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  • Title: How to outsmart biases in health plan claims data.
    Journal: Data Strateg Benchmarks; 1997 Jul; 1(1):13-6. PubMed ID: 10345594.
    Abstract:
    Before negotiating your next contract, heed this expert advice for reducing risk when setting PMPM rates and case rates using frequently biased and incomplete HMO historical data. Here are 8 tips for using HMO-provided data, plus some benchmark utilization projections for commercial and Medicare populations.
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