Request for Proposals: hscrc transformation Implementation Program


Appendix B. Chronic Condition Prevalence by County



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Appendix B. Chronic Condition Prevalence by County


DHMH and HSCRC, 2015. Tableau dashboards developed by CRISP. (DHMH & HSCRC, 2015)

Data source: The data source is CMS’s Chronic Condition Data Warehouse (CCW), which contains 100 percent of Medicare claims for beneficiaries who are enrolled in the fee-for-service (FFS) program as well as enrollment and eligibility data. The information in the Dashboard is restricted to Medicare FFS beneficiaries who were continuously enrolled in Medicare FFS, both parts A and B, for 2012. Beneficiaries who were enrolled in a Medicare Advantage (MA) plan at any point during the year were excluded. Beneficiaries who died during the year were included up to their date of death if they met the other inclusion criteria. The study population includes 34,126,305 FFS Medicare beneficiaries.

The Dashboard includes 17 chronic conditions that are consistent with the conditions suggested by the HHS Strategic Framework on Multiple Chronic Conditions (http://www.hhs.gov/ash/initiatives/mcc/) and is the same set of conditions included in the Office of Information Products and Data Analytics (OIPDA) program statistics examining chronic conditions among Medicare beneficiaries (http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Chronic-Conditions/index.html). Note that for this analysis, CRISP removed one chronic condition (Autism Spectrum Disorder) due to small cell size.

Chronic conditions are identified through Medicare administrative claims. Medicare beneficiaries were considered to have a chronic condition if the CMS administrative data had a claim indicating that they were receiving a service or treatment for the specific condition. Detailed information on the identification of chronic conditions in the CCW is available at http://www.ccwdata.org/chronic-conditions/index.htm.



CMS is obligated by the federal Privacy Act, 5 U.S.C. Section. 552a and the HIPAA Privacy Rule, 45 C.F.R Parts 160 and 164, to protect the privacy of individual beneficiaries and other persons. All direct identifiers have been removed from this data file. In addition, information is suppressed that is based upon fewer than eleven (11) beneficiaries in the population and is indicated by a blank cell.

  • Baltimore



  • Baltimore City




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