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Medicare calibration of the clinically detailed risk information system for cost
Date Issued
2003
Date Available
2008-06-30T13:35:11Z
Abstract
The clinically detailed risk information system for cost (CD-RISC) contains definitions for several hundred severity-adjusted conditions that can be used to predict future health care costs. We develop a prospective Medicare CD-RISC model using a 5-percent sample of Medicare beneficiaries and data that contain 1996 diagnostic information and 1997 annualized costs. The CD-RISC model has a hierarchical structure that implies that only the most expensive condition-severity variable within a body system affects payments. This minimizes incentives to game the system by entering multiple related codes for the same condition. The R² for the CD-RISC model is 11 percent.
Type of Material
Journal Article
Publisher
Centers for Medicare & Medicaid Services (CMS) / U.S. Government Printing Office
Journal
Health Care Financing Review
Volume
25
Issue
1
Start Page
37
End Page
54
Subject – LCSH
Medical care, Cost of
Medicare
Health risk assessment
Language
English
Status of Item
Peer reviewed
ISSN
0195-8631
This item is made available under a Creative Commons License
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