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The mechanics of risk adjustment and incentives for coding intensity in Medicare.

Caroline S CarlinRoger FeldmanJeah Jung
Published in: Health services research (2024)
Consistent with previous literature, we find increased health risk in MA associated with HRA and CR records. We also demonstrate the meaningful impacts of HRAs on health risk measurement for TM coverage cohorts. CMS's model changes have the potential to reduce coding intensity, but they do not target the full scope of hierarchies sensitive to coding intensity.
Keyphrases
  • health risk
  • heavy metals
  • drinking water
  • high intensity
  • systematic review
  • affordable care act
  • risk assessment
  • healthcare
  • hepatitis c virus
  • hiv testing
  • men who have sex with men