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Computer-based program that assesses the health of people enrolled in a given health plan

Published on July 13, 2004 at 10:27 AM · No Comments

Researchers at the Johns Hopkins Bloomberg School of Public Health have signed a multi-year agreement with PharMetrics, Inc., of Watertown, Mass., to acquire data from the company’s proprietary Anonymous Patient-Centric Database.

The database, which includes health care information from over 50 million Americans, is the largest and most complete of its kind. The information will help researchers enhance the Adjusted Clinical Groups® Case-Mix System (ACG System), which allows health care providers, insurers and health maintenance organizations to manage funds more efficiently and effectively.

Developed by the Johns Hopkins Bloomberg School Public Health, the ACG System is a computer-based program that assesses the health of people enrolled in a given health plan. The plans, in turn, use the ACG System to help predict the need for their future health care services. Adjusted Clinical Groups (ACGs) are a series of mutually exclusive, health-status categories that are defined by morbidity, age and gender. They are based on the premise that the level of resources necessary for delivering appropriate health care to a population is correlated to the illness burden of that population. ACGs are used to assess provider performance, identify future high-cost cases and develop innovative plan payment and financial risk-sharing arrangements by more than 175 healthcare organizations worldwide.

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