Article Figures & Data
Figures
- Figure 1.
Interrelationships of risk factors: relating risk to outcomes*
* Diagnosis-based measures are based on diagnoses, demographics and resource-use outcomes. Patient self-reported approaches are based on patient self-reported information (eg, health-related quality of life) and clinical outcomes.
Tables
Measure Primary Purpose Inputs Outputs Data Sources ACGs: Adjusted Clinical Groups. DCGs: Diagnostic Cost Groups. CDPS: Chronic Illness and Disability Payment System. HMO: Health Maintenance Organization. NDC: National Drug Codes. SF-36: Short Form Health Survey. Diagnosis-based ACGs, DCGs, CDPS Health-based payment; provider profiling; quality assessment; resource allocation; disease/case management All diagnoses from 1 year of age; age; gender Number of ambulatory visits per year; total expenditures Medicare; Medicaid; commercial populations (HMO claims/encounter data) Pharmacy-based RxRisk Health-based payment; disease/case management NDC codes; age; gender Pharmacy costs; total costs; ambulatory visits Commercial populations; Medicaid data Patient self-reported SF-36 measures Describe morbidity Clinical data Ambulatory visits; total expenditures; functional status Surveys; medical records
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