Risk-Adjustment Methods for All-Payer Comparative Performance Reporting in Vermont
January 2017This research study evaluates the effectiveness of different risk-adjustment models for comparing claims data for populations served by Medicare, Medicaid, and commercial payers. The aim of this endeavor is to seamlessly compare cost, quality, and utilization data among the different groups in an all-payer "whole-population" claims database. All-payer claims databases help to address the shift toward value-based care by providing the data necessary to facilitate performance-based payments to providers and achieve the 'triple aim' of improving population health, enhancing quality of care, and reducing health care costs.
