health Affairs. Published September 29, 2021. Accessed August 3, 2023. https://www.healthaffairs.org/content/forefront/medicare-advantage-direct-contracting-and-medicare-money-machine-part-1-risk-score-game

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