全球智库信息集成服务系统(G2TT): Population Diversity in Medicaid Managed Long-Term Services and Supports Programs: Implications for Rate Setting and Risk Adjustment

G2TT

来源类型	Publication
来源ID	Technical Assistance Brief
	Population Diversity in Medicaid Managed Long-Term Services and Supports Programs: Implications for Rate Setting and Risk Adjustment
	Jenna Libersky; Debra Lipson
发表日期	2016-08-31
出版者	Hamilton, NJ: Center for Health Care Strategies, Inc.
出版年	2016
语种	英语
概述	This brief discusses how states can use information on demographic and functional limitations to predict the cost of care for people with disabilities through risk adjustment and identifies variables that can affect the predictability of Long-Term Services and Supports needs and costs that may not be captured in functional assessment data.",
摘要	States are looking for ways to improve the accuracy of payments to Medicaid managed care plans that provide long-term services and supports (LTSS) to Medicaid beneficiaries. The range of demographic and functional characteristics of seniors and individuals with disabilities receiving LTSS and other limitations makes it particularly difficult to predict the need for LTSS. This brief, supported through the West Health Policy Center, describes the challenges of predicting costs for MLTSS enrollees, as well as solutions to overcome these challenges. Given the diversity of the LTSS population, states developing a risk adjustment strategy for Medicaid managed long-term services and supports programs should start by reviewing the characteristics of various subpopulations and their functional status. Although incorporating this information into a risk model does not account for all factors, such as the availability of family caregivers, disease progression, and social determinants of health, states seeking to develop risk adjustment models should consider investing in analyses to better understand the diversity of their population and further improve payment accuracy.
URL	https://www.mathematica.org/our-publications-and-findings/publications/population-diversity-in-medicaid-managed-longterm-services-and-supports-programs-implications
来源智库	Mathematica Policy Research (United States)
资源类型	智库出版物
条目标识符	http://119.78.100.153/handle/2XGU8XDN/488596
推荐引用方式 GB/T 7714	Jenna Libersky,Debra Lipson. Population Diversity in Medicaid Managed Long-Term Services and Supports Programs: Implications for Rate Setting and Risk Adjustment. 2016.