Upcoding: Evidence from Medicare on Squishy Risk Adjustment
收藏NBER2015-06-01 更新2025-01-04 收录
下载链接：
https://www.nber.org/papers/w21222
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资源简介：
In most US health insurance markets, plans face strong incentives to upcode the patient diagnoses they report to the regulator, as these affect the risk-adjusted payments plans receive. We show that enrollees in private Medicare plans generate 6% to 16% higher diagnosis-based risk scores than they
提供机构：
美国国家经济研究局
创建时间：
2015-06-01
