Which of the following best describes the classification system used in case-mix-based payment systems?

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In case-mix-based payment systems, functional disability scores are utilized to classify patients based on their health status and the expected resource utilization. These scores assess an individual's ability to perform basic activities of daily living and measure the impact of functional impairments on the need for care.

Functional disability scores provide a systematic way to categorize patients, reflecting the complexity and variability of healthcare needs among different patient populations. This classification is crucial for determining reimbursement rates, as providers are compensated based on the intensity and type of care required for patients with varying degrees of functionality.

Other classification systems, such as group-based analysis or service level assessment, may capture aspects of health or service delivery but do not typically focus on the functional impairments of patients in the same way that functional disability scores do. Similarly, a behavioral problem index may assess specific behavioral challenges, but it does not encompass the broader scope of functional capabilities essential in a case-mix system. Therefore, functional disability scores stand out as the most relevant method for classifying patient needs within these payment models.

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