基于诊断的医疗保险处方药计划支付风险调整
Diagnosis-based risk adjustment for medicare prescription drug plan payments.
作者信息
Robst John, Levy Jesse M, Ingber Melvin J
机构信息
University of South Florida, USA.
出版信息
Health Care Financ Rev. 2007 Summer;28(4):15-30.
Abstract
The 2003 Medicare Prescription Drug, Improvement, and Modernization Act (MMA) created Medicare Part D, a voluntary prescription drug benefit program. The benefit is a government subsidized prescription drug benefit within Medicare. This article focuses on the development of the prescription drug risk-adjustment model used to adjust payments to reflect the health status of plan enrollees.
摘要
2003年的《医疗保险处方药、改进与现代化法案》（MMA）设立了医疗保险D部分，这是一项自愿性的处方药福利计划。该福利是医疗保险范围内由政府补贴的处方药福利。本文重点关注用于调整支付以反映计划参保者健康状况的处方药风险调整模型的发展。
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