Standard Initial, Midyear, and Final Run CMS-HCC Model Demographic Inputs

Object Description

One record per MMR Member-Month Transaction record used to generate a CMS standard Initial, Midyear, or Final Run CMS-HCC RAF score. For Initial Run results, only January - June records with payment month = covered month are used; for Midyear Run results, the most recent MMR records with payment date up through July of that year are used for January - June, and only MMR records with payment month = covered month are used from July - December; for Final Run results, the most recent MMR records with payment date up through November of the subsequent year are used for all calendar months.

Metadata

• Table Name: ursa.so_ursa_hcc_pat_021
• Layer: SYNTHETIC_OBJECT
• Object Type: Single Stack
• Case ID: Transaction ID
• Primary Key: Transaction ID