Analysis of Case-Mix Strategies and Recommendations for Medicare Fee-for-Service CAHPS

Case-Mix Adjustment Report: 2004

by Marc N. Elliott, Katrin Hambarsoomian, Carol A. Edwards

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For readers familiar with the 2000-2002 (Years 1-3) Case-Mix Reports, the authors briefly describe how this report differs from the previous year’s report. First, this report seeks to evaluate the stability of many of the findings and resultant decisions from the 2000-2002 Case-Mix Reports, including the choice of case-mix adjusters, their parameterization, and their impact. Second, they have reformatted the presentation of information in a way that favors comparative tables across years were possible and which relegates older data to the Appendix when this is not possible, with the hopes of producing a more concise document.

The research described in this report was prepared for Edward Sekscenski of the Centers for Medicare & Medicaid Services by RAND Health.

This report is part of the RAND Corporation working paper series. RAND working papers are intended to share researchers' latest findings and to solicit informal peer review. They have been approved for circulation by RAND but may not have been formally edited or peer reviewed.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.