{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T19:23:44Z","timestamp":1769282624819,"version":"3.49.0"},"reference-count":40,"publisher":"American Medical Association (AMA)","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"DOI":"10.1001\/jamanetworkopen.2018.5993","type":"journal-article","created":{"date-parts":[[2018,12,15]],"date-time":"2018-12-15T04:55:51Z","timestamp":1544849751000},"page":"e185993","source":"Crossref","is-referenced-by-count":12,"title":["Assessment of the Medicare Advantage Risk Adjustment Model for Measuring Veterans Affairs Hospital Performance"],"prefix":"10.1001","volume":"1","author":[{"given":"Todd H.","family":"Wagner","sequence":"first","affiliation":[{"name":"Stanford University School of Medicine, Palo Alto, California"},{"name":"Center for Innovation to Implementation, VA Palo Alto, Menlo Park, California"},{"name":"Health Economics Resource Center, VA Palo Alto, Menlo Park, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Almenoff","sequence":"additional","affiliation":[{"name":"Office of Secretary, Department of Veterans Affairs, Washington, DC"},{"name":"Center of Innovation, Department of Veterans Affairs, Washington, DC"},{"name":"Program for Quality Improvement\/Patient Safety, School of Medicine, University of Missouri\u2013Kansas City, Kansas City"},{"name":"Office of Reporting, Analytics, Performance, Improvement, and Deployment, Department of Veterans Affairs, Washington, DC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Francis","sequence":"additional","affiliation":[{"name":"Office of Reporting, Analytics, Performance, Improvement, and Deployment, Department of Veterans Affairs, Washington, DC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josephine","family":"Jacobs","sequence":"additional","affiliation":[{"name":"Center for Innovation to Implementation, VA Palo Alto, Menlo Park, California"},{"name":"Health Economics Resource Center, VA Palo Alto, Menlo Park, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Pal Chee","sequence":"additional","affiliation":[{"name":"Health Economics Resource Center, VA Palo Alto, Menlo Park, California"},{"name":"Department of Public Policy, Stanford University, Palo Alto, California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10","published-online":{"date-parts":[[2018,12,14]]},"reference":[{"issue":"7","key":"zoi180252r1","doi-asserted-by":"publisher","first-page":"683","DOI":"10.1056\/NEJMsb1002320","article-title":"Accountability measures\u2013using measurement to promote quality improvement.","volume":"363","author":"Chassin","year":"2010","journal-title":"N Engl J Med"},{"issue":"5","key":"zoi180252r3","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1001\/jama.2017.20743","article-title":"Ensuring timely access to quality care for US veterans.","volume":"319","author":"Daley","year":"2018","journal-title":"JAMA"},{"issue":"6","key":"zoi180252r6","doi-asserted-by":"publisher","first-page":"1022","DOI":"10.1377\/hlthaff.2015.1668","article-title":"Risk-adjustment simulation: plans may have incentives to distort mental health and substance use coverage.","volume":"35","author":"Montz","year":"2016","journal-title":"Health Aff (Millwood)"},{"key":"zoi180252r7","doi-asserted-by":"publisher","first-page":"3189","DOI":"10.1111\/hesr.2018.53.issue-S1","article-title":"Mental health risk adjustment with clinical categories and machine learning.","volume":"53","author":"Shrestha","year":"2018","journal-title":"Health Serv Res"},{"issue":"3","key":"zoi180252r9","doi-asserted-by":"publisher","first-page":"762","DOI":"10.1111\/hesr.2010.45.issue-3","article-title":"Relationship between clinical conditions and use of Veterans Affairs health care among Medicare-enrolled veterans.","volume":"45","author":"Petersen","year":"2010","journal-title":"Health Serv Res"},{"issue":"1","key":"zoi180252r10","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1001\/jama.2012.7115","article-title":"Duplicate federal payments for dual enrollees in Medicare Advantage plans and the Veterans Affairs health care system.","volume":"308","author":"Trivedi","year":"2012","journal-title":"JAMA"},{"issue":"10","key":"zoi180252r11","doi-asserted-by":"publisher","first-page":"1188","DOI":"10.1002\/hec.v18:10","article-title":"Equivalence of two healthcare costing methods: bottom-up and top-down.","volume":"18","author":"Chapko","year":"2009","journal-title":"Health Econ"},{"issue":"6","key":"zoi180252r13","doi-asserted-by":"publisher","first-page":"568","DOI":"10.1097\/01.mlr.0000215819.76050.a1","article-title":"Development and validation of a psychiatric case-mix system.","volume":"44","author":"Sloan","year":"2006","journal-title":"Med Care"},{"issue":"9810","key":"zoi180252r17","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1016\/S0140-6736(11)61674-7","article-title":"Drug policy and the public good: evidence for effective interventions.","volume":"379","author":"Strang","year":"2012","journal-title":"Lancet"},{"issue":"1","key":"zoi180252r18","doi-asserted-by":"publisher","first-page":"192","DOI":"10.1111\/hesr.2006.41.issue-1","article-title":"Benefit-cost in the California treatment outcome project: does substance abuse treatment \u201cpay for itself\u201d?","volume":"41","author":"Ettner","year":"2006","journal-title":"Health Serv Res"},{"issue":"3","key":"zoi180252r19","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1016\/j.jsat.2011.04.006","article-title":"If substance use disorder treatment more than offsets its costs, why don\u2019t more medical centers want to provide it? a budget impact analysis in the Veterans Health Administration.","volume":"41","author":"Humphreys","year":"2011","journal-title":"J Subst Abuse Treat"},{"issue":"22","key":"zoi180252r20","doi-asserted-by":"publisher","first-page":"2631","DOI":"10.1001\/archinte.165.22.2631","article-title":"Disparities in diabetes care: impact of mental illness.","volume":"165","author":"Frayne","year":"2005","journal-title":"Arch Intern Med"},{"key":"zoi180252r21","doi-asserted-by":"publisher","first-page":"458","DOI":"10.1186\/1472-6963-14-458","article-title":"Mental illness and intensification of diabetes medications: an observational cohort study.","volume":"14","author":"Frayne","year":"2014","journal-title":"BMC Health Serv Res"},{"issue":"6","key":"zoi180252r22","doi-asserted-by":"publisher","first-page":"1111","DOI":"10.1097\/AOG.0000000000000542","article-title":"Posttraumatic stress disorder and risk of spontaneous preterm birth.","volume":"124","author":"Shaw","year":"2014","journal-title":"Obstet Gynecol"},{"key":"zoi180252r23","doi-asserted-by":"publisher","first-page":"f2539","DOI":"10.1136\/bmj.f2539","article-title":"The gap in life expectancy from preventable physical illness in psychiatric patients in Western Australia: retrospective analysis of population based registers.","volume":"346","author":"Lawrence","year":"2013","journal-title":"BMJ"},{"issue":"11","key":"zoi180252r24","doi-asserted-by":"publisher","first-page":"977","DOI":"10.1056\/NEJMp1715455","article-title":"Financial incentives and vulnerable populations: will alternative payment models help or hurt?","volume":"378","author":"Joynt Maddox","year":"2018","journal-title":"N Engl J Med"},{"issue":"6","key":"zoi180252r25","doi-asserted-by":"publisher","first-page":"651","DOI":"10.1016\/j.genhosppsych.2012.05.014","article-title":"Cause-specific mortality among veterans with serious mental illness lost to follow-up.","volume":"34","author":"Bowersox","year":"2012","journal-title":"Gen Hosp Psychiatry"},{"issue":"2","key":"zoi180252r26","doi-asserted-by":"publisher","first-page":"215","DOI":"10.5034\/inquiryjrnl_46.2.215","article-title":"Risk selection and risk adjustment: improving insurance in the individual and small group markets.","volume":"46","author":"Baicker","year":"2009","journal-title":"Inquiry"},{"issue":"15","key":"zoi180252r27","doi-asserted-by":"publisher","first-page":"1688","DOI":"10.1001\/jama.2011.1515","article-title":"Risk prediction models for hospital readmission: a systematic review.","volume":"306","author":"Kansagara","year":"2011","journal-title":"JAMA"},{"issue":"2","key":"zoi180252r28","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1017\/S1744133113000340","article-title":"Can all cause readmission policy improve quality or lower expenditures? a historical perspective on current initiatives.","volume":"9","author":"Burgess","year":"2014","journal-title":"Health Econ Policy Law"},{"issue":"4","key":"zoi180252r29","doi-asserted-by":"publisher","first-page":"272","DOI":"10.7326\/0003-4819-141-4-200408170-00007","article-title":"Diabetes care quality in the Veterans Affairs Health Care System and commercial managed care: the TRIAD study.","volume":"141","author":"Kerr","year":"2004","journal-title":"Ann Intern Med"},{"issue":"11","key":"zoi180252r30","doi-asserted-by":"publisher","first-page":"1147","DOI":"10.1056\/NEJMsa044464","article-title":"Who is at greatest risk for receiving poor-quality health care?","volume":"354","author":"Asch","year":"2006","journal-title":"N Engl J Med"},{"issue":"12","key":"zoi180252r31","doi-asserted-by":"publisher","first-page":"938","DOI":"10.7326\/0003-4819-141-12-200412210-00010","article-title":"Comparison of quality of care for patients in the Veterans Health Administration and patients in a national sample.","volume":"141","author":"Asch","year":"2004","journal-title":"Ann Intern Med"},{"issue":"1","key":"zoi180252r32","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1377\/hlthaff.2017.0883","article-title":"Quality of end-of-life care is higher in the VA compared to care paid for by traditional Medicare.","volume":"37","author":"Gidwani-Marszowski","year":"2018","journal-title":"Health Aff (Millwood)"},{"issue":"4","key":"zoi180252r33","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1176\/appi.ps.201400537","article-title":"The quality of medication treatment for mental disorders in the Department of Veterans Affairs and in private-sector plans.","volume":"67","author":"Watkins","year":"2016","journal-title":"Psychiatr Serv"},{"issue":"18","key":"zoi180252r35","doi-asserted-by":"publisher","first-page":"1790","DOI":"10.1056\/NEJMhpr1608578","article-title":"Health reform and the changing safety net in the united states.","volume":"375","author":"Chokshi","year":"2016","journal-title":"N Engl J Med"},{"issue":"19","key":"zoi180252r36","doi-asserted-by":"publisher","first-page":"2015","DOI":"10.1001\/jama.2017.3148","article-title":"Associations between hospital characteristics, measure reporting, and the Centers for Medicare & Medicaid Services Overall Hospital Quality Star Ratings.","volume":"317","author":"DeLancey","year":"2017","journal-title":"JAMA"},{"issue":"1","key":"zoi180252r38","doi-asserted-by":"publisher","first-page":"572","DOI":"10.1186\/s12913-017-2504-9","article-title":"Comparing chronic condition rates using ICD-9 and ICD-10 in VA patients FY2014-2016.","volume":"17","author":"Yoon","year":"2017","journal-title":"BMC Health Serv Res"},{"issue":"5","key":"zoi180252r39","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1097\/MLR.0000000000000891","article-title":"Incorporating longitudinal comorbidity and acute physiology data in template matching for assessing hospital quality: an exploratory study in an integrated health care delivery system.","volume":"56","author":"Hu","year":"2018","journal-title":"Med Care"},{"key":"zoi180252r2","author":"Azar","year":"2018"},{"key":"zoi180252r4","first-page":"20005","volume-title":"Commission on Care","author":"Schlichting","year":"2016"},{"key":"zoi180252r5","author":"Smith","year":"2012"},{"key":"zoi180252r8","volume-title":"Characteristics and Health Care Expenditures of VA Health System Users Versus Other Veterans, 2014-2015 (Combined)","author":"Machlin","year":"2018"},{"key":"zoi180252r14","volume-title":"Updating the Psychiatric Case Mix System (PsyCMS) Mental Health and Substance Use Grouper for ICD-10-CM","author":"Wagner","year":"2016"},{"key":"zoi180252r16","volume-title":"Evaluation of the CMS-HCC Risk Adjustment Model","author":"Pope","year":"2011"},{"key":"zoi180252r34","author":"Slack","year":"2018"},{"key":"zoi180252r37","author":"Geruso","year":"2015"},{"key":"zoi180252r40","author":"Fiscella","year":"2014"},{"key":"zoi180252r12","unstructured":"Centers for Medicaid and Medicare Services. Risk Adjustment 2018. https:\/\/www.cms.gov\/Medicare\/Health-Plans\/MedicareAdvtgSpecRateStats\/Risk-Adjustors.html. Accessed August 9, 2018."},{"key":"zoi180252r15","unstructured":"WagnerTH, CowgillEH, CashyJ, ShenM-L. Risk adjustment: guide to the V21 and Nosos Risk Score programs. 2015. https:\/\/www.herc.research.va.gov\/include\/page.asp?id=technical-report-risk-adjustment. Accessed June 5, 2018."}],"container-title":["JAMA Network Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2718098","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,8]],"date-time":"2022-09-08T11:51:54Z","timestamp":1662637914000},"score":1,"resource":{"primary":{"URL":"http:\/\/jamanetworkopen.jamanetwork.com\/article.aspx?doi=10.1001\/jamanetworkopen.2018.5993"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12,14]]},"references-count":40,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2018,12,7]]}},"URL":"https:\/\/doi.org\/10.1001\/jamanetworkopen.2018.5993","relation":{},"ISSN":["2574-3805"],"issn-type":[{"value":"2574-3805","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,12,14]]}}}