Managed Care and People With Disabilities Research Inventory. Managed Care and People With Disabilities Research Inventory : Table 59

02/01/1996

: Table 59

CONTACT PERSON NAME:   Rick Kronick
ORGANIZATION:   UCSD
TELEPHONE:   (619) 534-4273
NAME OF STUDY:   Medicaid Working Group -- Missouri Rate Setting Project
PROJECT DIRECTOR/PI:   Rick Kronick
FUNDING SOURCE:   PEW/RWJ
PROJECT DATES:   Completed
RESEARCH QUESTIONS/GOALS:   Developed a diagnostically-adjusted payment system for the Missouri SSI population (under age 64 disabled). The benefit package will include home and community-based services (HCBS), and personal care, but will not include institutional care and behavioral mental health.
BRIEF DESCRIPTION OF METHODS AND DATA:   Regression-based approach using prior year FFS claims including acute care claims and HCBS claims (clients in waiver programs excluded from the analysis). Researchers used an additive model with severity built into diagnosis (somewhat) and without adjustment for functional status.
AVAILABILITY OF RESULTS:   Research currently available. State is scheduled to implement payment system in early 1996.