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If a recipient is enrolled in a managed care or other capitated.pdf
If a recipient is enrolled in a managed care or other capitated
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Rate Setting for Capitated Medicaid Managed Longg …:率设定为人头的医疗补助管理longg….pdf
Rate Setting for Capitated Medicaid Managed Longg …:率设定为人头的医疗补助管理longg…帮助,for,rate,longg,反馈意见
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2013 CAPITATED FINANCIAL ALIGNMENT ....doc
2013 CAPITATED FINANCIAL ALIGNMENT ...2013 CAPITATED FINANCIAL ALIGNMENT ...2013 CAPITATED FINANCIAL ALIGNMENT ...
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Prescription drug profiles as health risk adjusters in capitated payment systems: An applied econometric analysis..pdf
A key policy issue debated in the context of introducing price competition in Medicare HMO market, is how to improve the demographic risk classification used by HCFA to adjust its capitation premiums to competing plans. This dissertation contributes to the debate at two levels. At the theoretical level, in Chapter 2 we show that improved risk classification system could reduce HCFA´s program costs in two ways: reduce selection costs arising from plans´ preferred risk selection strategies, and reduce risk premium of plans´ bids through lowering of within-variance of the risk classes. At the empirical level, in Chapter 4, we apply our theoretical framework to develop a model of risk classification using prescription drug profiles (based on drug therapeutic classes) as risk-adjusters and test its effectiveness on a 3-year study sample drawn from a large HMO in California. Using base-year information, we apply several statistical model selection criteria to compare the econometr
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Capitated Payment Approaches for Medicaid-Financed Long-Term….pdf
Capitated Payment Approaches for Medicaid-Financed Long-Term…
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An Update on CMS´s Capitated Financial Alignment Demonstration.pdf
An Update on CMS´s Capitated Financial Alignment Demonstration
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Joint Rate-Setting Process Under Capitated Financial ....pdf
Joint Rate-Setting Process Under Capitated Financial ...
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self-reported behavior and attitudes of enrollees in capitated and fee-for-service dental benefit plans.pdf
self-reported behavior and attitudes of enrollees in capitated and fee-for-service dental benefit plans

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