Mispricing in the Medicare Advantage Risk Adjustment Model

The Centers for Medicare and Medicaid Services (CMS) implemented hierarchical condition category (HCC) models in 2004 to adjust payments to Medicare Advantage (MA) plans to reflect enrollees' expected health care costs. We use Verisk Health's diagnostic cost group (DxCG) Medicare models, r...

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Bibliographic Details
Main Authors: Jing Chen PhD, MBA (Author), Randall P. Ellis PhD (Author), Katherine H. Toro MA (Author), Arlene S. Ash PhD (Author)
Format: Book
Published: SAGE Publishing, 2015-04-01T00:00:00Z.
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3rd Floor Main Library

Holdings details from 3rd Floor Main Library
Call Number: A1234.567
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