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Table 6 Overlap of top predicted groups by different risk adjustment models

From: Comparison of alternative risk adjustment measures for predictive modeling: high risk patient case finding using Taiwan's National Health Insurance claims

 

Model 1:

Demographics

Model 2:

ACGs & Demographics

Model 3:

ADGs, Sel. EDCs & Demographics

Model 4:

2002 Expenditures & Demographics

Model 5:

ADGs, Sel. EDCs, 2002 Expenditures & Demographics

2003 Top 0.5% Predicted User

Demographics

0.49%*

0.10%

0.03%

0.03%

0.02%

ACGs & Demographics

 

0.50%

0.07%

0.08%

0.06%

ADGs, 19 EDCs & Demographics

  

0.50%

0.19%

0.29%

2002 Expenditures & Demographics

   

0.50%

0.36%

ADGs, 19 EDCs, 2002 Expenditures & Demographics

    

0.50%

2003 Top 1% Predicted User

Demographics

1.00%

0.21%

0.11%

0.15%

0.11%

ACGs & Demographics

 

1.00%

0.30%

0.30%

0.32%

ADGs, 19 EDCs & Demographics

  

1.00%

0.40%

0.65%

2002 Expenditures & Demographics

   

1.00%

0.69%

ADGs, 19 EDCs, 2002 Expenditures & Demographics

    

1.00%

2003 Top 5% Predicted User

Demographics

4.96%*

2.43%

2.09%

2.46%

2.01%

ACGs & Demographics

 

5.00%

3.43%

3.02%

3.21%

ADGs, 19 EDCs & Demographics

  

5.00%

3.09%

4.06%

2002 Expenditures & Demographics

   

5.00%

3.73%

ADGs, 19 EDCs, 2002 Expenditures & Demographics

    

5.00%

  1. *: There were several observations with exactly the same predicted value at the threshold.