This article reviews nineteen risk-adjustment research papers, including the tool adopted for Medicare + Choice, some of which are likely to form the basis for subsequent HCFA risk-adjustment methods. In general, claims-based models are more powerful in predicting total costs than survey-based or...
The “Kansas City Index” and the “National Evaluation Index” were measures designed to evaluate the impact of Medicare information material on beneficiaries’ knowledge, all of the questions could be answered by consulting the Medicare & You handbook (Medicare and Youn.a.). The “Kansas City ...
Maximize your medical practice's RAF scores and Medicare Advantage funding with Inferscience's risk adjustment tools.
Cooper LM, Linde-Zwirble WT (2004) Medicare intensive care unit use: analysis of incidence, cost, and payment. Crit Care Med 32:2247–2253 PubMed Google Scholar Halpern NA, Pastores SM, Greenstein RJ (2004) Critical care medicine in the United States 1985–2000: an analysis of bed num...
andTammySmithandLuAnnD'AngeloandRosemarySDOSCase ManagerSackett K, Smith T, D'Angelo L, Pope R, Hendricks C. The Medicare health risk assessment program. Case Manager. 2001; 12(3):52-5. Epub 2001/05/15. https://doi.org/10.1067/mcm.2001.114434 PMID: 11351235....
ARIES, a tool designed in order to support the assessment of expected heath derived from an accidental release of toxic compounds, includes two sequential and complementary steps. The first developed for inhalation exposures uses numerical models, empirical correlations, physiological parameters and toxico...
Third, in the future, it might be possible to give quantitative estimates of individual risks for functional decline, and the potential impact of risk factor modification. The HRA-O instrument combined with specific interventions might be a promising tool for individualised health promotion and ...
As we also know how to fix Social Security, Medicare, agriculture, housing, and transportation. So a much smaller government (which would be consistent with the vision of America’s Founders) is conceivable. But I fear we’ll have to wait another four years before we can even begin to ...
your risk assessment includes looking at whether you want to address a risk or not. If you choose to address it, you may choose any number ofmitigation strategies, which are discussed inChapter 6. As you embark on these aspects of planning, if you have a list of items to include from ...
Member Lifetime Value Model:We use a tool that calculates the lifetime value of an existing or potential Medicare Advantage member using claims data, demographic data, and risk-coding history, to help in the implementation of specific interventions to improve retention and attraction rates. ...