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Medicare's risk-adjusted capitation method
1State Healthcare Division of Affiliated Computer Services, Inc., Rockville, MD, USA.
Journal of Health Care Finance
|June 25, 2002
Abstract:
Since 1997, the method to establish capitation rates for Medicare beneficiaries who are members of risk-bearing managed care plans has undergone several important developments. This includes the factoring of beneficiary health status into the rate-setting calculations. These changes were expected to increase the number of participating health plans, accelerate Medicare enrollment growth, and slice Medicare spending.