reports

Implementing risk assessment and risk adjustment for people with disabilities in state programs: six case studies

Washington, DC, USA: NRH Center for Health and Disability Research.

NRH Center for Health & Disability Research, Washington, DC, USA

As a group, people with disabilities are disproportionately enrolled in state Medicaid programs. Different states pay physicians and providers using different means, either a fixed amount per person regardless of why or how often the person is being seen (capitation), or a fixed amount per procedure (fee-for-service). We interviewed six state Medicaid programs to learn about their approaches to payment for people with disabilities.