FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 339:1933-1938 December 24, 1998 Number 26 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text Purchase this article Editorial by Kassirer, J. P. Letters Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

The 1997 Balanced Budget Act (Public Law 105-33) not only balanced the federal budget for the first time in decades but also mandated major changes in Medicare. One important goal of these changes was to expand the choice of health plans for Medicare beneficiaries, both to encourage the provision of high-quality care and to control aggregate program costs through competition and risk sharing. Under the new provisions, health-plan options include traditional fee-for-service care, high-deductible medical savings accounts, provider-sponsored organizations, and capitated plans, such as health maintenance organizations. However, questions arose about whether all beneficiaries would have these choices. In particular, . . . [Full Text of this Article]

Risk Adjustment and Data Demands

Principal Inpatient Diagnostic Cost Groups

Determining Risk with Limited Data

Getting Started — Carefully

Address reprint requests to Dr. Iezzoni at the Division of General Medicine and Primary Care, Department of Medicine, Beth Israel Deaconess Medical Center, East Campus, LY-326, 330 Brookline Ave., Boston, MA 02215.

References

Related Letters:

Risk Adjustment for Medicare
Blumberg M. S., Iezzoni L. I.
Extract | Full Text  
N Engl J Med 1999; 340:1514-1515, May 13, 1999. Correspondence

This article has been cited by other articles:

• Hsu, J., Huang, J., Fung, V., Price, M., Brand, R., Hui, R., Fireman, B., Dow, W., Bertko, J., Newhouse, J. P. (2009). Distributing $800 Billion: An Early Assessment Of Medicare Part D Risk Adjustment. Health Aff (Millwood) 28: 215-225 [Abstract] [Full Text]  
• Mongan, J. J., Ferris, T. G., Lee, T. H. (2008). Options for Slowing the Growth of Health Care Costs. NEJM 358: 1509-1514 [Full Text]  
• Naessens, J. M., Baird, M. A., Van Houten, H. K., Vanness, D. J., Campbell, C. R. (2005). Predicting Persistently High Primary Care Use. Ann Fam Med 3: 324-330 [Abstract] [Full Text]  
• Weissman, J. S., Wachterman, M., Blumenthal, D. (2005). When Methods Meet Politics: How Risk Adjustment Became Part of Medicare Managed Care. Journal of Health Politics, Policy and Law 30: 475-504 [Abstract]  
• Pati, S., Shea, S., Rabinowitz, D., Carrasquillo, O. (2005). Health Expenditures for Privately Insured Adults Enrolled in Managed Care Gatekeeping vs Indemnity Plans. Am. J. Public Health 95: 286-291 [Abstract] [Full Text]  
• Stengel, D., Bauwens, K., Walter, M., Kopfer, T., Ekkernkamp, A. (2004). Comparison of Handheld Computer-Assisted and Conventional Paper Chart Documentation of Medical Records. A Randomized, Controlled Trial. JBJS 86: 553-560 [Abstract] [Full Text]  
• Austin, G. E., Burnett, R. D. (2003). An Innovative Proposal for the Health Care Financing System of the United States. Pediatrics 111: 1093-1097 [Full Text]  
• Koziol, J. A., Zuraw, B. L., Christiansen, S. C. (2002). Health Care Consumption Among Elderly Patients in California: A Comprehensive 10-Year Evaluation of Trends in Hospitalization Rates and Charges. Gerontologist 42: 207-216 [Abstract] [Full Text]  
• Pope, G.C., Urato, C.J., Kulas, E.D., Kronick, R., Gilmer, T. (2002). Prevalence, expenditures, utilization, and payment for persons with MS in insured populations. Neurology 58: 37-43 [Abstract] [Full Text]  
• Majeed, A., Bindman, A. B, Weiner, J. P (2001). Use of risk adjustment in setting budgets and measuring performance in primary care I: how it works. BMJ 323: 604-607 [Full Text]  
• Majeed, A., Bindman, A. B, Weiner, J. P (2001). Use of risk adjustment in setting budgets and measuring performance in primary care II: advantages, disadvantages, and practicalities. BMJ 323: 607-610 [Full Text]  
• Iglehart, J. K. (2001). Medicare and Prescription Drugs. NEJM 344: 1010-1015 [Full Text]  
• Blumenthal, D. (2001). Controlling Health Care Expenditures. NEJM 344: 766-769 [Full Text]  
• Boult, C., Kane, R. L, Brown, R. (2000). Managed care of chronically ill older people: the US experience. BMJ 321: 1011-1014 [Full Text]  
• Mapel, D. W., Hurley, J. S., Frost, F. J., Petersen, H. V., Picchi, M. A., Coultas, D. B. (2000). Health Care Utilization in Chronic Obstructive Pulmonary Disease: A Case-Control Study in a Health Maintenance Organization. Arch Intern Med 160: 2653-2658 [Abstract] [Full Text]  
• Forlini, J. H., Cohn, F., Lynn, J. (2000). Physician-Assisted Suicide: Expanding the Debate. Journal of Health Politics, Policy and Law 25: 402-414  
• Bodenheimer, T. (2000). Disease management in the American market. BMJ 320: 563-566 [Full Text]  
• Iezzoni, L. I. (1999). The Demand for Documentation for Medicare Payment. NEJM 341: 365-367 [Full Text]  
• Blumberg, M. S., Iezzoni, L. I. (1999). Risk Adjustment for Medicare. NEJM 340: 1514-1515 [Full Text]  
• Iglehart, J. K. (1999). Medicare. NEJM 340: 327-332 [Full Text]  
• Kassirer, J. P., Angell, M. (1998). Risk Adjustment or Risk Avoidance?. NEJM 339: 1925-1926 [Full Text]  
• Kuttner, R. (1998). The Risk-Adjustment Debate. NEJM 339: 1952-1956 [Full Text]