Cost of caring for medicare beneficiaries with Parkinson's Disease: Impact of the CMS-HCC risk-adjustment model

Disease Management

Volumn 9, Issue 6, 2006, Pages 339-348

  Noyes, Katia ^a   Liu, Hangsheng ^a   Temkin Greener, Helena ^a  

^a UNIVERSITY OF ROCHESTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; CAPITATION FEE; COMORBIDITY; COST BENEFIT ANALYSIS; DISABILITY; FEMALE; FRAIL ELDERLY; FUNCTIONAL STATUS; HEALTH CARE COST; HEALTH INSURANCE; HEALTH PROGRAM; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAID; MEDICARE; PARKINSON DISEASE; RISK ASSESSMENT;

AGED; COSTS AND COST ANALYSIS; FEMALE; HEALTH EXPENDITURES; HUMANS; MALE; MEDICARE; MODELS, ECONOMIC; PARKINSON DISEASE; RISK ADJUSTMENT;

EID: 33845434856     PISSN: 1093507X     EISSN: None     Source Type: Journal    
DOI: 10.1089/dis.2006.9.339     Document Type: Article

References (45)

1. Pope GC, Kautter J, Ellis RP, et al. Risk adjustment of Medicare capitation payments using the CMS-HCC model. Health Care Financ Rev 2004;25:119-141.
2. McCall N, Khatutsky G, Smith K, Pope GC. Estimation of non-response bias in the Medicare FFS HOS. Health Care Financ Rev 2004;25:27-41.
3. Riley GF. Risk adjustment for health plans disproportionately enrolling frail Medicare beneficiaries. Health Care Financ Rev 2000;21:135-148.
4. Temkin-Greener H, Meiners MR, Gruenberg L. PACE and the Medicare+Choice risk-adjusted payment model. Inquiry 2001;38:69-72.
5. Kautter J, Pope GC. The CMS fraility adjustment model. Health Care Financ Rev 2004;26:1-201.
6. Tanner CM. Epidemiology of Parkinson's disease. Neurol Clin 1992;10:317-329.
7. Ebadi M, Pfeiffer RF. Parkinson's disease. Boca Raton, FL: CRC Press, 2005.
8. Rubenstein LM, Chrischillis EA, Voelker L. The impact of Parkinson's disease on health status, health expenditures and productivity. Estimates from the National Health Expenditures Survey. Pharmacoeconomics 1997;12:486-498.
9. Adler GS. A profile of the Medicare Current Beneficiary Survey. Health Care Financ Rev 1994;15:153-163.
10. Eppig F, Chulis GS. Matching MCBS and Medicare data: the best of the both worlds. Health Care Financ Rev 1997;18:211-229.
11. Centers for Medicare and Medicaid Services (CMS). Medicare managed care manual. Available at: www.cms.hhs.gov/manuals/116_mmc/mc86toc.asp. Accessed September 10, 2006.
12. Strickland D, Bertoni JM. Parkinson's prevalence estimated by a state registry. Mov Disord 2004;19:318-323.
13. Marder K, Levy G, Louis ED, et al. Accuracy of family history data on Parkinson's disease. Neurology 2003;61:18-23.
14. Ellis BH, Shannon ED, Cox JK, Aiken L, Fowler BM. Chronic conditions: results of the Medicare Health Outcomes Survey 1998-2000. Health Care Financ Rev 2004;25:75-91.
15. Wolff JL, Boult C, Boyd C, Anderson G. Newly reported chronic conditions and onset of functional dependency. J Am Geriatr Soc 2005;33:851-855.
16. Devore J, Peck R. Statistics: the exploration and analysis of data, 2nd ed. Belmont, CA: Duxbury Press, 1993.
17. Noyes K, Liu H, Li Y, Holloway RG, Dick AW. Economic burden associated with Parkinson's disease. Mov Disord 2006;21:362-372.
18. Centers for Medicare and Medicaid Services (CMS). CMS-HCC Payment Model software and data for 2004. Bethesda, MD: Centers for Medicare and Medicaid Services, 2003.
19. McCall N, Korb J. Risk adjustment for dually eligible beneficiaries using long-term care. Health Care Financ Rev 1998;20:71-90.
20. Tappenden P, Chilcott JB, Eggington S, Oakley J, McCabe C. Methods for expected value of information analysis in complex health economic models: developments on the health economics of interferon-B and glatiramer acetate for multiple sclerosis. Health Technol Assess 2004;8:iii,1-78.
21. Dooneief G, Mirabello E, Bell K. An estimate of the incident of depression in ideopathic Parkinson's disease. Arch Neurol 1992;49:305-307.
22. Murphy E. The prognosis of depression in old age. Br J Psychiatry 1983;142:111-119.
23. Baldwin RC. The outcome of depression in old age: special issue: affective disorders in old age. Int J Geriatr Psychiatry 1991;6:395-400.
24. Alexopoulos GS, Chester JG. Outcomes of geriatric depression. Clin Geriatr Med 1992;8:363-376.
25. Kouzis A, Eaton WW, Leaf PJ. Psychopathology and mortality in the general population. Soc Psychiatry Psychiatr Epidemiol 1995;30:165-170.
26. Pennix BW, Guralnik JM, Ferrucci L, et al. Depressive symptoms and physical decline in community-dwelling older persons. JAMA 1998;279:1720-1726.
27. Alexopoulos GS, Vrontou C, Kakuma T, et al. Disability in geriatric depression. Am J Psychiatry 1996;153:877-885.
28. Olfson M, Klerman GL. Depressive symptoms and mental health service utilization in a community sample. Soc Psychiatry Psychiatr Epidemiol 1992;27:161-167.
29. Johnson J, Weissman MM, Klerman GL. Service utilization and social morbidity associated with depressive symptoms in the community. JAMA 1992;267:1478-1483.
30. Levenson J, Hamer RM, Rossiter LF. Relation of psychopathology in general medical inpatients to use and cost of services. Am J Psychiatry 1990;147:1498-1503.
31. Pressley JC, Louis ED, Tang M-X, et al. The impact of comorbid disease and injuries on resource use and expenditures in Parkinsonism. Neurology 2003;60:87-93.
32. Martignoni E, Godi L, Citterio A, et al and the Parkinson's Disease Comorbidity Study Group. Comorbid disorders and hospitalization in Parkinson's disease: a prospective study. Neurol Sci 2006;25:66-71.
33. Bloem BR, Munneke M, Carpenter MG, Allum JHJ. The impact of comorbid disease and injuries on resource use and expenditures in parkinsonism. Neurology 2003;61:1023-1025.
34. Menzel P, Dolan P, Richardson J, Olsen JA. The role of adaptation to disability and disease in health state valuation: a preliminary normative analysis. Soc Sci Med 2002;55:2149-2158.
35. Spillman BC. Changes in elderly disability rates and the implications for health care utilization and cost. Milbank Q 2004;82:157-194.
36. Wray LA, Ofstedal MB, Langa KM, Blaum CS. The effect of diabetes on disability in middle-aged and older adults. J Gerontol 2005;60A:1206-1211.
37. Burnette D, Mui AC, Zodikoff BD. Gender, self-care and functional status among older persons with coronary heart disease: a national perspective. Women Health 2004;39:65-84.
38. Fried LP, Ettinger WH, Lind B, Newman AB, Gardin J. Physical disability in older adults: a physiologic approach. Cardiovascular Health Study Research Group. J Clin Epidemiol 1994;47:747-760.
39. Singer E. Social costs of Parkinson's disease. J Chronic Dis 1973;26:243-254.
40. Dodel RC, Singer M, Kohne-Volland R, et al. The economic impact of Parkinson's disease: an estimation based on a 3-month prospective analysis. Pharmacoeconomics 1998;14: 299-312.
41. LePen C, Wait S, Moutard-Martin F, Dujardin M, Ziegler M. Cost of illness and disease severity in a cohort of French patients with Parkinson's disease. Pharmacoeconomics 1999;16:9-69.
42. Parkinson's Care Networks. Available at: www.parkinsoncare.org/ pcnbrochp2.htm. Accessed September 10, 2006.
43. Tufts Health Plan. Available at: www.tuftshealthplan.com. Accessed September 10, 2006.
44. Providence Health System. Available at: www.providence.org/health_plans/ providers/diseasemgmt.htm. Accessed September 10, 2006.
45. Accordant Health Services. Available at: www.accordant.net. Accessed September 10, 2006.