Prior Use of Durable Medical Equipment as a Risk Adjuster for Health-Based Capitation
Bibliographic Data
| ID | 13775107 |
|---|---|
| Authors | Richard C van Kleef (0000-0002-8971-6341, Erasmus University Rotterdam, corresponding author), René C J A Van Vliet |
| Year | 2010 |
| Volume | 47 |
| Issue | 4 |
| Pages | 343-358 |
| Publication date | 2010-11-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | INQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL) |
| Journal identifiers | ISSN: 0046-9580 • E-ISSN: 1945-7243 |
| Publisher | SAGE Publishing (PUBLISHER • US) |
| DOI | 10.5034/inquiryjrnl_47.04.343 |
| PMID | 21391458 |
| OpenAlex | W2025393978 |
| Language | EN |
| Citations received | 3 |
| References cited | 6 |
This paper examines a new risk adjuster for capitation payments to Dutch health plans, based on the prior use of durable medical equipment (DME). The essence is to classify users of DME in a previous year into clinically homogeneous classes and to apply the resulting classification as a risk adjuster for capitation payments in the subsequent year. We evaluate 143 DME types in terms of incentives, validity, predictive value, and measurability, resulting in 14 functional disability classes (FDCs). We conclude that FDCs can significantly improve the Dutch risk adjustment model, although possible incentives for oversupply have to be monitored
Actuarial science · Business · Capitation · Economics · Homogeneous · Incentive · Machine learning · Microeconomics · Payment · Risk analysis (engineering · Value (mathematics · Chronic Disease Management Strategies · Computer Science · Finance · Health Systems, Economic Evaluations, Quality of Life · Healthcare cost, quality, practices · Mathematics · Medicine
| Citations per year | 0.21 |
|---|---|
| Citation span | 2012 - 2024 (13) |
| Highly cited | No |