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
2002
Development of an Episode of Illness Classification for Population Management Using Pharmacy Data
Goldfield N, Eisenhandler J, Gay J, McCullough E, Bao M, Neff J, Muldoon J, Hughes J, Mills R. Development of an Episode of Illness Classification for Population Management Using Pharmacy Data. Population Health Management 2002, 5: 175-183. DOI: 10.1089/109350702760301466.Peer-Reviewed Original ResearchIllness Classification SystemEpisodes of illnessPharmaceutical dataCombination of medicationsPopulation of patientsDuration of treatmentAggressive case managementCase-mix systemIndividual medicationsClaims databasePharmacy dataIllness classificationCase managementClassification systemDiseaseSpecific diseasesMedicationsEpisodesIllnessParticular diseasePatientsOutpatientsInpatientsEnrolleesSeverity