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Virtual PACE Data

DHS has shared several iterations of data exhibits with stakeholders throughout the demonstration planning process. Numerous data exhibits were contained in the appendices to the proposal submitted to the Centers for Medicare and Medicaid Services (CMS) on April 26, 2012. Virtual PACE Proposal to CMS (PDF, 2 MB)

• The population has since been revised, and the most recent set of base data exhibits for the specific population that would be passively enrolled in Virtual PACE is bellow:
  • Calendar Year 2010 Base Data Including Hospice Member Months
    Excel (57 KB) | PDF (100 KB)

DHS has used this base data to develop a cost impact estimate model. This will require updates as program details and enrollment estimates are refined. Version presented to the Stakeholder Advisory Committee in September 2012:

• Cost Estimate Model Description (PDF, 151 KB)
• Future Cost Estimates Presented to Stakeholder Advisory Committee (PDF, 315 KB)

DHS produced several iterations of base data exhibits between the April 26, 2012 proposal and the most recent version listed above. Changing population definitions and data exhibits:

• Revisions to the long stay nursing home population definition and its impact on member months included in the base data:
  • Change in Virtual PACE Population Definition (PDF, 84 KB)
  • Change in Number of Member Months in Data (PDF, 66 KB)
     
• The above described change in the population definitions resulted in the following revised data exhibits:
  • Fee-for-Service (FFS) Institutional Costs Virtual PACE Nursing Home (NH) Medicare FFS (PDF, 181 KB)
  • FFS Institutional Costs NH Medicare HMO (PDF, 172 KB)
  • FFS Institutional Costs NH Short Stay (Medicare Stay) (PDF, 175 KB)
     
• The next change was the inclusion of additional member months related to individuals who elected their hospice benefits. The additional member months are included in the most current version of the data (PDF, 56 KB).
  • Data Revision: Add Hospice Member Months (17 KB)
     
• Based on the estimated revised population, DHS also shared a draft exhibit providing more detail on the Medicare services contained in the Medicare Carrier File:
  • Provider Specialty Detail Data (PDF, 124 KB)
     

• Data Snapshot - Dual Eligible Members in December 2010 (PDF, 110 KB) 
  High-level overview of the dual eligible populations previously reviewed for inclusion the Virtual PACE demonstration program produced prior to the decision to focus on long-term nursing home residents. This data is not, by itself, sufficient to reach any program design or cost projection conclusions.

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