Hierarchical Condition Categories (HCC)
Submitted by admin on Wed, 04/12/2017 - 14:49
Definition:
The CMS hierarchical condition categories (CMS-HCC) model, implemented in 2004, adjusts Medicare capitation payments to Medicare Advantage health care plans for the health expenditure risk of their enrollees using a methodology involving 70 chronic disease categories and 3,100 diagnoses.
Glossary Category:
Medicare & Medicaid
