Improving Health-Based Payment for Medicaid Beneficiaries: CDPS
Improving Health-Based Payment for Medicaid Beneficiaries: CDPS
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DOI：
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发表时间：
2000
影响因子：
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通讯作者：
R. Kronick;T. Gilmer;T. Dreyfus;Lora Lee
中科院分区：
文献类型：
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作者：
R. Kronick;T. Gilmer;T. Dreyfus;Lora Lee
本文描述了慢性病和残疾支付系统(CDPS)，这是一种诊断分类系统，医疗补助计划可以使用它来为TANF和残疾医疗补助受益人支付基于健康的资本金。作者描述了残疾人和AFDC医疗补助受益人之间诊断的多样性和疾病的不同负担。分析了来自七个国家的索赔，并提供了付款权重，供各国在调整HMO付款时使用。作者还将CDP的分类和统计性能与其他领先的诊断分类系统进行了比较，发现新模型在许多方面表现更好。
This article describes the Chronic Illness and Disability Payment System (CDPS), a diagnostic classification system that Medicaid programs can use to make health-based capitated payments for TANF and disabled Medicaid beneficiaries. The authors describe the diversity of diagnoses and different burdens of illness among disabled and AFDC Medicaid beneficiaries. Claims from seven States are analyzed, and payment weights are provided that States can use when adjusting HMO payments. The authors also compare the taxonomy and statistical performance of CDPS to other leading diagnostic classification systems and find that the new model performs better in a number of respects.