2004
Clinical Risk Groups (CRGs)
Hughes JS, Averill RF, Eisenhandler J, Goldfield NI, Muldoon J, Neff JM, Gay JC. Clinical Risk Groups (CRGs). Medical Care 2004, 42: 81-90. PMID: 14713742, DOI: 10.1097/01.mlr.0000102367.93252.70.Peer-Reviewed Original ResearchMeSH KeywordsCapitation FeeChronic DiseaseConcurrent ReviewDiagnosis-Related GroupsForecastingHealth Services Needs and DemandHealth Services ResearchHumansInsurance Claim ReviewInsurance, HealthMedicaidMedicareProgram DevelopmentReimbursement MechanismsRisk AdjustmentSeverity of Illness IndexUnited States
1999
The Prospective Risk Adjustment System
Goldfield N, Averill R, Eisenhandler J, Hughes J, Muldoon J, Steinbeck B, Bagadia F. The Prospective Risk Adjustment System. Journal Of Ambulatory Care Management 1999, 22: 41-52. PMID: 10387584, DOI: 10.1097/00004479-199904000-00005.Peer-Reviewed Original ResearchConceptsRisk of mortalityEpisodes of illnessEpisode of careHealth care costsHealth care servicesPatient characteristicsFuture health care costsClinical episodesMedical historyDuration of serviceCare costsCare servicesClassification systemProvider profilingRisk adjustment systemSpecific diseasesEpisodesRisk adjustersIllnessMortalityDiseaseSeverityCare