Suggestions(1)
Exact(3)
These features make the NHI claim data an appropriate source for comparing the performance of diagnosis-based as well as medication-based risk adjustment instruments.
This finding seems to suggest that in order to address this issue it might be best to identify and manage those cases by using the risk adjustment instruments, instead of "predicting" their future healthcare utilization [ 24, 29].
We studied this population because ICU patients have well developed risk adjustment instruments and a sufficiently high rate of AEs and death to facilitate identifying an association between AEs and outcomes.
Similar(57)
The Charlson [ 2] and Elixhauser comorbidity measures [ 3] are two commonly used instruments for risk adjustment analyses.
Private insurance markets are generally fragmented, and the use of regulatory instruments, such as risk adjustment, remains limited (McGuire 2012).
The Charlson Co-morbidity Index, an instrument used for risk adjustment in outcomes research, was calculated using the Dartmouth-Manitoba ICD code assignments [ 21] and any history of admissions in WA for mental health and/or alcohol-related conditions was noted.
A set of outcome-based QIs were developed for long-term care settings in the US through comprehensive literature reviews, clinical panels and the comparison of facility performance and risk adjustment using a standardized dataset obtained with the interRAI Home Care (HC) and interRAI Nursing Home Care instruments [ 33].
a = Risk adjustment payment.
Risk adjustment reduces incentives for risk selection.
Subsequently, HCE and risk adjustment contributions were calculated.
ERR can be expanded and risk adjustment factored out.
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