Algorithms to Improve Fairness in Medicare Risk Adjustment

Results of this study suggest that constrained regression and postprocessing can incorporate fairness objectives into the Medicare risk adjustment algorithm with minimal reduction in overall fit. These feasible changes to the Medicare risk adjustment algorithm could be considered by policymakers aiming to address health care disparities through payment system reform.

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Publication Details

Journal
JAMA Health Forum
Published
2025-08-29
DOI
https://doi.org/10.1001/jamahealthforum.2025.2640
Primary Topic
Healthcare Policy and Management
Type
article
Field-Weighted Citation Impact
0.00

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article

Algorithms to Improve Fairness in Medicare Risk Adjustment

Sherri Rose, Marissa B Reitsma, Thomas G. McGuire
JAMA Health Forum
Healthcare Policy and Management
article

Algorithms to Improve Fairness in Medicare Risk Adjustment

Sherri Rose, Marissa B Reitsma, Thomas G. McGuire
article en

Abstract

Results of this study suggest that constrained regression and postprocessing can incorporate fairness objectives into the Medicare risk adjustment algorithm with minimal reduction in overall fit. These feasible changes to the Medicare risk adjustment algorithm could be considered by policymakers aiming to address health care disparities through payment system reform.

JAMA Health ForumVol. 6(8)
Harvard University (US), Stanford University (US)
Laura and John Arnold Foundation, National Institutes of Health, School of Medicine, Stanford University
Openalex Percentile: Top 69%
Healthcare Policy and Management
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