"The CMS hierarchical condition categories (CMS-HCC) model, implemented in 2004, adjusts Medicare capitation payments to Medicare Advantage health care plans for the health expenditure risk of their enrollees. Its intended use is to pay plans appropriately for their expected relative costs. For example, MA plans that disproportionately enroll the healthy are paid less than they would have been if they had enrolled beneficiaries with the average risk profile, while MA plans that care for the sickest patients are paid proportionately more than if they had enrolled beneficiaries with the average risk profile."
(from
http://www.cms.gov/Medicare/Health-...loads/Evaluation_Risk_Adj_Model_2011.pdf).
Not a lot here for a pediatrician, Wendell.
Of course SWheaton may use HCC to mean hepatocellular carcinoma...but I doubt it.
