Risk-adjusted payments are designed to plans with the money needed of sick of sick patients, while not paying too much for offering healthy. It is now widely recognized that nearly all vendors required assessments risk adjustment, because appropriate and expected costs, processes and outcomes of care vary greatly across providers very different patient panels.. In the early 1980s, took the , Centers for Medicare and Medicaid Services, a practical method to calculate medical – risk remuneration for its new Medicare risk contracting program. The urgency. With studies that Medicare HMOs increased healthier than the average members enrolled, while the sickest beneficiaries remained enrolled in traditional fee-for – service Medicare program awardward – winning research team, which Medicare Medicare, makes a significant contribution to the development of of the Diagnostic Cost Group model, and in the broader sense, the assumption of risk adjustment tools and the Health Care Financing Administration.
###About Health Services Researchservices research is the multidisciplinary field of scientific investigation that studies how social factors, financing systems, organizational structures and processes, health technologies and personal behaviors affect access to health care, the quality and cost of health care and ultimately our health and well being. His research interests are individuals, families, organizations, institutions, communities and populations. (more…)