Term: Risk Adjustment

Glossary Definition

Last Updated: 2007-11-08

Definition:

A process used most frequently in the insurance industry to recognize that some individuals or groups may require more costly healthcare than others. Risk adjustment considers past utilization of services and basic demographic information (i.e., age and sex) as predictors of future cost of care.

Related terms 

• Risk-Adjusted

References 

• Finlayson GS, Forget E, Ekuma O, Derksen S, Bond R, Martens P, De Coster C. Allocating Funds for Healthcare in Manitoba Regional Health Authorities: A First Step--Population-Based Funding. Manitoba Centre for Health Policy, 2007. [Report] [Summary] (View)

Term used in 

• Leslie WD, Metge C. Establishing a regional bone density program: Lessons from the Manitoba experience. J Clin Densitom 2003;6(3):275-282. [Abstract] (View)
• Roos LL, Walld RK, Romano PS, Roberecki S. Short-term mortality after repair of hip fracture. Do Manitoba elderly do worse? Med Care 1996;34(4):310-326. [Abstract] (View)