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Risk Adjustment

Short Definition

Risk adjustment is a process of assigning a risk score to patients based on certain medical diagnoses and demographics, which is then used to adjust capitation payments to health plans and providers.

5 items

Life Expenctancy vs. Per Capita Healthcare Expenditures (1999 – 2020) May 18, 2023 Visual We spend a lot on healthcare in the U.S., but does it lead to longer lives? Risk Adjustment

Projected U.S. Hospital Spending, Current and Single Payer (2021-2030) May 18, 2023 Visual How much do US hospitals spend per year? How much would that change with Single Payer? Risk Adjustment

Tactical Subversion of Democracy & Healthcare September 24, 2022 Post Summary: A NY Times video op-ed describes how the GOP is taking steps to control the US electoral process at multiple levels, ultimately deciding key elections and thus subverting fair representation. This echoes years of health insurers and other profit-seekers increasingly controlling US healthcare at multiple levels, deciding medical services rules and payments and thus […] Risk Adjustment

Oh So Many Problems with Medicare Advantage July 9, 2022 Post A news article reports on Congressional hearings on problems with Medicare Advantage. An academic article describes big challenges and valuable public benefits lost if traditional Medicare is replaced by Medicare Advantage. Our apologies for a longer-than-usual post … too many Medicare Advantage failings to review! Risk Adjustment

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