G2TT
来源类型Publication
来源IDTechnical Assistance Brief
Building Managed Long-Term Services and Supports Risk-Adjustment Models: State Experiences Using Functional Data
Maria Dominiak; Alex Bohl
发表日期2016-08-31
出版者Hamilton, NJ: Center for Health Care Strategies, Inc.
出版年2016
语种英语
概述This brief describes New York’s and Wisconsin’s sophisticated Medicaid managed long-term services and supports risk-adjustment models that use functional status data to predict long-term services and supports costs.",
摘要Risk adjustment is an actuarial tool to predict expected health care costs based on beneficiary characteristics. In Medicaid managed long-term services and supports (MLTSS) programs, functional status is the biggest driver of LTSS resource use. Given the complexity of collecting and analyzing functional assessment data for Medicaid MLTSS programs, only a few states use risk-adjustment models that capture functional status of MLTSS beneficiaries. This brief, supported through the West Health Policy Center, examines the sophisticated risk-adjustment models developed by Wisconsin and New York for their MLTSS programs that reflect many variables, including functional status. States looking to develop a MLTSS risk-adjustment model using functional assessment data need to select variables that are most predictive of LTSS costs while ensuring that model variables are aligned with the state’s MLTSS policy goals.
URLhttps://www.mathematica.org/our-publications-and-findings/publications/building-managed-longterm-services-and-supports-riskadjustment-models-state-experiences-using
来源智库Mathematica Policy Research (United States)
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/488594
推荐引用方式
GB/T 7714
Maria Dominiak,Alex Bohl. Building Managed Long-Term Services and Supports Risk-Adjustment Models: State Experiences Using Functional Data. 2016.
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