01111 i~aa,i1 79 The Academy study recom- mends including additional health status data about beneficiaries in the payment method to more accurate- ly reflect their actual risk level. In addition, the Academy group sug- gests that HCFA perform addition- al testing of the payment system as it is implemented. program should be nationwide' 1y, or imple- mented first in a small number of stares i luhm agreed to consultthe Academy's work group and respond to before the Weiss, vice