A Clinically Detailed Risk Information System for Cost.(for treatment based on burden of disease of population subgroups under 65)

From: Health Care Financing Review | Date: March 22, 2000| Author: Carter, Grace M.; Bell, Robert M.; Dubois, Robert W.; Goldberg, George A.; Keeler, Emmett B.; McAlearney, John S.; Post, Edward P.; Rumpel, J. David | Copyright information

The authors discuss a system that describes the resources needed to treat different subgroups of the population under age 65, based on burden of disease. It is based on 173 conditions, each with up to 3 severity levels, and contains models that combine prospective diagnoses with retrospectively determined elements. We used data from four different payers and standardized the cost of most services. Analyses showed that the models are replicable, are reasonably accurate, explain costs across ...

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