Medicare Beneficiary Analysis for Chronic Conditions for 2002 to 2011

source: CMS Chronic Condition Data Warehouse (CCW) dated 05.15.2013

:: prepared by 06.23.2013

Annotations Claim Type Legend> IP = Inpatient, SNF = Skilled Nursing Facility, HHA = Home Health Agency, HSPC = Hospice, OP = Outpatient, PHYS = Physician/supplier, DME = Durable Medical Equipment


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:: counts consider fee-for-service administrative claims only, data derived from Table A.1, B.1, B.2

:: includes all medicare beneficiaries who were eligible for or enrolled in Medicare on or after January 1, YYYY

:: beneficiaries may be counted in more than one chronic condition category and have a 1 to 3 year look-back time period

:: beneficiaries included in these counts may have combination of Medicare coverage, including full or partial fee-for-service and/or HMO coverage.

:: please note numerator variance observed in Table B.1 and B.2, in most cases Table B.1 had a higher numerator except in entry for 2011 Benigh Prostatic Hyperplasia, as such calculations relating to male and female denominator analysis are best estimates for trending purposes only. Graphs below are based on higher numerator values. These values are subject to change and may be updated by source origin.

:: prepared by 06.23.2013

::Updated 07.08.13 with 2011 Claim Totals and percent breakdown by Claim Type derived from Table C.2

::Updated 07.13.13 with 2006-2011 Claim Volume and Reimbursement Costs breakdown by Claim Type derived from Table C.1, D.1