Risk Adjustment of Medicare Capitation Payments Using the CMS-HCC Model

Title
Risk Adjustment of Medicare Capitation Payments Using the CMS-HCC Model
First Author
Pope, Gregory
Date of Pub
2004 Summer
Pages
119-141
Abstract
This article describes the CMS hierarchical condition categories (HCC) model implementedin 2004 to adjust Medicare capitation payments to private health care plans forthe health expenditure risk of their enrollees. We explain the model s principles,
Other Authors
Ash, Arlene; Ayanian, John; Ellis, Randall; Iezzoni, Lisa; Ingber, Melivin; Kautter, John; Levy, Jesse; Robst, John
Issue
4
Volume
25

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