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Risk Adjustment

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Ensemble of trees approaches to risk adjustment for evaluating a hospital's performance.

Health care management science
A commonly used method for evaluating a hospital's performance on an outcome is to compare the hospital's observed outcome rate to the hospital's expected outcome rate given its patient (case) mix and service. The process of calculating the hospital'...

A Machine Learning Framework for Plan Payment Risk Adjustment.

Health services research
OBJECTIVE: To introduce cross-validation and a nonparametric machine learning framework for plan payment risk adjustment and then assess whether they have the potential to improve risk adjustment.

Robust Machine Learning Variable Importance Analyses of Medical Conditions for Health Care Spending.

Health services research
OBJECTIVE: To propose nonparametric double robust machine learning in variable importance analyses of medical conditions for health spending.

Development and Evaluation of an Automated Machine Learning Algorithm for In-Hospital Mortality Risk Adjustment Among Critical Care Patients.

Critical care medicine
OBJECTIVES: Risk adjustment algorithms for ICU mortality are necessary for measuring and improving ICU performance. Existing risk adjustment algorithms are not widely adopted. Key barriers to adoption include licensing and implementation costs as wel...