Risk-adjustment system for the Medicare Capitated ESRD Program
Levy, JM., Robst, J., & Ingber, M. (2006). Risk-adjustment system for the Medicare Capitated ESRD Program. Health Care Financing Review, 27(4), 53-69. http://www.cms.hhs.gov/HealthCareFinancingReview/downloads/06Summerpg53.pdf
Medicare is the principal payer for medical services for those in the U.S. population suffering from end-stage renal disease (ESRD). By law, beneficiaries diagnosed with ESRD may not subsequently enroll in Medicare Advantage plans, however, the potential benefits of managed care for this population have stimulated interest in changing the law and developing demonstration plans.