Using diagnoses to describe populations and predict costs.
Year: 2000
Type: article
Abstract: The Diagnostic Cost Group Hierarchical Condition Category (DCG/HCC) payment models summarize the health care problems and predict the future health care costs of populations. These models use the diagnoses generated during patient encounters with the medical delivery system to infer which medical problems are present. Patient demographics and diagnostic profiles are, in turn, used to predict costs. We describe the logic, structure, coefficients and performance of DCG/HCC models, as developed and validated on three important data bases (privately insured, Medicaid, and Medicare) with more than 1 million people each.
Source: PubMed Central
Authors: A S Ash, R P Ellis, G C Pope, J Z Ayanian, D W Bates, H Burstin, L I Iezzoni, E MacKay, W Yu
Institution: Boston Medical Center
Language: English
Subfield: Economics and Econometrics
Domain: Social Sciences
Open Access status: green
OpenAlex ID: W2148019133