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Medicare's risk-adjusted capitation method



Medicare's risk-adjusted capitation method



Journal of Health Care Finance 28(3): 105-119



Since 1997, the method to establish capitation rates for Medicare beneficiaries who are members of risk-bearing managed care plans has undergone several important developments. This includes the factoring of beneficiary health status into the rate-setting calculations. These changes were expected to increase the number of participating health plans, accelerate Medicare enrollment growth, and slice Medicare spending.

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Accession: 046656190

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PMID: 12079148


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