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Lyn Sibley - AcademyHealth

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Johns Hopkins ACG Case-Mix<br />

System<br />

• Adjusted Clinical Group<br />

• Identifies groups of patients within<br />

populations that have similar health care<br />

resource needs<br />

• Based on:<br />

– age<br />

–sex<br />

– combination of minor and major diagnoses<br />

• Widely used to adjust capitation payments<br />

leveraging the culture of of performance excellence in health in health systems systems

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