Forefront: It's Time To Create A National Long COVID Compensation
Program
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Friday, September 16, 2022 | The Latest Research, Commentary, And News
From Health Affairs
Dear John,
On September 22 we're hosting a Briefing that is open to all on the
topic of physician burnout and workforce strain. The event is part of
the Practice of Medicine series
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Medicare Risk Adjustment
Medicare's reintroduction of risk adjustment for Alzheimer's disease
and related dementias (ADRD) Hierarchical Condition Categories (HCCs) in
2020 created incentives for providers to increase the use of these
codes.
In their new Health Affairs article, Natalia Festa and coauthors assess
the accuracy of ADRD coding before the reintroduction of risk adjustment
and compare claims with diagnosis codes included in the ADRD HCCs to a
reference standard.
Comparing claims data with a clinical standard for ADRD, the authors
demonstrate that such an increase has occurred.
"Incorporating ADRD HCCs into risk adjustment creates incentives for
providers to increase the use of ADRD International Classification of
Diseases codes in claims, resulting in a concomitant increase in the
false-positive rate and decrease in the false-negative rate of cases
ascertained using the HCC definition," they report.
Festa and coauthors conclude, "Our findings suggest that there is
potential for a considerable decrease in the rate of false-negative ADRD
cases."
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Today in Health Affairs Forefront, Howard Bauchner writes about the need
for a National Long COVID Compensation Program
(NLCCP).
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Daily Digest
Evaluating The Accuracy Of Medicare Risk Adjustment For Alzheimer's
Disease And Related Dementias
Natalia Festa et al.
It's Time To Create A National Long COVID Compensation Program
Howard Bauchner
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