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Principles to Inform Risk Adjustment Policy: Reflection From the Front Lines | Health Care Economics, Insurance, Payment | JAMA

Self-reported functional impairment and frailty improve the prediction of healthcare expenditures

1. In this retrospective cohort study, the inclusion of functional impairment and phenotypic frailty more accurately predicted healthcare costs in Medicare patients than claims-based indicators alone. 2. A greater number of self-reported functional impairments were associated with more significant incremental costs compared to those without functional impairments. Evidence Rating Level: 3 (Average) Study Rundown: Older

Identifying Healthcare Insurance Payment Arbitrage Opportunities Using A Machine Learning Network in Patent Application Approval Process (USPTO 20210279812): DeRoyal Industries Inc

Identifying Healthcare Insurance Payment Arbitrage Opportunities Using A Machine Learning Network in Patent Application Approval Process (USPTO 20210279812): DeRoyal Industries Inc
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