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How Should Risk Adjustment Data Be Collected?
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Journal Article
How Should Risk Adjustment Data Be Collected?
2012
Overview
Risk adjustment has broad general application and is a key part of the Patient Protection and Affordable Care Act (ACA). Yet, little has been written on how data required to support risk adjustment should be collected. This paper offers analytical support for a distributed approach, in which insurers retain possession of claims but pass on summary statistics to the risk adjustment authority as needed. It shows that distributed approaches function as well as or better than centralized ones—where insurers submit raw claims data to the risk adjustment authority—in terms of the goals of risk adjustment. In particular, it shows how distributed data analysis can be used to calibrate risk adjustment models and calculate payments, both in theory and in practice—drawing on the experience of distributed models in other contexts. In addition, it explains how distributed methods support other goals of the ACA, and can support projects requiring data aggregation more generally. It concludes that states should seriously consider distributed methods to implement their risk adjustment programs.
Publisher
Excellus Health Plan, Inc,SAGE Publications,Sage Publications, Inc,SAGE PUBLICATIONS, INC,SAGE Publishing
Subject
/ Data
/ Humans
/ Insurance Carriers - statistics & numerical data
/ Interpretation and construction
/ Modeling
/ Patient Protection & Affordable Care Act 2010-US
/ Patient Protection and Affordable Care Act - legislation & jurisprudence
/ Patient Protection and Affordable Care Act - statistics & numerical data
/ Patients
/ Payments
/ Perspectives on Health Reform and Its Implementation
/ Risk
/ Risk Adjustment - statistics & numerical data
/ Studies
/ United States Dept. of Health and Human Services - legislation & jurisprudence
/ United States Dept. of Health and Human Services - statistics & numerical data
