Incidence, Persistence, and Steady-State Prevalence in Coding Intensity for Health Plan Payment
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Objective
To define measures of Medicare diagnosis coding intensity that capture the dynamics of changes in coding prevalence.
Study setting and design
Retrospective analysis of coding practices for risk adjustment using observational claims data from Medicare beneficiaries assigned to Accountable Care Organizations (ACOs) in 2017 and 2018.
Data sources
Enrollment and claims data from 2017-2018 of a random 20 percent sample of Medicare beneficiaries were subset to include those assigned to an ACO in 2018. Beneficiaries were included in analyses if they were continuously enrolled in Medicare Parts A and B in 2017 and 2018 and aged 65 years or older during that time. Beneficiaries were excluded if they were originally enrolled in Medicare due to end-stage renal disease or were residing outside of the United States.
Principal findings
Borrowing terminology from epidemiology, prevalence of a diagnosis code can be decomposed into incidence (the proportion of beneficiaries that newly have the code) and persistence (the proportion of beneficiaries who previously had the code and continue to do so). Together, these two measures define what we call steady-state prevalence, the hypothetical long-run prevalence implied by no changes in current rates of incidence and persistence of coding. The concept of steady-state prevalence can help explain why observed prevalence tends to grow over time, apart from continued behavioral change. We demonstrate this and also illustrate the application of our measures for the most expensive diagnoses in Medicare’s risk-adjustment payment model for ACOs.
Conclusions
Diagnostic coding is a highly heterogeneous behavior that can vary in response to changes in incentives. Researchers and policymakers can better monitor such behavior by measuring the incidence and persistence of a given code separately. In addition, changes in coding practices can take years to be fully reflected in current coding prevalence even in the absence of further behavioral change.
Callout Box
What is known on this topic:
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Medicare incentivizes providers and insurers to code for as many diagnoses per beneficiary as possible, contributing to billions of dollars of Medicare program spending.
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Empirical research indicates that the frequency of diagnostic coding in Medicare has increased steadily in recent years.
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Current measures of coding practices for a given diagnosis largely count the prevalence, or the proportion of beneficiaries with a specified code, in one time period.
What this study adds:
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This study proposes several new measures of coding practices decomposing diagnosis code prevalence into incident and persistent codes over two years, which policymakers can use to monitor coding behaviors.
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This study defines steady-state prevalence as the ultimate prevalence of a code implied by current coding patterns hypothetically remaining unchanged.
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Applying our measures to Medicare Accountable Care Organization coding finds that at current rates of incidence and persistence, observed prevalence of coding will increase even without further behavioral change.
