2011
Paying for Outcomes, Not Performance: Lessons from the Medicare Inpatient Prospective Payment System
Averill RF, Goldfield N, Hughes J. Paying for Outcomes, Not Performance: Lessons from the Medicare Inpatient Prospective Payment System. The Joint Commission Journal On Quality And Patient Safety 2011, 37: 184-192. PMID: 21500719, DOI: 10.1016/s1553-7250(11)37023-7.Peer-Reviewed Original Research
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