Case study: Colorado Medicaid HMO risk adjustment.
Tollen
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L
PricewaterhouseCoopers LLP, San Francisco, CA 94105, USA.
Rothman
M
M
D000206:Actuarial Analysis; D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D003120:Colorado; D003953:Diagnosis-Related Groups / Q000458:organization & administration; D005260:Female; D006279:Health Maintenance Organizations / Q000191:economics / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D008297:Male; D008484:Medicaid / Q000458:organization & administration* / Q000706:statistics & numerical data; D008485:Medical Audit; D008499:Medical Records; D019982:Organizational Case Studies; D010043:Outcome and Process Assessment, Health Care; D012051:Reimbursement Mechanisms; D018570:Risk Assessment; D012308:Risk Management; D013221:State Health Plans / Q000458:organization & administration* / Q000706:statistics & numerical data; D014481:United States