reports

Risk adjustment and rate setting methods in public programs

A report to legislature. St. Paul, MN, USA: Minnesota Department of Health.

Health Economics Program, Minnesota Department of Health, St. Paul, MN, USA

The 1995 MinnesotaCare Law (Chapter 234) directed the Minnesota Departments of Health and Human Services to develop a risk adjustment system for the state-run public health care programs for implementation by January 1998. Legislation passed in 1997 required an interim report to the legislature by February 1, 1998, on risk adjustment and rate setting methods. This report provides background and technical information regarding the accumulated joint work of the Departments of Health and Human Services on the development of a risk adjustment mechanism for use in rate setting for the Prepaid Medical Assistance Program (PMAP) over the last two years.