The fourth edition of Risk Adjustment for Measuring Health Care Outcomes presents the fundamental principles and concepts of risk adjustment for comparing outcomes of care and explains why risk adjustment is a critical tool for measuring quality and setting reimbursement rates. This book is a comprehensive guide to the issues raised by risk adjustment, including the pros and cons of different data sources, the validity and reliability of risk adjustment methods, the effects of various statistical modeling approaches, and concerns relating to special populations.

The fourth edition features:

• A new chapter on the role of risk adjustment in managing healthcare organizations
• New information on risk factors, including genetics and social and environmental determinants of health
• Perspectives on electronic health records and new health information technologies
• Explanations of new statistical methods for comparing provider outcomes and their implications for risk adjustment
• Instructor resources: Discussion questions and PowerPoint slides of the book exhibits.

About the Author

Lisa I. Iezzoni, M.D., M.Sc., is professor of medicine at Harvard Medical School and director of the Mongan Institute for Health Policy at the Massachusetts General Hospital in Boston. She has published and spoken widely on risk adjustment, and she also studies and writes about health care quality, delivery system, and policy issues relating to persons with disabilities. Dr. Iezzoni is a member of the Institute of Medicine in the National Academy of Sciences.