Modeling Financial Outcomes and Quantifying Risk in Episode-Based Payment Models
This article provides a description of prospective financial simulation methodology and use cases with empirical data for episode-based bundled payments, including implications for contract negotiations and value-based care redesign.
Electronic Health Record Problem Lists: Accurate Enough for Risk Adjustment?
Electronic health record (EHR)-based comorbidity assessment had low sensitivity for identifying major comorbidities and poorly predicted survival. EHR-based comorbidity data require validation prior to application to risk adjustment.