Medicare Advantage: Changes Improved Accuracy of Risk Adjustment for Certain Beneficiaries Pdf

Book Detail
Edition:
Release: 2012-08-13
Publisher: CreateSpace Independent Publishing Platform
Binding: Paperback
ISBN/ASIN: 1479122041
Format: hardcover, kindle, PDF, EPUB

Medicare Advantage pdf
Description

The effect of CMS's revised community model on payment accuracy varied for the high-risk groups studied. Specifically, compared with the current community model, the revised community model slightly reduced the accuracy of MA payment adjustments for beneficiaries with multiple chronic conditions by 4, or about 1 percent of average actual expenditures. For beneficiaries with low income, the accuracy of the revised and the current community models was similar: estimates differed by , or less than 0.1 percent of average actual expenditures. For beneficiaries with dementia, the revised community model substantially improved the accuracy of MA payment adjustments by ,674, or about 16 percent of average actual expenditures. Compared with the general new enrollee model, the C-SNP new enrollee model substantially improved the accuracy of MA payment adjustments for new enrollees with C-SNP conditions, but considerable inaccuracy in the model's estimates remains for certain groups. The am Download Medicare Advantage for free via rapidshare, mediafire, 4shared, dropBox, uploading, fileserve

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