Measuring Coding Intensity in Medicare Advantage - SUPP.

Metadata Updated: July 14, 2017

In 2004, Medicare implemented a risk-adjustment system that pays Medicare Advantage (MA) plans based on diagnoses reported for their enrollees, giving the plans an incentive to identify more diagnoses. As reported in the article, Measuring Coding Intensity in the Medicare Advantage Program, published in Volume 4, Issue 2 of Medicare and Medicaid Research Review, each year since 2004 the average MA risk score increased faster than the average fee-for-service (FFS) score. This relative increase in scores largely reflects changes in diagnostic coding, not real increases in the morbidity of MA enrollees, as survey-based data shows no trend in MA risk scores relative to FFS scores. Increases in risk scores vary widely by MA contract, with some contracts coding very similarly to traditional Medicare and others more intensively than the MA average.

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Metadata Created Date June 19, 2015
Metadata Updated Date July 14, 2017

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Additional Metadata

Resource Type Dataset
Metadata Created Date June 19, 2015
Metadata Updated Date July 14, 2017
Publisher Department of Health & Human Services
Unique Identifier c3a7ddc5-06f8-456d-ab81-fc9a36a8f61b
Maintainer Email
Public Access Level public
Bureau Code 009:38
Metadata Context
Metadata Catalog ID
Schema Version
Catalog Describedby
Harvest Object Id 7ea618ea-e77a-4d0a-82b2-3462b1abb83e
Harvest Source Id 15c538b5-31a0-474e-8ba5-c85ee421cb4d
Harvest Source Title
Language en
Data Last Modified 2016-04-05
Program Code 009:000
Source Datajson Identifier True
Source Hash f8e44d6034dc00cb336a582ed8e0236ae788cb89
Source Schema Version 1.1

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