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Bibliography

The Johns Hopkins ACG® System Bibliography provides links to more than 900 papers and reports from across the globe detailing various studies utilizing the ACG System in a variety of locations, populations, and innovative applications.

Please use the below search box to find articles on specific topics or keywords. You can also use the filters below to refine further.

Patient based patterns of morbidity, a 17 year follow-up on patient records in primary care in Sweden

BMC Health Serv Res 7:A13. Karolinska Institute, Stockholm, Sweden BACKGROUND: Longitudinal studies on clinical categories of patients in primary health care are rare, as are […]

Evaluating case-mix and predictive modeling measures within the British primary care sector

BMC Health Serv Res 7:A8. Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA; Imperial College London, UK Aim: The goal of this project […]

Federally qualified health center efficacy study

Montpelier, VT, USA: Vermont Program for Quality in Health Care. Vermont Program for Quality in Health Care, Montpelier, VT, USA OBJECTIVE: The objective of the […]

Using propensity scores subclassification to estimate effects of longitudinal treatments: an example using a new diabetes medication

Med Care 45:S149. Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA BACKGROUND: When using observational data to compare the effectiveness of […]

Allocating funds for healthcare in Manitoba regional health authorities: a first step – population-based funding

Winnipeg, MB, Canada: Manitoba Centre for Health Policy. Manitoba Centre for Health Policy, Dept. of Community Health Sciences, Faculty of Medicine, University of Manitoba, Winnipeg, […]

Patient web services integrated with a shared medical record: patient use and satisfaction

J Am Med Inform Assoc 14:798-806. Center for Health Studies, Group Health Cooperative, Seattle, WA, USA OBJECTIVES: This study sought to describe the evolution, use, […]

Evaluation of the Medicaid Value Program: health supports for consumers with chronic conditions

Hamilton, NJ, USA: Center for Health Care Strategies. Center for Health Care Strategies, Hamilton, NJ, USA The Center for Health Care Strategies’ (CHCS) Medicaid Value […]

Diffusion into use of exenatide for glucose control in diabetes mellitus: a retrospective cohort study of a new therapy

Clin Ther 29:1784-1794. Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA BACKGROUND: Exenatide was approved by the US Food and Drug […]

Using the ACG case-mix adjustment system to evaluate veteran’s morbidity burdens and medical utilizations in Taiwan

J Healthc Manag 8:67-84. Published in Chinese. Department of Medical Affairs and Planning, Taipei Veterans General Hospital, Taipei City, Taiwan, ROC OBJECTIVES: Veterans have been […]

Antihypertensive adherence and drug class among Asian Pacific Americans

Ethn Health 12:265-281. Hawaii Medical Service Association, Honolulu, HI, USA OBJECTIVE: Research on adherence has emphasized the need to consider patient ethnicity when developing adherence […]

Impact of open-access scheduling on realized access

Health Serv Manage Res 20:134-139. Department of Family Medicine, Mayo Clinic, Rochester, MN, USA Open-access or advanced-access scheduling, which opens the clinic calendar to patients […]

Diagnostic scope of and exposure to primary care physicians in Australia, New Zealand, and the United States: cross sectional analysis of results from three national surveys

BMJ 334:1261. Division of General Internal Medicine, University of California San Francisco, San Francisco General Hospital, San Francisco, CA, USA. OBJECTIVES: To compare mix of […]

Adjusted Clinical Groups use as a measure of the referrals efficiency from primary care to specialized in Spain

Eur J Public Health 17:657-663. Planning Management, Badalona Serveis Assistencials, SA, Badalona, Barcelona, Spain BACKGROUND: To determine the referral rate (RR) per centre, its main […]

A comparative analysis of claims-based tools for health risk assessment

Schaumburg, IL, USA: Society of Actuaries. Japanese translation published by Tokyo Gakugei University. Society of Actuaries, Schaumburg, IL, USA This Society of Actuaries research project […]

Comparing self-reported health status and diagnosis-based risk adjustment to predict 1- and 2 to 5-year mortality

Health Serv Res 42:629-643. Houston Center for Quality of Care and Utilization Studies, Health Services Research and Development Service, Michael E. DeBakey VA Medical Center, […]

Is the class half empty? A population-based perspective on socioeconomic status and educational outcomes

IRPP Choices 12:1-30. Manitoba Centre for Health Policy, Department of Community Health Sciences, Faculty of Medicine University of Manitoba, Winnipeg, MB, Canada The purpose of […]

Biphasic fracture risk in diabetes: a population-based study

Bone 40:1595-1601. Department of Medicine, University of Manitoba, Winnipeg, MB, Canada Diabetes is associated with increased fracture rates but the effect size, time course and […]

Use of complementary and alternative medicine providers by fibromyalgia patients under insurance coverage

Arthritis Rheum 57:71-76. University of Washington, Seattle, WA, and Boise State University, Boise, ID, USA OBJECTIVE: To quantify how visits and expenditures differ between insured […]

The excess medical cost and health problems of family members of persons diagnosed with alcohol or drug problems

Med Care 45:116-122. Division of Research, Kaiser Permanente Northern California, Oakland, CA, USA BACKGROUND: Having a family member with substance use problems affects family functioning, […]

Adjusted Clinical Groups (ACG) and co-morbidity

ImPrim Report D. Karlskrona, Sweden: ImPrim. Blekinge Centre of Competence, Karlskrona, Sweden No abstract

The effect of distance to primary care physician on health care utilization and disease burden

Health Care Manage Rev 32:22-29. University of Michigan Medical School, Ann Arbor, USA. BACKGROUND: The relationship of distance to care with total health care utilization […]

The effect of complementary and alternative medicine claims on risk adjustment

Med Care 44:1078-1084. Department of Nursing, Boise State University, Boise, ID, USA OBJECTIVE: We sought to assess how the inclusion of claims from complementary and […]

Effectiveness of bone density measurement for predicting osteoporotic fractures in clinical practice

J Clin Endocrinol Metab 92:77-81. Department of Medicine, University of Manitoba, Winnipeg, MB, Canada CONTEXT: Bone density measurement with dual-energy x-ray absorptiometry is widely used […]

Attention-deficit/hyperactivity disorder in children: excess costs before and after initial diagnosis and treatment cost differences by ethnicity

Arch Pediatr Adolesc Med 160:1063-1069. Division of Research, Kaiser Permanente Medical Care Program, Northern California Region, Oakland, CA, USA OBJECTIVES: To estimate the excess costs […]

Comparative study at 4 health centres of efficiency, measured on the basis of Ambulatory Care Groups

Aten Primaria 38:275-282. Published in Spanish. Badalona Serveis Assistencials, Badalona (Barcelona), España OBJECTIVE: To measure efficiency in the use of resources for the care lists […]

The effect of socioeconomic status on bone density testing in a public health-care system

Osteoporos Int 18:153-158. Radiology, University of Manitoba, Winnipeg, MB, Canada INTRODUCTION AND HYPOTHESIS: An inverse relationship exists between socio-economic status (SES) and osteoporotic fractures. In […]

In search of the perfect comorbidity measure for use with administrative claims data: does it exist?

Med Care 44:745-753. Department of Family Medicine, University of Washington, Seattle, WA, USA BACKGROUND: Numerous measures of comorbidity have been developed for health services research […]

Adapting the Rx-Risk-V for mortality prediction in outpatient populations

Med Care 44:793-797. Houston Center for Quality of Care and Utilization Studies, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA OBJECTIVES: We sought […]

Insurance coverage and subsequent utilization of complementary and alternative medicine providers

Am J Manag Care 12:397-404. Department of Health Services, School of Public Health and Community Medicine, University of Washington, Seattle, WA, USA BACKGROUND: Since 1996, […]

Optimal pricing of employment-based health plans

Minneapolis, MN, USA: University of Minnesota (doctoral dissertation). University of Minnesota, Minneapolis, MN, USA Employer-provided health insurance is a major component of the health care […]

Validating the Johns Hopkins ACG Case-Mix System of the elderly in Swedish primary health care

BMC Public Health 6:171. Blekinge Institute for Research & Development, Karlshamn, Sweden BACKGROUND: Individual based measures for comorbidity are of increasing importance for planning and […]

The interaction of ethnicity and chronic disease as risk factors for osteoporotic fractures: a comparison in Canadian Aboriginals and non-Aboriginals

Osteoporos Int 17:1358-1368. Department of Medicine, University of Manitoba, Winnipeg, MB, Canada INTRODUCTION: Efforts to develop global methods for absolute fracture risk prediction are currently […]

Retrospective application of Adjusted Clinical Groups (ACGs) at a primary care centre

Aten Primaria 37:439-445. Published in Spanish. Dirección de Planificación, Badalona Servicios Asistenciales S.A. Badalona, Barcelona, España OBJECTIVE: To evaluate retrospectively the application of adjusted clinical […]

Editorial: Managing costs with software. Advance for Health Information Executives

Advance Newsmagazines, King of Prussia, PA, USA More than two years ago when Dave Ford took over as CEO at CareOregon in Portland, Ore., the […]

Development and validation of a psychiatric case-mix system

Med Care 44:568-580. VA Puget Sound Health Care System, and the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA BACKGROUND: Although […]

Application of patient safety indicators in Manitoba: a first look.

Winnipeg, MB, Canada: Manitoba Centre for Health Policy. Manitoba Centre for Health Policy, Winnipeg, MB, Canada Although there has always been an interest in patient […]

Risk adjustment in competitive health plan markets

In: Culyer AJ, Newhouse JP, ed. Handbook of Health Economics, Volume 1. Amsterdam, Netherlands: Elsevier Science B. V.:755-845. Erasmus University, Rotterdam, Netherlands; Boston University, Boston, […]

Equity in health, health care services use and health care financing in British Columbia, 1992 and 2002

Vancouver, BC, Canada: University of British Columbia (doctoral dissertation). University of British Columbia, Vancouver, BC, Canada The objectives of this thesis are to identify equity […]

Measurement of relative cost weights as an effect of the retrospective application of Adjusted Clinical Groups in primary care

Gac Sanit 20:132-141. Published in Spanish. Badalona Serveis Assistencials, S.A., Badalona, Barcelona, España OBJECTIVE: The objective of the study is to obtain the cost’s relative […]

Clinical categories of patients and encounter rates in primary health care – a three-year study in defined populations

BMC Public Health 6:35. Center for Family and Community Medicine, Neurotec Department, Karolinska Institute, Stockholm, Sweden BACKGROUND: The objective was to estimate the proportion of […]

The importance of comorbidity in analysing patient costs in Swedish primary care

BMC Public Health 6:36. Ryd Primary Health Care Centre, Linköping, Sweden BACKGROUND: The objective was to explore the usefulness of the morbidity risk adjustment system […]

Population-based medical and disease management: an evaluation of cost and quality

Dis Manag 9:45-55. UMHS Medical Management Center, University of Michigan, Ann Arbor, MI, USA Reports by the Institute of Medicine and the Health Care Financing […]

Morbidity and older persons’ perceptions of the quality of their primary care

J Am Geriatr Soc 54:330-334. Department of Health Policy and Management, Bloomberg School of Public Health, School of Medicine, Johns Hopkins University, Baltimore, MD, USA […]

Clinical features of high-risk older persons identified by predictive modeling

Dis Manag 9:56-62. Johns Hopkins HealthCare, Glen Burnie, MD, USA The objective of this study was to describe the clinical features of older persons identified […]

Prospects of Adjusted Clinical Groups (ACG’s) in capitated payment risk adjustment

Rev Esp Salud Publica 80:55-65. Published in Spanish. Dirección de Planificación y Desarrollo Organizativo, Badalona, Serveis Assistencials, Badalona, Barcelona, Spain BACKGROUND: Most patient classification systems […]

Managing the gap: evaluating the impact of Medicaid managed care on service use and disparities in health care access

Baltimore, MD, USA: University of Maryland (doctoral dissertation). University of Maryland, Baltimore, MD, USA The National Institutes of Health (NIH) define a health disparity as […]

Use of diagnosis-based risk adjustment models to predict individual health care expenditure under the National Health Insurance system in Taiwan

J Formos Med Assoc 104:883-890. Graduate Institute of Health Care Organization Administration, College of Public Health, National Taiwan University, Taipei, Taiwan. BACKGROUND AND PURPOSE: Diagnostic […]

Socioeconomic status and the utilization of diagnostic imaging in an urban setting

CMAJ 173:1173-1177. Radiology, University of Manitoba, Winnipeg, MB, Canada INTRODUCTION AND HYPOTHESIS: An inverse relationship exists between socio-economic status (SES) and osteoporotic fractures. In publicly […]

The potential of risk adjustment for the Military Health System TRICARE Program

Mil ed 170:964-971. AdvanceMed/CSC, Plaza America Drive, Reston, VA, USA Using industry leading methods and software products, this article explores the potential for health risk […]

Effects of comorbidity and clustering upon referrals in primary care

J Am Board Fam Pract 18:449-452. Department of Family Medicine, University of Washington, Seattle, WA, USA OBJECTIVE: To examine the effect of patient characteristics and […]

Coding algorithms for defining comorbidities in ICD-9-CM and ICD-10 administrative data

Med Care 43:1130-1139. Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada OBJECTIVES: Implementation of the International Statistical Classification of Disease and Related […]

Predictive modeling of total healthcare costs using pharmacy claims data: a comparison of alternative econometric cost modeling techniques

Med Care 43:1065-1072. Caremark, Hunt Valley, MD, USA OBJECTIVE: We sought to evaluate several statistical modeling approaches in predicting prospective total annual health costs (medical […]

Pharmacy- and diagnosis-based risk adjustment for children with Medicaid

Med Care 43:1155-1159. Center for Child and Adolescent Health Policy, MassGeneral Hospital for Children, Department of Pediatrics, Harvard Medical School, Boston, MA, USA BACKGROUND: Risk […]

Risk assessment of military populations to predict health care cost and utilization

Final report prepared for Center for Health Care Management Studies. RTI Project No. 08490.006. Washington, DC, USA: RTI International and Boston University School of Medicine. […]

Sex differences in health status, health care use and quality of care: a population-based analysis for Manitoba’s regional health authorities

Winnipeg, MB, Canada: Manitoba Centre for Health Policy. Manitoba Centre for Health Policy, Department of Community Health Sciences, Faculty of Medicine, University of Manitoba, Winnipeg, […]

Rural American Indian Medicaid health care services use and health care costs in California

Am J Public Health 96:363-370. Institute for Health Policy Studies, University of California San Francisco, USA OBJECTIVES: We determined differences in Medicaid service use and […]

The population health approach: health GIS as a bridge from theory to practice

Int J Health Geogr 4:23. Population Health Surveillance Unit, Vancouver Island Health Authority, Victoria, BC, Canada BACKGROUND: The Population Health Approach, proposed by Health Canada, […]

Medical and pharmacy expenditures after implementation of a cyclooxygenase-2 inhibitor prior authorization program

Pharmacotherapy 25:924-934. Medical and Pharmacy Integration Services, Prime Therapeutics, LLC, Eagan, MN, USA STUDY OBJECTIVE: To evaluate the effects of a cyclooxygenase (COX)-2 inhibitor prior […]

Case-mix and variation in specialist referrals in general practice

Br J Gen Pract 55:529-533. University College London Hospital NHS Trust, London, UK BACKGROUND: The potential of a comprehensive measure of patient morbidity to explain […]

Predicting persistently high primary care use

Ann Fam Med 3:324-330. Division of Health Care Policy & Research, Department of Health Sciences Research, Mayo Clinic College of Medicine, Rochester, MN, USA PURPOSE: […]

Adjusted Clinical Groups (ACGs) explain the utilization of primary care in Spain based on information registered in the medical records: a cross-sectional study

Health Policy 76:38-48. Centro de Salud Astrabudua, Consulado Bilbao, Bizkaia, Spain BACKGROUND: Previous studies have shown the validity of Adjusted Clinical Groups (ACGs) in the […]

Comparison of the predictive validity of diagnosis-based risk adjusters for clinical outcomes

Med Care 43:61-67. Houston Center for Quality of Care and Utilization Studies, Houston VA Medical Center, Houston, TX, USA OBJECTIVES: Many possible methods of risk […]

Strategies for assessing health plan performance on chronic diseases: selecting performance indicators and applying health-based risk adjustment

Hamilton, NJ, USA: Center for Health Care Strategies. University of Maryland, Baltimore County, and Johns Hopkins Bloomberg School of Public Health, USA As Medicaid managed […]

The performance of administrative and self-reported measures for risk adjustment of Veterans Affairs expenditures

Health Serv Res 40:887-904. Health Services Research and Development Northwest Center of Excellence, Veterans Affairs Puget Sound Health Care System, Seattle, WA, USA. OBJECTIVE: To […]

Disease burden in the managed care population at an academic medical center: the effect of adding local partners

Acad Med 80:587-593. University of Michigan Medical School, Ann Arbor, USA. jbilli@umich.edu PURPOSE: Academic medical centers (AMCs) have traditionally cared for the most severely ill […]

Comorbidity and the use of primary care and specialist care in the elderly

Ann Fam Med 3:215-222. Department of Health Policy and Management, Johns Hopkins School of Public Health, Baltimore, MD, USA PURPOSE: The impact of comorbidity on […]

Pharmaceutical use among older adults: using administrative data to examine medication-related issues

Can J Aging 24 Suppl 1:81-95. Manitoba Centre for Health Policy, Department of Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada Medication use is […]

Comparing the value of three main diagnostic-based risk-adjustment systems (DBRAS)

Ottawa, ON, Canada: Canadian Health Services Research Foundation. Canadian Health Services Research Foundation, Ottawa, ON, Canada Diagnostic-Based Risk-Adjustment Systems (DBRAS) are now widely used in […]

Risk classification of adult primary care patients by self-reported quality of life

Med Care 43:189-193. Department of Community and Family Medicine, Duke University Medical Center, Durham, NC, USA BACKGROUND: Although patient-reported health-related quality of life (HRQOL) is […]

Chronic conditions and co-morbidity among residents of British Columbia

Centre for Health Services and Policy Research, University of British Columbia. Centre for Health Services and Policy Research, University of British Columbia, Vancouver, BC, Canada […]

The feasibility of an outpatient casemix classification system based on the health insurance database in Thailand

Health Systems Research Institute and Alliances :Published in Thai. The objective of this study was to examine the feasibility of an outpatient casemix classification system […]

Pay for performance: an excellent idea that simply needs implementation

Qual Manag Health Care 14:31-44. 3M Health Information Systems, Wallingford, CT, USA Pay for performance cannot consist of a one-size-fits-all approach. Variation in quality and […]

Does community-governed nonprofit primary care improve access to services? Cross-sectional survey of practice characteristics

Int J Health Serv 35:465-478. Department of Public Health, Wellington School of Medicine and Health Sciences, New Zealand This study compared community-governed nonprofit and for-profit […]

Clinical and economic features of categories of patients in defined populations

Stockholm, Sweden: Karolinska Institute (doctoral dissertation). Department of Clinical Services, Center for Family and Community Medicine, Karolinska Institute, Stockholm, Sweden This thesis addresses the use […]

Using health research in policy and practice: case studies from nine countries

New York, NY, USA: Academy Health/Milbank Memorial Fund. Academy Health/Milbank Memorial Fund, New York, NY, USA As the move toward an evidence-based approach to health […]

Involuntary unemployment and mortality in Taiwan

J Formos Med Assoc 103:900-907. Institute of Public Health, National Yang-Ming University, Taipei, Taiwan. BACKGROUND AND PURPOSE: Unemployment is known to be associated with increased […]

Health-based capitation risk adjustment in Minnesota public health care programs

Health Care Financ Rev 26:21-41. Gregory A. Gifford and Kevan R. Edwards are with the Minnesota Department of Health. David J. Knutson is with the […]

Racial and ethnic differences in utilization of health services in patients with diabetes enrolled in Medicaid

J Health Care Poor Underserved 15:562-575. General Internal Medicine and Health Services Research, UCLA School of Medicine, Los Angeles, CA, USA. We evaluated racial and […]

A randomized study to decrease the use of potentially inappropriate medications among community-dwelling older adults in a southeastern managed care organization

Am J Manag Care 10:761-768. Department of Medicine and Center for Healthcare Improvement, Medical College of Georgia, Atlanta, Ga, USA BACKGROUND: Despite progress in describing […]

Prescription drug coverage, health, and medication acquisition among seniors with one or more chronic conditions

Med Care 42:1056-1065. http://www.ncbi.nlm.nih.gov/pubmed/15586832. Department of Sociology, University of Washington, Seattle, WA, USA. BACKGROUND: The unabated rise in medication costs particularly affects older persons with […]

Identifying controlled substance patterns of utilization requiring evaluation using administrative claims data

Am J Manag Care 10:783-790. HSI Network LLC, USA OBJECTIVES: To develop a systems approach to identify, for further evaluation, patients with potential controlled substance […]

Comparison of private for-profit with private community-governed not-for-profit primary care services in New Zealand

J Health Serv Res Policy 9 Suppl 2:17-22. Department of Public Health, Wellington School of Medicine and Health Sciences, Wellington, New Zealand OBJECTIVE: To compare […]

Common comorbidity scales were similar in their ability to predict health care costs and mortality

J Clin Epidemiol 57:1040-1048. Indiana University Center for Aging Research, Indianapolis, IN, USA OBJECTIVE: To compare the ability of commonly used measures of medical comorbidity […]

Characteristics and risk factors associated with high-cost Medicaid recipients

Manag Care Interface 17:20-27. College of Pharmacy, University of Cincinnati, Cincinnati, OH, USA Characteristics and risk factors of fee-for-service Medicaid patients (age 65 yr) with […]

Predicting healthcare costs in a population of Veterans Affairs beneficiaries using diagnosis-based risk adjustment and self-reported health status

Med Care 42:1027-1035. Houston Center for Quality of Care and Utilization Studies, Health Services Research and Development Service, Michael E. DeBakey Veterans Affairs Medical Center, […]

Promoting advance directives among elderly primary care patients

J Gen Intern Med 19:944-951. Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA OBJECTIVE: To determine efficient ways of promoting advance directives among […]

Patterns of regional mental illness disorder diagnoses and service use in Manitoba: a population-based study

Winnepeg, MB, Canada: Manitoba Centre for Health Policy. Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, MB, Canada Mental illness is a profound problem […]

Types of morbidity and categories of patients in a Swedish county. Applying the Johns Hopkins Adjusted Clinical Groups System to encounter data in primary health care

Scand J Prim Health Care 22:174-179. Center for Family Medicine, Department of Clinical Science, Karolinska Institute, Stockholm, Sweden OBJECTIVE: To elucidate types of morbidity and […]

Studying effects of primary care physicians and patients on the trade-off between charges for primary care and specialty care using a hierarchical multivariate two-part model

Department of Biostatistics Working Paper 51. Baltimore, MD, USA: Johns Hopkins University. Johns Hopkins University, Baltimore, MD, USA OBJECTIVE. To examine effects of primary care […]

Adjusting for case mix and social class in examining variation in home visits between practices

Fam Pract 21:355-363. Public Health Policy Unit, School of Public Policy, University College London, London, UK OBJECTIVES: The purpose of this study was to investigate […]

Economic profiling of primary care physicians: consistency among risk-adjusted measures

Health Serv Res 39:985-1003. Health Management and Policy, University of Michigan, Ann Arbor, MI, USA OBJECTIVE: To investigate whether different risk-adjustment methodologies and economic profiling […]

Understanding approaches to case-mix assessment and case-mix adjustment

JHQ Online :W5-24 – W5-29. McKesson Medical Management Group, Newton, MA. Rising healthcare costs coupled with diminishing financial  resources are stimulating changes in the organization […]

Addition of pharmacy cost data improves performance of the Adjusted Clinical Groups predictive model for total health care costs overall and within disease specific groups

Value in Health 7:371. AdvancePCS, Hunt Valley, MD, USA OBJECTIVE: To determine the effect of adding the pharmacy cost data option to the Adjusted Clinical […]

An operational framework for paying physician specialists a risk-adjusted fixed payment and incorporating the results in a global premium rating model

Los Angeles, CA, USA: UCLA (doctoral dissertation). University of California, Los Angeles, CA, USA The demand for more accurate and equitable professional medical specialty payments […]

Health-based risk assessment: risk-adjusted payments and beyond

Washington, DC, USA: AcademyHealth. AcademyHealth, Washington, DC, USA A number of payers across the country, including Medicaid managed care programs, the Medicare+Choice program, some state […]

Cardiology workforce: a shortage, not a surplus

Health Aff W4:64-66. Mayo Clinic College of Medicine, Rochester, MN, USA The United States faces a serious shortage of cardiologists as our population ages and […]

Adjusted Clinical Groups – an instrument to predict resource use: a population-based healthcare management tool

Gesundheits- und Sozialpolitik 1-2:8-15. Published in German. Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA Advances in information technology, electronic billing, and diagnostic […]

Use predictive modeling to improve profitability under cap

National Health Information LLC. Capitation Rates and Data 9:61-65. National Health Information LLC, Atlanta, GA, USA Health plans and capitated provider organizations live or die […]

Burden of illness in defined populations

Stockholm, Sweden: Karolinska Institute. Karolinska Institute, Stockholm, Sweden This thesis addresses possibilities of describing the burden of illness in a population by elucidating morbidity and […]

Provider profiling: implementation issues within Florida MediPass

Gainesville, FL, USA: University of Florida. University of Florida, Gainesville, FL, USA Provider profiling use epidemiological methods to compare physician practice  patterns across various dimensions […]