ARE HEALTH-BASED PAYMENTS A FEASIBLE TOOL FOR ADDRESSING RISK SEGMENTATION

As they attempt to increase health insurance coverage and improve the efficiency of the market, researchers, policymakers, and health plan r epresentatives have been addressing the issue of risk segmentation Man y risk assessment tools and risk-adjusted payment methodologies have b een developed and demonstrated for a variety of populations and payers experiencing various market constraints. The evidence shows that risk -adjusted payments are feasible for most populations receiving acute c are, while technical obstacles, political issues, and some research ga ps remain.