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- Title
Health-Based Capitation Risk Adjustment in Minnesota Public Health Care Programs.
- Authors
Gifford, Gregory A.; Edwards, Kevan R.; Knutson, David J.
- Abstract
This article documents the history and implementation of health-based capitation risk adjustment in Minnesota public health care programs, and identifies key implementation issues. Capitation payments in these programs are risk adjusted using an historical, health plan risk score, based on concurrent risk assessment. Phased implementation of capitation risk adjustment for these programs began January 1, 2000. Minnesota's experience with capitation risk adjustment suggests that: (1) implementation can accelerate encounter data submission, (2) administrative decisions made during implementation can create issues that impact payment model performance, and (3) changes in diagnosis data management during implementation may require changes to the payment model.
- Subjects
MINNESOTA; CAPITATION fees (Medical care); PUBLIC health; MEDICAL care; RISK assessment
- Publication
Health Care Financing Review, 2004, Vol 26, Issue 2, p21
- ISSN
0195-8631
- Publication type
Article