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Showing posts from March, 2015

To Adjust or Not to Adjust: Examining the Role of Risk Adjustment in Population Health

For 30 years, Medicare's hospital Inpatient Prospective Payment System has used DRGs to account--or risk adjust--for the differences in the cost of care for clinically complex patients.  By creating a direct link between reimbursement and outcomes, pay-for-performance adds a new layer to the issue of risk adjustment. Download this article