Sign-In
Cart
Medicare Advantage: CMS Should Improve the Accuracy of Risk Score Adjustments for Diagnostic Coding Practices: Gao-12-51
Paperback
Please select the version of book you would like to purchase.
ISBN10: 1287207146
ISBN13: 9781287207146
Publisher: Bibliogov
Published: May 16 2013
Pages: 36
Weight: 0.18
Height: 0.07 Width: 7.44 Depth: 9.69
Language: English
ISBN13: 9781287207146
Publisher: Bibliogov
Published: May 16 2013
Pages: 36
Weight: 0.18
Height: 0.07 Width: 7.44 Depth: 9.69
Language: English
GAO found that diagnostic coding differences exist between MA plans and Medicare FFS. Using data on beneficiary characteristics and regression analysis, GAO estimated that before CMS's adjustment, 2010 MA beneficiary risk scores were at least 4.8 percent, and perhaps as much as 7.1 percent, higher than they likely would have been if the same beneficiaries had been continuously enrolled in FFS. The higher risk scores were equivalent to $3.9 billion to $5.8 billion in payments to MA plans. Both GAO and CMS found that the impact of coding differences increased over time. This trend suggests that the cumulative impact of coding differences in 2011 and 2012 could be larger than in 2010.
2 different editions
Also available
Also in
General Political Science
Solidarity: The Past, Present, and Future of a World-Changing Idea
Hunt-Hendrix, Leah
Taylor, Astra
Hardcover
$14.99
Capitalism and the Camera: Essays on Photography and Extraction
Coleman, Kevin
James, Daniel
Paperback
$28.45
The Craftivist Collective Handbook: Projects, Stories and Methods for Your Gentle Protests
Corbett, Sarah P.
Hardcover
$19.99
Guerrilleros and Neighbours in Arms: Identities & Cultures of Anti-Fascist Resistance in Spain
Marco
Paperback
From $24.99
Battling the Big Lie: How Fox, Facebook, and the Maga Media Are Destroying America
Pfeiffer, Dan
Hardcover
$10.99
Urban Revolutions: Urbanisation and (Neo-)Colonialism in Transatlantic Context
Kipfer, Stefan
Paperback
$43.50
Disciplining the Poor: Neoliberal Paternalism and the Persistent Power of Race
Fording, Richard C.
Schram, Sanford F.
Soss, Joe
Paperback
$58.00
Nonstate Warfare: The Military Methods of Guerillas, Warlords, and Militias
Biddle, Stephen
Hardcover
$67.50
By the Light of Burning Dreams: The Triumphs and Tragedies of the Second American Revolution
Talbot, David
Talbot, Margaret
Hardcover
$27.54
An Enemy Such as This: Larry Casuse and the Fight for Native Liberation in One Family on Two Continents Over Three Centuries
Correia, David
Hardcover
From $12.99
Turning the Tide: U.S. Intervention in Central America and the Struggle for Peace
Chomsky, Noam
Paperback
From $11.99
Democracy Incorporated: Managed Democracy and the Specter of Inverted Totalitarianism
Wolin, Sheldon S.
Paperback
$11.99
The Persuaders: At the Front Lines of the Fight for Hearts, Minds, and Democracy
Giridharadas, Anand
Hardcover
$10.99
Grassroots Rising: A Call to Action on Climate, Farming, Food, and a Green New Deal
Cummins, Ronnie
Paperback
From $10.99
Everyday Life and Politics in Nineteenth Century Mexico: Men, Women, and War
Wasserman, Mark
Paperback
$44.93
Broken News: Why the Media Rage Machine Divides America and How to Fight Back
Stirewalt, Chris
Paperback
From $9.99
With Liberty and Justice for Some: How the Law Is Used to Destroy Equality and Protect the Powerful
Greenwald, Glenn
Hardcover
$35.14
Doing History from the Bottom Up: On E.P. Thompson, Howard Zinn, and Rebuilding the Labor Movement from Below
Lynd, Staughton
Paperback
$18.95
China Wakes: The Struggle for the Soul of a Rising Power
Kristof, Nicholas D.
Wudunn, Sheryl
Paperback
From $8.99
The Clash of Globalizations: Neo-Liberalism, the Third Way and Anti-Globalization
Kiely, Ray
Paperback
$30.00
Regime Change: Inside the Imperial Presidency of Donald Trump
Haberman, Maggie
Swan, Jonathan
Hardcover
From $19.99
The U.S. Constitution: A Comprehensive and Annotated Guide for the Modern Reader
Murray, Melissa
Hardcover
$27.00
Separation of Church and Hate: A Sane Person's Guide to Taking Back the Bible from Fundamentalists, Fascists, and Flock-Fleecing Frauds
Fugelsang, John
Hardcover
From $17.99
The College Scam: How America's Universities Are Bankrupting and Brainwashing Away the Future of America's Youth
Kirk, Charlie
Hardcover
$35.99
American Scoundrel: Roy Cohn's Dark Journey from Joe McCarthy to Donald Trump
Bird, Kai
Goldmark, Susan
Hardcover
$30.40
American Struggle: Democracy, Dissent, and the Pursuit of a More Perfect Union: An Anthology
Meacham, Jon
Hardcover
$34.20
Live Laugh Love: The Secret History of White Christian Women and the World They Made
Kobes Du Mez, Kristin
Hardcover
$28.79
Ordinary People, Extraordinary Times: How to Reclaim Your Power, Fight for Freedom, and Reimagine Democracy
Perryman, Skye
Paperback
$16.14
The Hundred Years' War on Palestine: A History of Settler Colonialism and Resistance, 1917-2017
Khalidi, Rashid
Paperback
$17.99
The Elijah Mandate: A Call to Courageous Faith in a Hostile World
Tsarfati, Amir
Piflaks, Tolik
Paperback
$18.04
The Crooked Places Made Straight: Reflections on the Moral Meaning of America
Warnock, Raphael G.
Hardcover
$27.00
Into the Wood Chipper: A Whistleblower's Account of How the Trump Administration Shredded Usaid
Enrich, Nicholas
Hardcover
$26.10
The Invisible Coup: How American Elites and Foreign Powers Use Immigration as a Weapon
Schweizer, Peter
Hardcover
$30.88
The Lost Founder: James Wilson and the Forgotten Fight for a People's Constitution
Wegman, Jesse
Hardcover
$27.00
Last Branch Standing: A Potentially Surprising, Occasionally Witty Journey Inside Today's Supreme Court
Isgur, Sarah
Hardcover
$28.80
The Jakarta Method: Washington's Anticommunist Crusade and the Mass Murder Program That Shaped Our World
Bevins, Vincent
Paperback
$20.89
There Is No Place for Us: Working and Homeless in America (Pulitzer Prize Winner)
Goldstone, Brian
Paperback
$18.00
If Anyone Builds It, Everyone Dies: Why Superhuman AI Would Kill Us All
Yudkowsky, Eliezer
Soares, Nate
Hardcover
From $19.99
Country of Lords: Neo-Aristocrats, Social Darwinists, Tech Utopians, and the Long Fight Against Equality in America
Phillips-Fein, Kim
Hardcover
$31.50
The Counterrevolution: The Fall and Rise of Donald Trump and the Maga Movement
Hanson, Victor Davis
Hardcover
$32.30
There Is No Place for Us: Working and Homeless in America (Pulitzer Prize Winner)
Goldstone, Brian
Hardcover
$28.50
Fear and Fury: The Reagan Eighties, the Bernie Goetz Shootings, and the Rebirth of White Rage
Thompson, Heather Ann
Hardcover
From $19.99
The Origins of Totalitarianism: With a New Introduction by Anne Applebaum
Applebaum, Anne
Arendt, Hannah
Paperback
$19.79
Alito: The Justice Who Reshaped the Supreme Court and Restored the Constitution
Hemingway, Mollie
Hardcover
$30.40