File:Actuarial methods for improving HCFA payments to risk HMOs - final report, April 12, 1996 (IA actuarialmethods00wrig 1).pdf

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Actuarial methods for improving HCFA payments to risk HMOs : final report, April 12, 1996   (Wikidata search (Cirrus search) Wikidata query (SPARQL)  Create new Wikidata item based on this file)
Author
Wrightson, Charles William
Actuarial Research Corporation
United States. Health Care Financing Administration
Title
Actuarial methods for improving HCFA payments to risk HMOs : final report, April 12, 1996
Publisher
[Annandale, VA : Actuarial Research Corporation]
Description
Includes bibliographical references (p. 232-240)
Final report ;
"Four alternative payment methods were tested as alternatives to the Adjusted Average Per Capita Cost (AAPCC) : reinsurance, select and ultimate rates, partial capitation and blended rates, and experience rating. using data from the Continuous Medicare History Sample (CMHS) and from one HMO, the study concluded that there are a range of methods than can improve payment to HMOs. Specifically, partial capitation and blended rates were effective in limiting the financial risk incurred by plans. Reinsurance models protected against catastrophic costs incurred by plans while the rate adjustments used in select and ultimate rates can mitigate against severe selection effects. Finally, experience rating did not accurately predict future costs for Medicare beneficiaries. However, each method used in this study represented improvements over the current AAPCC."-- NTIS report documentation page
Photocopy
Prepared for: Department of Health & Human Services, Health Care Financing Administration ;

Subjects: Medicare; Medicare; Health maintenance organizations
Language English
Publication date 1996
publication_date QS:P577,+1996-00-00T00:00:00Z/9
Current location
IA Collections: cms-reports; cmslibrary; fedlink; medicalheritagelibrary; americana
Accession number
actuarialmethods00wrig_1
Authority file  OCLC: 1038751357
Source
Internet Archive identifier: actuarialmethods00wrig_1
https://archive.org/download/actuarialmethods00wrig_1/actuarialmethods00wrig_1.pdf

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