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Risk-Standardized Acute Admission Rates for Patients with Diabetes

CBE ID
2887
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
1.3 Measure Description

Rate of risk-standardized acute, unplanned hospital admissions among Medicare fee-for-service (FFS) beneficiaries 65 years and older with diabetes who are assigned to an Accountable Care Organization (ACO).

        • 1.14 Numerator

          The outcome for this measure is the number of acute unplanned admissions per 100 person-years at risk for admission. Persons are considered at risk for admission if they are alive, enrolled in Medicare FFS, and not currently admitted to an acute care hospital. (See S.5, Numerator Details, for more information.)

        • 1.15 Denominator

          Our target population is ambulatory Medicare FFS beneficiaries aged 65 years and older assigned to the ACO with a diagnosis of diabetes.

        • Exclusions

          The measure excludes beneficiaries who are alive during the measurement year and do not have 12 months of continuous enrollment in Medicare Part A during the measurement year, or beneficiaries who die during the measurement year and are not continuously enrolled for the time period up until their date of death.

        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed All-Cause Admissions and Readmissions Spring Cycle 2020
          Initial Endorsement
          Last Updated
          Removal Date
        • Steward
          Centers for Medicare & Medicaid Services
          Steward Organization POC Email
          Steward Organization Copyright

          Not applicable.