Table 2.
Net Compensation and Average Spending (in U.S. Dollars, 2011) by Mutually Exclusive Chronic Condition Groups as Defined by CCS Categories.
Group | Net Compensation | SE | Mean Spending | SE | N |
---|---|---|---|---|---|
Mental illness | −607 | 66 | 15,702 | 70 | 336,228 |
Mental illness only | 415 | 65 | 7,540 | 66 | 97,746 |
Multiple chronic conditions, mental illness | −1,026 | 88 | 19,047 | 94 | 238,482 |
Multiple chronic conditions, no mental illness | −32 | 68 | 14,570 | 72 | 266,614 |
Diabetes only | 678 | 53 | 6,674 | 54 | 117,014 |
Heart disease only | −101 | 65 | 10,082 | 67 | 197,196 |
Cancer only | 217 | 61 | 7,742 | 64 | 106,284 |
No chronic condition | 273 | 24 | 4,384 | 25 | 476,664 |
Notes: Net Compensation is calculated using an OLS risk adjustment regression similar to the Version 21 CMS−HCC risk adjustment formula for the aged, community-dwelling subgroup. Chronic conditions refer to cancer, diabetes, heart disease, and mental illness, as defined by CCS categories; the groups are mutually exclusive. The total N = 1.5 million, drawn as a random sample of age-based Medicare beneficiaries with 12 months of continuous Parts A and B coverage in 2010 and at least one month of coverage in 2011; we exclude beneficiaries with ESRD or residing in an institution.