Drivers of Individual and Regional Variation in CMS Hierarchical Condition Categories Among Florida Beneficiaries.
Molly JacobsEarl MorrisZuhair HaleemNicholas MandatoNicole M MarlowLee ReverePublished in: Risk management and healthcare policy (2023)
Results showed demographics, HCC condition classifications (ie, lifetime, preventable, and treatable), and some specific conditions were associated with higher variation in mean county-level and individual risk scores. Results suggest consistent coding and reductions in the prevalence of certain treatable or preventable conditions could reduce the county and individual HCC risk score year-to-year change.