Diagnosis-based risk adjustment for medicare prescription drug plan payments.
The 2003 Medicare Prescription Drug, Improvement, and Modernization Act (MMA) created Medicare Part D, a voluntary prescription drug benefit program. The benefit is a government subsidized prescription drug benefit within Medicare. This article focuses on the development of the prescription drug risk-adjustment model used to adjust payments to reflect the health status of plan enrollees.
Robst
John
J
University of South Florida, USA.
Levy
Jesse M
JM
Ingber
Melvin J
MJ
D000368:Aged; D000369:Aged, 80 and over; D003953:Diagnosis-Related Groups; D011307:Drug Prescriptions / Q000191:economics*; D005260:Female; D006801:Humans; D007356:Insurance, Pharmaceutical Services; D008297:Male; D006278:Medicare; D020379:Risk Adjustment / Q000379:methods*; D014481:United States