The Prevalence of Formal Risk Adjustment in Health Plan Purchasing

This paper describes the prevalence of formal risk adjustment of payments made to health plans by Medicare, Medicaid, state governments, and private payers. In this paper, “formal risk adjustment” is defined as the adjustment of premiums paid to health plans based on individual-level diagnostic or d...

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Bibliographic Details
Main Authors: Patricia Seliger Keenan, Melinda J. Beeuwkes Buntin, Thomas G. McGuire, Joseph P. Newhouse
Format: Article
Language:English
Published: SAGE Publishing 2001-08-01
Series:Inquiry: The Journal of Health Care Organization, Provision, and Financing
Online Access:https://doi.org/10.5034/inquiryjrnl_38.3.245