Findings in the Area of Chronic Disease Reported from University of California San Diego (UCSD) (Updating the Chronic Illness and Disability Payment System): Disease Attributes – Chronic Disease

2024 MAR 08 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Investigators publish new report on Disease Attributes - Chronic Disease. According to news originating from La Jolla, California, by NewsRx correspondents, research stated, “Of the 38 Medicaid programs that risk adjust payments to Medicaid managed care organizations (MCOs), 33 of them use the Chronic Illness and Disability Payment System (CDPS). There has been recent interest in adding social determinants of health (SDH) into risk-adjustment models.”

Financial support for this research came from Institute for Medicaid Innovation.

Our news journalists obtained a quote from the research from the University of California San Diego (UCSD), “To update the CDPS models using recent MCO data based on the International Classification of Diseases version 10 coding system and to explore whether indicators of SDH are predictive of expenditures. Data from 3 national Medicaid MCOs and 8 states are used to update the CDPS model. We test whether spending on Medicaid beneficiaries living in economically and socially deprived communities is greater than spending on similar beneficiaries in less deprived communities. Medicaid beneficiaries with full benefits and without dual eligibility under Medicare enrolled in Medicaid MCOs in 8 states during 2017-2019, including 1.4M disabled beneficiaries, 9.2M children, and 6.4M adults. Health care eligibility and claims records. Indicators based on the Social Deprivation Index were used to measure SDH. The revised CDPS model has 52 CDPS categories within 19 major categories. Six major categories of CDPS were revised: Psychiatric, Pulmonary, Renal, Cancer, Infectious Disease, and Hematological. We found no relationship between health care spending and the Social Deprivation Index. The revised CDPS models and regression weights reflect the updated International Classification of Diseases-10 coding system and recent managed care delivery.”

According to the news editors, the research concluded: “States should choose alternative payment strategies to address disparities in health and health outcomes.”

This research has been peer-reviewed.

For more information on this research see: Updating the Chronic Illness and Disability Payment System. Medical Care, 2024;62(3):175-181. Medical Care can be contacted at: Lippincott Williams & Wilkins, Two Commerce Sq, 2001 Market St, Philadelphia, PA 19103, USA. (Lippincott Williams and Wilkins - www.lww.com; Medical Care - http://journals.lww.com/lww-medicalcare/pages/default.aspx)

The news correspondents report that additional information may be obtained from Todd Gilmer, University of California San Diego (UCSD), Herbert Wertheim Sch Publ Hlth & Human Longev Sci, 9500 Gilman Dr, La Jolla, CA 92093, United States.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1097/MLR.0000000000001968. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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