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  3. Care Coordination

FAQ Data Use and Analysis 

Select the Frequently Asked Question to view answer.
  1. Can the data be used for cost modeling?
    Yes, and this is our intention.
  2. Can the data be used for insight into distribution of diseases among the population of interest?
    Yes, the data sets can be used to examine for this purpose to a limited extent. This information has obvious value for clinical planning for a particular population. With that said, we recognize that our method of compiling diagnoses eliminates specific ICD-9 codes, and therefore limits the epidemiological analyses that can be successfully completed with this data. 

    Please see Chronic Illness and Disability Payment System (CDPS) documentation for details.

  3. Can the data be used to analyze social, cultural, or economic aspects of a patient population?

    Several organizations have voiced an interest in examining the social, economic or cultural factors that correlate with healthcare needs or disease risk. Our data sets are highly limited with regard to these types of information, and we do not expect that prospective partner organizations will be able to complete analyses of public health issues related to clinical care needs.

  4. Can the data be used for risk adjustment purposes?

    Yes, but that is not our intention. We are providing Chronic Illness and Disability Payment System (CDPS) flags that allow partners to view recipients by condition should a potential partner be targeting a population with a specific condition and so that all potential partners understand the co-morbidities of their population of interest. We have not assigned risk prediction costs to the flags.

    Please see CDPS documentation for details.

  5. Can the data be used to assess service gaps?
    The data contained in Data Set I is insufficient to address this question.
  6. Can data be used to identify trends and to make projections?
    No, given that it’s only one year. Partners are welcome to use the data sets or supplementary information to support projected needs of patient populations. We advise partners to note that Medicaid fee schedules have historically been mostly fixed. Should fee schedules change we plan to re-price historical data to be comparable to new prices for purposes of determining shared savings.
  7. What errors are in the data sets?
    We have made every attempt to compile quality data, but it is unlikely to be perfect. Our underlying data is far from perfect and is limited by the inaccuracies in diagnosis, record-keeping, and client self-reporting that plague all data sets. In addition, we may have made errors in compiling the data. We appreciate your feedback with respect to any data anomalies that are not already described in the documentation. If it is something that we can correct, we will; otherwise we will include the anomaly in the documentation.
  8. Will additional years of data be released?
    It is possible that HFS will release additional years of data in the future. However, this is unlikely to occur until after the deadline for the current Solicitation. Therefore we expect organizations to submit proposals based on the data available at the present time.