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The effect of adding trajectories on the model performance decreased as the comprehensiveness of the model increased. Such impact was most apparent in statistical indicators and medical utilization of the predicted groups.
Conclusions In identifying high-cost cases, adding morbidity trajectories might be necessary only for less comprehensive risk adjustment models, and its contributions came from higher c-statistics and increasing medical utilization of predicted groups. All Taiwanese nationals are obligated by law to join this program to ensure adequate risk pooling.