{"title":"风险调整皱纹。","authors":"","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Health plans and providers contracting under Medicare risk want greater equity and the right incentives. Clinical risk adjustment, already being tried in various forms on the private health insurance side, seems to offer a good solution. But the tremendous lack of outpatient data for risk adjustment is throwing up a very big obstacle to the evolution of the Medicare+Choice program, and could result in bad public policy, some industry observers warn. Is the federal government about to make a policy misstep at a critical moment in the Medicare program's development?</p>","PeriodicalId":80073,"journal":{"name":"Medical network strategy report","volume":"8 1","pages":"1-5"},"PeriodicalIF":0.0000,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Risk adjustment wrinkle.\",\"authors\":\"\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Health plans and providers contracting under Medicare risk want greater equity and the right incentives. Clinical risk adjustment, already being tried in various forms on the private health insurance side, seems to offer a good solution. But the tremendous lack of outpatient data for risk adjustment is throwing up a very big obstacle to the evolution of the Medicare+Choice program, and could result in bad public policy, some industry observers warn. Is the federal government about to make a policy misstep at a critical moment in the Medicare program's development?</p>\",\"PeriodicalId\":80073,\"journal\":{\"name\":\"Medical network strategy report\",\"volume\":\"8 1\",\"pages\":\"1-5\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"1999-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Medical network strategy report\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical network strategy report","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Health plans and providers contracting under Medicare risk want greater equity and the right incentives. Clinical risk adjustment, already being tried in various forms on the private health insurance side, seems to offer a good solution. But the tremendous lack of outpatient data for risk adjustment is throwing up a very big obstacle to the evolution of the Medicare+Choice program, and could result in bad public policy, some industry observers warn. Is the federal government about to make a policy misstep at a critical moment in the Medicare program's development?
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