Monitoring Chronic Disease Care and Outcomes Among Elderly Medicare Beneficiaries with Multiple Chronic Diseases

The purpose of this contract is to conduct analytic studies designed to better understand the nature of chronic disease among Medicare beneficiaries and to improve the care of these populations. The deliverables, named Activities one and two of this project, found that diabetes care services decreased and the odds of dying increased. However, among patients with multiple chronic conditions as compared to patients with diabetes only, the receipt of these diabetes care services was associated with only half the odds of dying and lower costs to Medicare. The Chronic Condition Warehouse (CCW), also known as the 723 database, and Part D data serve as the data sources for the analytic studies to be conducted under the deliverable named Activity three for this contract. In addition, the contract was modified to add an analysis of acute and long-term care services. Specifically, the cost of major types of acute and long-term care services received by beneficiary groups identified as receiving waivers or State plans services will be examined in 8 states; namely AR, FL, MN, NM, PA, TX, WA, and VT. The modification also includes tracking three groups of costs: Medicaid only, Medicaid expenses for Duals, and Medicare and Medicaid expenses for Duals. Pooled data from the CCW and Medicaid Analytic eXtract (MAX) across years will be used for this analysis.