Abstract
Without risk adjustment, capitation rates are likely to overpay or underpay physicians for certain patient groups. It is possible to improve prediction using health status measures for risk adjustment. When selection bias is suspected and administrative data are available, we recommend a risk-adjustment method based on diagnostic information. If diagnostic data are not available, we recommend a system based on simple self-reported measures, such as chronic conditions, rather than complex functional status measures.
Keywords
CapitationMedicineMedical diagnosisHealth maintenanceHealth careCapitation feeDemographyGerontology
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Publication Info
- Year
- 1996
- Type
- article
- Volume
- 276
- Issue
- 16
- Pages
- 1316-1321
- Citations
- 131
- Access
- Closed
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Cite This
Jinnet B. Fowles
(1996).
Taking health status into account when setting capitation rates: a comparison of risk-adjustment methods.
JAMA
, 276
(16)
, 1316-1321.
https://doi.org/10.1001/jama.276.16.1316
Identifiers
- DOI
- 10.1001/jama.276.16.1316