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. Author manuscript; available in PMC: 2024 Mar 1.
Published in final edited form as: Healthc (Amst). 2022 Dec 19;11(1):100664. doi: 10.1016/j.hjdsi.2022.100664

Table 2:

Study Cohort Attribution and Clinical Characteristics, 2009–2017

Any Mental Illness Bipolar, Schizophrenia, or other Psychotic Disorders Depression w/o Bipolar, Schizophrenia, or other Psychotic Disorders
N 5,157,533 1,993,853 2,215,837
Year first attributed to ACO provider, %
 2009 to 2011 (prior to first ACO contract) 38.0 40.3 37.1
 2012 4.8 4.9 4.8
 2013 5.8 5.9 5.9
 2014 4.6 4.4 4.7
 2015 4.0 3.7 4.2
 2016 3.5 3.0 3.7
 2017 2.8 2.3 2.9
Average duration of first ACO attribution (for those ever in ACO), years 2.3 2.3 2.4
Clinical condition, % (ever in study period)
Behavioral health conditions
 Anxiety 54.4 55.2 48.9
 Bipolar Disorder 21.7 56.2 0.0
 Depression 69.7 69.2 100.0
 Schizophrenia and other psychotic disorders 26.5 68.5 0.0
 Other Mental Illness 16.8 10.4 11.5
 Substance Use Disorder 10.1 14.9 7.9
Physical health conditions
 Coronary Artery Disease 15.5 13.2 17.6
 Vascular Disease 35.9 35.0 38.8
 Polyneuropathy 2.0 1.9 2.3
 Cardio-Respiratory Failure and Shock 23.1 22.4 24.8
 End Stage Renal Disease 2.3 1.9 2.6
 Renal Failure (non-acute) 3.8 2.7 4.6
 Diabetes 40.8 39.3 44.0
 Cancer 13.9 11.6 15.6
 Chronic Obstructive Pulmonary Disease 34.0 33.6 36.0
 Congestive Heart Failure 31.5 27.5 35.8
3 or more HCCs 64.6 66.8 67.4
Died during study period 26.3 24.6 28.4

SOURCE: Authors’ analysis of Medicare claims and enrollment data for 2009–2017. NOTES: HCC=Hierarchical Condition Category. Mental Illness conditions required 1 inpatient or 2 outpatient diagnoses 7 days apart, within year. “Other Mental Illness” includes phobias, personality disorders (see appendix for specific codes), as well as combinations of single outpatient diagnoses of anxiety, depression, bipolar disorder and schizophrenia that total two or more. Non-mental illness conditions are based on HCC flags, version 22. “Any Mental Illness” column includes some beneficiaries who are represented in neither the “Bipolar, Schizophrenia, or other Psychotic Disorders” nor the “Depression w/o Bipolar, Schizophrenia, or other Psychotic Disorders” columns. Average duration refers to consecutive years attributed to same ACO as first ACO to which first attributed (rather than across all ACOs).