CHCS - Center for Health Care Strategies

Improving the quality and cost-effectiveness of publicly financed health care

Risk Adjustment

Risk adjustment methodologies offer states a critical tool to more effectively set rates for high-need, high-cost beneficiaries. CHCS resources address state considerations for designing and implementing risk adjustment payment strategies for populations with complex needs.

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Health Care Purchasing, Global Budgeting, and Shared Savings Models

This overview charts the progress of global budgeting and shared savings models currently underway in various states.

September 2011 Technical Assistance Briefs & Tools

Potential Risk-Sharing Between States and Coordinated Care Organizations

On September 20, 2011, Carolyn Ingram, CHCS senior vice president, presented to the Oregon Health Policy Board's Global Budget Methodology Workgroup.  

September 2011 Staff Presentations

State Primer: Medicare Advantage Rate Setting and Risk Adjustment

In response to state requests for assistance with rate setting and risk adjustment issues, CHCS developed this primer outlining the bidding process for Medicare Advantage Special Needs Plans.
October 2006 Resource Papers

Strategies for Assessing Health Plan Performance on Chronic Diseases

This Resource Paper serves as a guide for Medicaid agencies who want to develop a performance measurement program using administrative data to evaluate the care provided to enrollees with chronic diseases. Maryland's experience selecting performance indicators and applying health-based risk adjustment is detailed.
March 2005 Resource Papers
 

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