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May 11, 1999 2-3:30pm ET

Topic: "Risk Adjustment for Children's Services"

What is Risk Adjustment? Learn about new risk adjustment methods applied to children, including children with special health care needs.

Click here for the audio/video archive of this event!

Review the following for this session (most of the following links will be active one week prior to the session date):

Register
Agenda (PDF)
Submit questions and answers on the webboard
Facilitators Guide
Handouts, Slideshows and Readings (below)

Slideshows (will display in the browser)

Risk Adjustment: Concepts, Choices, and Challenges by Henry T. Ireys, Ph.D.

State Presentations:

Actuarial and Payment Services Bureau Michigan Medical Services Administration by Steve Fitton

Risk Adjustment for Children's Services by John Kaelin, Center for Health Program Development and Management University of Maryland, Baltimore County

PowerPoint (PPT) Presentations (download the original PPT file)

Risk Adjustment: Concepts, Choices, and Challenges by Henry T. Ireys, Ph.D. (may_ireys.ppt, 44k)

State Presentations:

Actuarial and Payment Services Bureau Michigan Medical Services Administration by Steve Fitton (fitton_prestn.ppt, 87k)

Risk Adjustment for Children's Services by John Kaelin, Center for Health Program Development and Management University of Maryland, Baltimore County (kaelin.ppt, 40k)

 

Resources/Readings

CSHCS CAPITATED INTERIM RATES: Final Rate Calculations (for Steve Fitton's presentation) (Inter_5.xls, 302k) (you need Excel to open)

1999 CSHCS Rates (for Steve Fitton's presentation) (cshcsrat.xls, 302k) (you need Excel to open)

Summary of Description of NACHRI Classification of Congenital and Chronic Health Conditions

Newhouse JP et al., Risk adjustment for a children's capitation rate. HCFA Review, Fall 1993, pp. 39-54.

Ireys HT et al. Expenditures for care of children with chronic illnesses enrolled in the Washington State Medicaid program, FY 1993. Pediatrics 1997;100(2):197-204

Fowles JB et al. Taking health status into account when setting capitation rates. JAMA 1996;276:1316-1321.

Fowler EJ and Anderson GF. Capitation adjustment for pediatric populations. Pediatrics 1996;98:10-17.

Additional References on Risk Adjustment

 

 

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