Health plans and providers contracting under Medicare risk want greater equity and the right incentives. Clinical risk adjustment, already being tried in various forms on the private health insurance side, seems to offer a good solution. But the tremendous lack of outpatient data for risk adjustment is throwing up a very big obstacle to the evolution of the Medicare+Choice program, and could result in bad public policy, some industry observers warn. Is the federal government about to make a policy misstep at a critical moment in the Medicare program's development?
根据医疗保险风险进行签约的医疗保健计划和供应商希望实现更大的公平性并获得正确的激励措施。临床风险调整在私人医疗保险领域已经以各种形式进行尝试，似乎提供了一个很好的解决方案。但一些行业观察人士警告称，用于风险调整的门诊数据严重匮乏，这给“医疗保险+选择”计划的发展带来了巨大障碍，并可能导致糟糕的公共政策。在医疗保险计划发展的关键时刻，联邦政府会在政策上犯错吗？
