Use of patient health survey data for risk adjustment to limit distortionary coding incentives in Medicare
Published in Health Affairs, 2025
Hybrid risk scores based on survey data and HCC diagnoses mitigate coding and selection incentives, strengthen incentives to manage medical expenditures, and reallocate payments from ACOs with inflated HCC risk scores to those serving populations with more meaningful indicators of poor health.
McWilliams, J. M., Weinreb, G. G., Landrum, M. B., Chernew, M. E. (2025). Use of patient health survey data for risk adjustment to limit distortionary coding incentives in Medicare. Health Affairs, 44(1), 48-57.
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