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Risk adjustment for the Medicare program: lessons learned from research and demonstrations

Article Abstract:

Medicare's managed care program has undergone various Balanced Budget Act-legislated changes and years of research and demonstrations. The Health Care Financing Administration (HCFA) implemented risk adjustment-related research and demonstration activities since the 1980s and adapted a possible technical approach for the implementation of risk-adjusted Medicare managed care payments in the year 2000.

Author: Greenwald, Leslie M., Esposito, Al, Ingber, Melvin J., Levy, Jesse M.
Publisher: Blue Cross and Blue Shield of the Rochester Area, Inc.
Publication Name: Inquiry
Subject: Health care industry
ISSN: 0046-9580
Year: 1998
United States. Centers for Medicare and Medicaid Services

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The influence of medicare home health payment incentives: does payer source matter?

Article Abstract:

The implications of the interim payment system for different outcomes across patients with different payer sources are discussed. The interim payment system is a system that constrains medicare home health care expenditures.

Author: Grabowski, David C., Keating, Nancy L., Stevenson, David G., Huskamp Haiden A.
Publisher: Blue Cross and Blue Shield of the Rochester Area, Inc.
Publication Name: Inquiry
Subject: Health care industry
ISSN: 0046-9580
Year: 2006
Financial management, Services information, Methods, Finance, Services, Payment, Company financing, Home care services industry

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The cost effectiveness of post-acute care for elderly Medicare beneficiaries

Article Abstract:

A cost-benefit analysis of post-acute care for Medicare patients revealed that home care costs less than services in a convalescent hospital.

Author: Kane, Robert L., Chen, Quing, Finch, Michael D.
Publisher: Blue Cross and Blue Shield of the Rochester Area, Inc.
Publication Name: Inquiry
Subject: Health care industry
ISSN: 0046-9580
Year: 2000
Care and treatment, Statistical Data Included, Economic aspects, Medical care, Cost of, Health care costs, Aged patients, Elderly patients, Hospitals, Convalescent, Convalescent hospitals

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Subjects list: Research, Management, Medical care, Medicare, United States, Home care services
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