Comparison of Rx-defined morbidity groups and diagnosis- based risk adjusters for predicting healthcare costs in Taiwan |
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| Authors: | Raymond NC Kuo Mei-Shu Lai |
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| Affiliation: | (1) Institute of Health Care Organization Administration, College of Public Health, National Taiwan University, Taipei, Taiwan;(2) Institute of Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan;(3) Center for Health Insurance Research, College of Public Health, National Taiwan University, Taipei, Taiwan |
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| Abstract: | ![]()
Background Medication claims are commonly used to calculate the risk adjustment for measuring healthcare cost. The Rx-defined Morbidity Groups (Rx-MG) which combine the use of medication to indicate morbidity have been incorporated into the Adjusted Clinical Groups (ACG) Case Mix System, developed by the Johns Hopkins University. This study aims to verify that the Rx-MG can be used for adjusting risk and for explaining the variations in the healthcare cost in Taiwan. |
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