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   What are the 2023 benefit year final risk adjustment model coefficients?

   • This document releases the 2023 benefit year final risk adjustment model coefficients. Table 1 contains the coefficients for each factor in the adult models, including the age-sex factors, HCCs, RXCs, RXC–HCC interactions, interacted HCC counts factors, and HCC-contingent EDFs.

   2023 Benefit Year Final HHS Risk Adjustment Model Coefficients

   www.cms.gov/files/document/2023-benefit-year-final-hhs-risk-adjustment-model-coefficients.pdf

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   Why did we not finalize the final 2023 Payment Notice?

   • In the Final 2023 Payment Notice, we finalized the interacted HCC count model specification and the HCC-contingent EDFs, but we did not finalize the proposed two-stage weighted model specification.4 Because we did not finalize all of the proposed model specification changes, the final coefficients are different from the proposed coefficients.

   2023 Benefit Year Final HHS Risk Adjustment Model Coefficients

   www.cms.gov/files/document/2023-benefit-year-final-hhs-risk-adjustment-model-coefficients.pdf

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   Who are the experts on chronic condition management?

   • Panelists included six clinical experts on chronic condition management from three federal agencies—the Agency for Healthcare Research and Quality (AHRQ), the Centers for Disease Control and Prevention (CDC), and CMS.

   Chronic Condition Special Needs Plans (C-SNPs) | CMS

   www.cms.gov/medicare/enrollment-renewal/special-needs-plans/chronic-conditions

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2. www.cms.gov › newsroom › press-releasesCMS IDENTIFIES 15 CHRONIC CONDITIONS FOR MEDICARE

   www.cms.gov › newsroom › press-releases

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   Nov 13, 2008 · 1. Chronic alcohol and other drug dependence. 2. Certain autoimmune disorders. 3. Cancer excluding pre-cancer conditions. 4. Certain cardiovascular disorders. 5. Chronic heart failure. 6. Dementia. 7. Diabetes mellitus. 8. End-stage liver disease. 9. End-stage renal disease requiring dialysis (all modes of dialysis) 10.

   • Medicare Proposes Revised Coverage Policy for Bariatric Surgery as a Diabetes Treatment

     The Centers for Medicare & Medicaid Services (CMS) announced...

   • CHRONIC CARE MANAGEMENT TOOLKIT

     CCM is the provision of care management and coordination...

   • CHRONIC CARE MANAGEMENT AT-A-GLANCE

     Chronic care management (CCM) is the care coordination that...

3. www.cms.gov › chronic-conditionsChronic Condition Special Needs Plans (C-SNPs) | CMS

   www.cms.gov › chronic-conditions

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   Aug 9, 2019 · CMS accepts applications for C-SNPs that focus on the following multi-condition groupings: Group 1: Diabetes mellitus and chronic heart failure; Group 2: Chronic heart failure and cardiovascular disorders; Group 3: Diabetes mellitus and cardiovascular disorders; Group 4: Diabetes mellitus, chronic heart failure, and cardiovascular disorders; and.

4. data.cms.gov › medicare-chronic-conditionsCenters for Medicare & Medicaid Services Data

   data.cms.gov › medicare-chronic-conditions

   An official website of the United States government. Here’s how you know

5. www2.ccwdata.orgHome - Chronic Conditions Data Warehouse

   www2.ccwdata.org

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   The CMS Chronic Conditions Data Warehouse (CCW) provides researchers with Medicare and Medicaid beneficiary, claims, and assessment data linked by beneficiary across the continuum of care.

6. www.cms.gov › files › document2023 Benefit Year Final HHS Risk Adjustment Model Coefficients

   www.cms.gov › files › document

   This document releases the 2023 benefit year final risk adjustment model coefficients. Table 1 contains the coefficients for each factor in the adult models, including the age-sex factors, HCCs, RXCs, RXC–HCC interactions, interacted HCC counts factors, and HCC-contingent EDFs.