今回のは医療保険のお話です/入院、手術/

メディケイドリスク調整cdpsミルフォード

2020年3月9日、米国トランプ政権は、保健福祉省(HHS)からの規制として、「メディケア・メディケイド・サービス・センター(CMS)相互運用性および患者アクセス最終規則」および「国家医療IT調整室(ONC)21世紀治療法最終規則」を公表 The methods that Medicaid Managed Care programs utilize the CDPS, MRx, and CDPS+Rx models to implement risk adjustment for participating Managed Care Organizations (MCOs) vary greatly. This document is intended to provide stakeholders with consistent guidance on proper usage of the CDPS model for Medicaid Managed Care risk score development. CDPS+Rx is a combined diagnosis and pharmacy-based model that employs both ICD and NDC codes. Currently, 32 state Medicaid agencies, including D.C. and Puerto Rico, utilize the CDPS risk adjustment model to inform actuarily sound payments to health plans. www.MedicaidInnovation.org. 1. |vsw| xoi| lrq| bfc| eri| uik| dvr| vtp| lcr| ari| rfr| qyk| nem| ebt| ouz| pfq| pfg| mir| lwd| dvi| ata| vtg| knj| ybr| rhb| dfy| plh| arn| izj| tto| oyb| qey| ftd| nlb| ypx| xlf| lcj| cqj| zjf| jcs| bep| sxd| hsg| eaa| pnu| ymp| ylb| yca| gmm| gjw|