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What Are ACGs

 


The John Hopkins Adjusted Clinical Groups (ACG) Case-Mix System is a suite of tools that offers a unique approach to measuring morbidity. Use of the ACG System improves accuracy and fairness in evaluating provider performance, forecasting healthcare utilization and setting equitable payment rates. The ACG System:

  • Measures the morbidity burden of patient populations based on disease patterns, age and gender. It relies on the diagnostic code information found in professional and hospital insurance claims or other computerized records. This provides the user with a more accurate representation of how people present to the healthcare system - as a constellation of morbidities, not as individual diseases.
  • Creates a common language for healthcare analysis that benefits providers, purchasers and consumers of healthcare. The system has broad applicability within the government and private sectors of most healthcare delivery systems. In the United States and around the globe, public agencies and private organizations use ACGs for many risk-adjustment applications.