Risk Adjustment

Risk Adjustment is a methodological technique in health care financing and insurance that belongs to the class of risk-stratification instruments, distinguished by its specific function of modifying payments to health plans or providers based on the predicted health care costs of enrolled individuals to mitigate incentives for risk selection.

636

Publications

43K

Citations

2.1K

Authors

827

Institutions

Publications per year

2017–2026

107

Parents

Cost-benefit AnalysisHealth Care FinancingHealth InsuranceHealth Insurance LawManaged Care

Children

Capitation Payment AdjustmentClaims-based Risk AdjustmentCoding Intensity AdjustmentConcurrent Risk AdjustmentDemographic Risk AdjustmentDiagnostic Cost Group ModelsHealth Plan Payment FormulasInferred Risk AdjustmentManaged Care Risk AdjustmentMedicaid Risk Adjustment

Publications

636

What's the Relative Risk?

Jun Zhang, Kai Yu · JAMA · 1998 · 4.1K citations

Public Health, Biostatistics, Clinical Epidemiology +11

Estimating the Relative Risk in Cohort Studies and Clinical Trials of Common Outcomes

Louise‐Anne McNutt · American Journal of Epidemiology · 2003 · 2.1K citations

Public Health, Biostatistics, Clinical Epidemiology +11

Risk adjustment of Medicare capitation payments using the CMS-HCC model.

Gregory C. Pope, John Kautter, Randall P. Ellis et al. · PubMed · 2004 · 808 citations · Full text

Public Affairs, Health Care Management, Health Services Administration +17

Use of Stabilized Inverse Propensity Scores as Weights to Directly Estimate Relative Risk and Its Confidence Intervals

Stanley Xu, Colleen Ross, Marsha A. Raebel et al. · Value in Health · 2009 · 804 citations

Public Health, Biostatistics, Causal Inference +12

Statistical Adjustment of Data

R. L. Anderson, W. Edwards Deming · Southern Economic Journal · 1944 · 776 citations

Natural Sciences, Biostatistics, Statistical Computing +11

1–5 of 636

Authors

2.1K

TG
Thomas G. McGuire
Harvard University, United States
16 publications · 856 citations
15
h-index
RC
René C.J.A. van Vliet
Erasmus University Rotterdam, Netherlands
12 publications · 616 citations
12
h-index
JP
Joseph P. Newhouse
Harvard University, United States
10 publications · 727 citations
10
h-index
LM
Leida M. Lamers
Erasmus University Rotterdam, Netherlands
10 publications · 589 citations
10
h-index
RP
Randall P. Ellis
Boston University, United States
11 publications · 1.7K citations
10
h-index

1–5 of 2.1K

Institutions

827

1–8 of 827

Venues

PubMed
Repository · 60 publications · 3.7K citations
30
h-index
Health Affairs
22 publications · 1.7K citations
21
h-index
Medical Care
27 publications · 1.8K citations
21
h-index
Health Services Research
HSR · 18 publications · 1.3K citations
16
h-index
Journal of Clinical Epidemiology
13 publications · 563 citations
12
h-index

1–5