Assessment of the Medicare Advantage Risk Adjustment Model for Measuring Veterans Affairs Hospital Performance
Sign Up to like & getrecommendations! Published in 2018 at "JAMA Network Open"
DOI: 10.1001/jamanetworkopen.2018.5993
Abstract: This cohort study of administrative data from the Veterans Affairs Health Care System assesses the applicability of using the Medicare Advantage risk adjustment system version 21 for comparing Veterans Affairs hospitals with nonfederal hospitals. read more here.
Keywords: risk adjustment; medicare advantage; advantage risk; veterans affairs ... See more keywords
Using Quantile and Asymmetric Least Squares Regression for Optimal Risk Adjustment
Sign Up to like & getrecommendations! Published in 2017 at "Health Economics"
DOI: 10.1002/hec.3352
Abstract: In this paper, we analyze optimal risk adjustment for direct risk selection (DRS). Integrating insurers' activities for risk selection into a discrete choice model of individuals' health insurance choice shows that DRS has the structure… read more here.
Keywords: risk adjustment; optimal risk; least squares; squares regression ... See more keywords
Comparing risk adjustment estimation methods under data availability constraints
Sign Up to like & getrecommendations! Published in 2022 at "Health Economics"
DOI: 10.1002/hec.4512
Abstract: Abstract The Italian National Healthcare Service relies on per capita allocation for healthcare funds, despite having a highly detailed and wide range of data to potentially build a complex risk‐adjustment formula. However, heterogeneity in data… read more here.
Keywords: granularity; risk adjustment; data availability; risk ... See more keywords
The Change in Self-Care Quality Measure for Inpatient Rehabilitation Facilities: Exclusion Criteria and Risk-Adjustment Model.
Sign Up to like & getrecommendations! Published in 2022 at "Archives of physical medicine and rehabilitation"
DOI: 10.1016/j.apmr.2022.02.009
Abstract: OBJECTIVE To describe the exclusion criteria and risk-adjustment model developed for the quality measure Change in Self-Care. The exclusion criteria and risk adjustment model are used to calculate Change in Self-Care scores allowing scores to… read more here.
Keywords: exclusion criteria; adjustment model; risk adjustment; self care ... See more keywords
The Change in Mobility Quality Measure for Inpatient Rehabilitation Facilities: Exclusion Criteria and the Risk Adjustment Model.
Sign Up to like & getrecommendations! Published in 2022 at "Archives of physical medicine and rehabilitation"
DOI: 10.1016/j.apmr.2022.03.001
Abstract: OBJECTIVE To describe the exclusion criteria and updated risk adjustment model developed for the Change in Mobility quality measure in the inpatient rehabilitation facility (IRF) quality reporting program. Facility-level quality measures focused on patient outcome… read more here.
Keywords: risk adjustment; change; mobility; model ... See more keywords
The 2018 risk-adjustment reform in the Czech Republic: Introducing Pharmacy-based Cost Groups and strengthening reinsurance.
Sign Up to like & getrecommendations! Published in 2019 at "Health policy"
DOI: 10.1016/j.healthpol.2019.05.017
Abstract: BACKGROUND Risk-adjustment in resource allocation is commonly used for regional redistribution or for eliminating risk selection motives of multiple statutory health insurers. In the Czech Republic, revenue redistribution between health insurers takes place since the… read more here.
Keywords: health; health insurers; risk adjustment; reform ... See more keywords
TCT-768 Risk Adjustment Model for 30-Day Mortality After Transcatheter Aortic Valve Replacement. A Report from the STS/ACC TVT RegistryTM
Sign Up to like & getrecommendations! Published in 2017 at "Journal of the American College of Cardiology"
DOI: 10.1016/j.jacc.2017.09.654
Abstract: Outcomes after TAVR have improved due to better patient selection, evolving technology, and provider experience. To fairly compare these outcomes across centers requires appropriate adjustment for patient risk. We sought to develop and validate a… read more here.
Keywords: risk adjustment; risk; tct 768; adjustment ... See more keywords
Risk Adjustment and Performance Measurement for Lung Cancer Resection.
Sign Up to like & getrecommendations! Published in 2017 at "Thoracic surgery clinics"
DOI: 10.1016/j.thorsurg.2017.03.001
Abstract: Comparative audit is an essential tool for multicenter quality efforts. The components include a rigorously defined and collected data source, carefully selected and defined preintervention patient variables that may impact outcome, appropriate risk stratification to… read more here.
Keywords: risk adjustment; adjustment performance; performance measurement; measurement lung ... See more keywords
Electronically Available Comorbidities Should Be Used in Surgical Site Infection Risk Adjustment
Sign Up to like & getrecommendations! Published in 2017 at "Clinical Infectious Diseases"
DOI: 10.1093/cid/cix431
Abstract: Background Healthcare-associated infections such as surgical site infections (SSIs) are used by the Centers for Medicare and Medicaid Services (CMS) as pay-for-performance metrics. Risk adjustment allows a fairer comparison of SSI rates across hospitals. Until… read more here.
Keywords: risk adjustment; risk; adjustment; infection ... See more keywords
Risk-adjustment models for clean and colorectal surgery surgical site infection for the Spanish health system.
Sign Up to like & getrecommendations! Published in 2020 at "International Journal for Quality in Health Care"
DOI: 10.1093/intqhc/mzaa104
Abstract: OBJECTIVE To develop risk-adjusted models for two quality indicators addressing surgical site infection (SSI) in clean and colorectal surgery, to be used for benchmarking and quality improvement in the Spanish National Health System. STUDY DESIGN… read more here.
Keywords: risk adjustment; colorectal surgery; adjustment; adjustment models ... See more keywords
The NHSN 2015 Rebaseline—How Updating CAUTI Risk Adjustment Affects the SIRs
Sign Up to like & getrecommendations! Published in 2017 at "Open Forum Infectious Diseases"
DOI: 10.1093/ofid/ofx163.1677
Abstract: Abstract Background In January 2017, the CDC’s National Healthcare Safety Network (NHSN) updated both the aggregate healthcare associated infection (HAI) data that serve as baselines for standardized infection ratios (SIRs) and the risk adjustment (RA)… read more here.
Keywords: risk adjustment; facility; ra1; ra2 ... See more keywords