Risk Adjustment Impact Study

• With funding from The Robert Wood Johnson Foundation, under the auspices of its Health Care Financing and Organization (HCFO) program, the Health Research Center at Park Nicollet Institute is conducting a three-year study on health-based risk adjustment.

  This study seeks to answer two questions:

• How is health-based risk adjustment implemented?
   
• What is the impact of health-based risk adjustment on purchasers and on managed care organizations (MCOs)?

Project Meeting Topics

October 2002 -- Implementation Expert Panel Retreat

• Implementation and Impact Experiences
• Local vs. National Weights
• Concurrent vs. Prospective Models
• Minimum data requirements
• Fairness in Measurement
• Interpretation: Calibration and Upcoding vs. true risk
• Burden of Encounter Data
• Other uses of Encounter Data
• Future of health-based risk adjustment in voluntary commercial sector
  
  
  October  2001 -- National Advisory Panel discussion
   
• Changes in risk adjustment in the last year
• Anticipated developments in the near future
  
  
  July 2001 -- Implementation Expert Panel Retreat
   
• Advanced Implementation Issues
• Impact of health-based risk adjustment on stakeholders
• Expansion of risk adjustment in the United States
  
  September 2000 -- National Advisory Panel discussion
   
• Health based risk adjustment trends
• Research questions
• Assessment methods
  
  
  July 2000 -- Implementation Expert Panel Retreat
   
• Management planning
• Process planning
• Method development
• Data availability and quality
• Implementation site content and organization