title: Risk adjustment formulas being tested, but payment woes still plague Medicaid plans, providers.
abstract: Medicaid risk adjustment on the horizon? Some states are dabbling with new payment methodologies, but most plans and providers are still grappling with Medicaid rates based on traditional age, sex, and geographic bands. Here's an update, plus some sample state PMPM rates.
mesh_terms: D000367:Age Factors; D002204:Capitation Fee / Q000706:statistics & numerical data; D006295:Health Resources / Q000706:statistics & numerical data; D006305:Health Status Indicators; D006801:Humans; D008484:Medicaid / Q000706:statistics & numerical data*; D012051:Reimbursement Mechanisms; D018570:Risk Assessment; D012737:Sex Factors; D014481:United States