Chronic Condition Triads 2016

$179 / year

This dataset shows the chronic condition reports that are based upon Centers for Medicare and Medicaid Services (CMS) administrative enrollment and claims data for Medicare beneficiaries enrolled in the fee-for-service program. Exclude Medicare beneficiaries with any Medicare Advantage enrollment during the year since claims data are not available for these beneficiaries.

Complexity

Chronic condition triads represent the combinations of three chronic conditions among Medicare beneficiaries who have at least three of the conditions. There are 969 triads. The 19 chronic conditions are identified through Medicare administrative claims. A Medicare beneficiary is considered to have a chronic condition if the Centers for Medicare and Medicaid Services (CMS) administrative data have a claim indicating that the beneficiary received a service or treatment for the specific condition. On October 1, 2016 the conversion from the 9th version of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) to version 10 (ICD-10-CM) occurred.

Regardless of when a claim was submitted for payment, services that occurred prior to October 1, 2015, use ICD-9 codes. Also, exclude beneficiaries who were enrolled at any time in the year in Part A only or Part B only, since their utilization and spending cannot be compared directly to beneficiaries enrolled in both Part A and Part B. Beneficiaries who died during the year are included up to their date of death if they meet the other inclusion criteria. For chronic condition triads, the population is further restricted to beneficiaries who have at least three of the 19 conditions for the year 2016.

Date Created

2016

Last Modified

2018-02-18

Version

2018-02-18

Update Frequency

Irregular

Temporal Coverage

2016

Spatial Coverage

United States

Source

John Snow Labs; Centers for Medicare and Medicaid Services;

Source License URL

Source License Requirements

N/A

Source Citation

N/A

Keywords

Chronic Diseases Data, Chronic Diseases Triads, CMS Medicare Spending, Co-Morbidity Illustrations, Co-Morbidity Combinations, CMS Chronic Conditions, CMS Medicare Services

Other Titles

Chronic Conditions Among Medicare Beneficiaries, Chronic Illnesses Triads for Year 2016, Health Data for Chronic Conditions 2016

NameDescriptionTypeConstraints
Triad_LabelChronic Conditions among Medicare Beneficiariesstringrequired : 1
All_Beneficiaries_PrevalencePercentage of All Beneficiaries Prevalencenumberlevel : Ratio
All_Beneficiaries_Per_CapitaMedicare Spending per Capitanumber-
Years_Less_Than_65_In_PercentageAge Less than 65 Years Prevalence in Percentagenumberlevel : Ratio
Medicare_Spending_Less_Than_65Medicare Spending Per Capita for Age Less than 65 Years in Percentagenumber-
Age_65_And_Over_In_PercentageAge Greater than 65 Years Prevalence in Percentagenumberlevel : Ratio
Medicare_Spending_More_Than_65_AgeMedicare Spending Per Capita for Age 65 Years and Older in Percentagenumber-
Male_In_PercentageMale Prevalence in percentagenumberlevel : Ratio
Male_Per_Capita_SpendingMedicare Spending Per Capita for Malenumber-
Female_In_PercentageNumber of Females in Percentagenumberlevel : Ratio
Female_Per_Capita_SpendingMedicare Spending Per Capita for Femalenumber-
Non_Dual_In_PercentagePrevalence Non Dual in Percentagenumberlevel : Ratio
Non_Dual_Per_Capita_SpendingMedicare Spending Per Capita for Non_Dualnumber-
Duals_In_PercentageDuals in Percentagenumberlevel : Ratio
Duals_Per_Capita_SpendingMedicare Spending Per Capita for Dualsnumber-
Triad LabelAll Beneficiaries PrevalenceAll Beneficiaries Per CapitaYears Less Than 65 In PercentageMedicare Spending Less Than 65Age 65 And Over In PercentageMedicare Spending More Than 65 AgeMale In PercentageMale Per Capita SpendingFemale In PercentageFemale Per Capita SpendingNon Dual In PercentageNon Dual Per Capita SpendingDuals In PercentageDuals Per Capita Spending
Alzheimer's Disease/Dementia and COPD and Diabetes2.049179.751.268681.882.147351.482.051649.492.047229.71.347670.224.250691.27
Alzheimer's Disease/Dementia and COPD and Heart Failure2.550029.971.078530.42.748237.952.453359.632.647660.381.848639.394.751741.6
Alzheimer's Disease/Dementia and COPD and Cancer0.649047.740.266285.850.748432.720.750139.220.647988.520.647143.150.953018.44
Alzheimer's Disease/Dementia and COPD and Chronic Kidney Disease2.551070.251.276372.972.749189.92.653349.652.549237.481.948871.774.753851.72
Alzheimer's Disease/Dementia and COPD and Depression2.248109.281.562306.532.346558.211.852812.742.545358.391.547894.714.648328.33
Alzheimer's Disease/Dementia and COPD and Ischemic Heart Disease2.846926.511.270257.833.145395.072.948494.862.845633.192.144966.655.149527.46
Alzheimer's Disease/Dementia and COPD and Osteoporosis0.745681.110.265047.070.744872.360.253007.391.044340.620.545416.951.246048.01
Alzheimer's Disease/Dementia and COPD and Arthritis2.544900.821.260778.62.743771.362.048714.022.942757.01.844007.294.746019.56
Alzheimer's Disease/Dementia and COPD and Stroke0.758966.050.481542.050.757078.060.761816.620.756703.010.556275.561.362283.98
Alzheimer's Disease/Dementia and COPD and Atrial Fibrillation1.154907.570.297637.291.253566.571.157788.91.152543.460.952620.271.659106.65