Characteristics of Medicare Fee-For-Service Beneficiaries in the Third Year of the MAPCP Demonstration, N = 302,719
| Characteristics | Value |
|---|---|
| Demographicsa | |
| Age, %, y | |
| <65 | 24.76 |
| 65-75 | 44.28 |
| 76-85 | 21.84 |
| >85 | 9.13 |
| Age, mean, y | 68.44 |
| White race, % | 88.18 |
| Urban place of residence, % | 59.04 |
| Female, % | 57.70 |
| Dually eligible for Medicare and Medicaid, % | 27.14 |
| Disabled, % | 31.77 |
| End-stage renal disease, % | 0.81 |
| Institutionalized, % | 0.96 |
| Health statusa | |
| Hierarchical Condition Categoryb score, mean | 1.02 |
| Low risk (< .48), % | 24.87 |
| Medium risk (0.48-1.25), % | 51.96 |
| High risk (>1.25), % | 23.17 |
| Charlson comorbidity indexc score, mean | 0.76 |
| Low (= 0), % | 64.72 |
| Medium (0 <1), % | 17.69 |
| High (>1), % | 17.59 |
MAPCP = Multi-Payer Advanced Primary Care Practice.
↵a Demographic and health status characteristics calculated using the Medicare enrollment database and claims data for the 1-year period before a Medicare beneficiary was first attributed to a practice, after the start of the MAPCP Demonstration.
↵b Hierarchical Condition Category scores use demographic information (age, sex, Medicaid dual eligibility, disability status) and major medical conditions in a base year to predict Medicare spending in the following year. A score of 1.02 means the Medicare beneficiaries in this group were predicted to be 2% more costly than the average Medicare fee-for-service beneficiary.
↵c Charlson Comorbidity Index predicts patients’ mortality or higher health care utilization based on which of the 18 clinical conditions in the index a patient received medical care for in the year before their attribution to a practice. A score of 0 indicates that no comorbidities were found, while a higher score indicates a higher likelihood of mortality or higher health care utilization.