Getting What We Pay For: How Do Risk‐Based Payments to Medicare Advantage Plans Compare with Alternative Measures of Beneficiary Health Risk?
Author:
Affiliation:
1. Center for Financing, Access, and Cost Trends Agency for Healthcare Research and Quality Rockville MD
2. Department of FamilyMedicine and Public Health University of California San Diego La Jolla CA
Funder
Agency for Healthcare Research and Quality
Publisher
Wiley
Subject
Health Policy
Link
https://onlinelibrary.wiley.com/doi/pdf/10.1111/1475-6773.12977
Reference21 articles.
1. Centers for Medicare and Medicaid Services.2016. “March 31 2016 HHS‐Operated Risk Adjustment Methodology Meeting: Questions and Answers” [accessed on May 25 2017]. Available athttps://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/Downloads/RA-OnsiteQA-060816.pdf
2. Medicare Prescription Drug Plan Enrollees Report Less Positive Experiences Than Their Medicare Advantage Counterparts
3. Geruso M. andT.Layton.2015. “Upcoding: Evidence from Medicare on Squishy Risk Adjustment.” National Bureau of Economic Research Working Paper No. 21222 [accessed on May 24 2017]. Available athttp://www.nber.org/papers/w21222
4. Drug Plan Design Incentives among Medicare Prescription Drug Plans;Huskamp H. H.;American Journal of Managed Care,2014
5. Kaiser Family Foundation.2016. “Medicare Advantage” [accessed on May 25 2017]. Available athttp://kff.org/medicare/fact-sheet/medicare-advantage/
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