Principles to Inform Risk Adjustment Policy: Reflection From the Front Lines

Daniel M Horn; Amol S Navathe

doi:10.1001/jama.2023.12830

Principles to Inform Risk Adjustment Policy: Reflection From the Front Lines

JAMA. 2023 Sep 5;330(9):805-806. doi: 10.1001/jama.2023.12830.

Authors

Daniel M Horn^{1

2}, Amol S Navathe^{3

4}

Affiliations

¹ Division of General Internal Medicine, Massachusetts General Hospital, Boston.
² Harvard Medical School, Boston, Massachusetts.
³ Department of Medical Ethics and Health Policy, University of Pennsylvania, Philadelphia.
⁴ Corporal Michael J. Cresencz VA Medical Center, Philadelphia, Pennsylvania.

PMID: 37566433
DOI: 10.1001/jama.2023.12830

No abstract available

Plain language summary

This Viewpoint discusses the benefits and drawbacks of current risk adjustment tools, outlines the pressures clinicians may face to use these tools, and proposes principles and policy solutions to ensure that risk adjustment is clinically meaningful and to minimize gaming and waste.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Health Policy
Policy*
Risk Adjustment*