The results of the current work will feed directly in to work we will be completing as part of a contract modification. The additional work will include use of the CCW data to identify the presence of chronic conditions in beneficiaries in our 2006 episode file. Similar to some of the analyses presented in this report, we will look at the patterns of use and expenditures associated with beneficiaries with chronic conditions and with multiple chronic conditions. The CCW methodology includes flagging a beneficiary as ever having a chronic condition. This definition is more comprehensive than our limited application of the HCCs to the index acute admission claims.
Work under the contract modification will also include analyses of alternative episode definitions including fixed and variable length episodes and episodes initiating without an index acute admission. This work will serve as the basis of exploring potential episode-based payment or bundling options and will build on some of the episode composition work presented here.