|
||||
Care Management for High-Cost Beneficiaries DemonstrationThe Centers for Medicare & Medicaid Services (CMS) will conduct a demonstration to study various care management models for high-cost beneficiaries in the traditional Medicare fee-for-service program. CMS will assess how well each of these programs is able to reduce Medicare costs while improving the quality of care and quality of life for beneficiaries.
How to submit an application to conduct a demonstration of care management for high-cost beneficiaries
Sample data setApplicants may obtain and analyze a sample data set before submitting their
proposals. The data file is approximately 151 MB and contains 265 columns of
data for 282,521 beneficiaries. It includes summary claims data, Hierarchical
Coexisting Condition (HCC) risk data, and Diagnostic Related Group (DRG) data
for 1999, 2000, and 2001. The HCC assignment process allocates beneficiaries
to one or more of 70 HCC categories based on ICD-9 codes. The HCC categories
are used to calculate HCC risk scores. A risk score for one year is broadly
predictive of spending in the next. To obtain a sample data set, download the Data Use Agreement and mail a signed
copy of the agreement to: Care Management for High-Cost Beneficiaries To get an understanding of the sample data set before submitting a Data Use
Agreement, please review the following materials:
Once CMS receives the Data Use Agreement, a compact disk will be mailed to
the individual listed as a "point of contact" on the Agreement. The
compact disk will contain the sample data set, as well as documentation needed
to use the data (YOU SHOULD RECEIVE THE CD WITHIN A WEEK AFTER THE DATA USE
AGREEMENT IS RECEIVED BY CMS. PLEASE E-MAIL TO CMHCBDEMO@CMS.HHS.GOV IF YOU
DO NOT RECEIVE A CD IN THIS TIMEFRAME.) Download the Data Use Agreement (.pdf
37 KB) Questions regarding this demonstration may be sent to CMHCBDEMO@cms.hhs.gov
Return to Researchers Home Page
Last Modified on Monday, October 04, 2004
|
||||
Centers for Medicare & Medicaid Services
|