How to Classify Super-Utilizers: A Methodological Review of Super-Utilizer Criteria Applied to the Utah Medicaid Population, 2016

How to Classify Super-Utilizers: A Methodological Review of Super-Utilizer Criteria Applied to the Utah Medicaid Population, 2016–2017

Published:2020-04-01 Issue:2 Volume:23 Page:165-173
ISSN:1942-7891
Container-title:Population Health Management
language:en
Short-container-title:Population Health Management

Author:

Grafe Carl J.¹²,Horth Roberta Z.¹³⁴,Clayton Nelson⁵,Dunn Angela⁴,Forsythe Navina²

Affiliation:

1. Division of Scientific Education and Professional Development, CDC, Atlanta, Georgia.

2. Center for Health Data and Informatics, Utah Department of Health, Salt Lake City, Utah.

3. United States Public Health Service, Commissioned Corps, Rockville, Maryland.

4. Division of Disease Control and Prevention, Utah Department of Health, Salt Lake City, Utah.

5. Division of Medicaid and Health Financing, Utah Department of Health, Salt Lake City, Utah.

Publisher

Mary Ann Liebert Inc

Subject

Public Health, Environmental and Occupational Health,Health Policy,Leadership and Management

Link

https://www.liebertpub.com/doi/pdf/10.1089/pop.2019.0076

Reference39 articles.

1. 1. Mann C. CMCS informational bulletin: targeting Medicaid super-utilizers to decrease costs and improve quality. Baltimore, MD: Department of Health & Human Services, 2013.

2. 2. Health Care Transformation Task Force. Proactively identifying the high cost population—insights from the health care transformation task force. Washington, DC: Health Care Transformation Task Force, 2015.

3. 3. Mann C. CMCS informational bulletin: reducing nonurgent use of emergency departments and improving appropriate care in appropriate settings. Baltimore, MD: Department of Health & Human Services, 2014.

4. An in-depth assessment of a diagnosis-based risk adjustment model based on national health insurance claims: the application of the Johns Hopkins Adjusted Clinical Group case-mix system in Taiwan

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