Table 17B: Dually Eligible HCBS Participants

Assessing the Health and Welfare of the HCBS Population

Table 17: Outcome Indicators by State Prevalence of Chronic Conditions, 2005^a

Select for:

• Table 17A: National HCBS Population.
• Table 17C: Medicaid-Only HCBS Participants.
• Table 17D: I/DD Subpopulation.
• Table 17E: SMI Subpopulation.
• Table 17F: HCBS Population Ages 18-64 Without I/DD or SMI.
• Table 17G: HCBS Population Age 65+.

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Outcome Indicator	Prevalence of Diabetes		Prevalence of Asthma in Adults		Prevalence of Cardiovascular Disease		Prevalence of High Blood Pressure		Prevalence of Serious Mental Illness
	>Median	≤Median	>Median	≤Median	>Median	≤Median	>Median	≤Median	>Median	≤Median
Short-Term Complications of Diabetes	266	181	231	231	266	209	224	248	296	202
Asthma or Chronic Obstructive Pulmonary Disease	4,897	2,934	4,869	3,566	5,209	3,377	4,157	3,924	4,930	3,726
Congestive Heart Failure	6,990	4,353	6,287	5,648	7,345	4,989	6,021	5,622	7,091	5,383
Composite: Potentially Preventable Infection	10,247	7,481	10,345	8,280	11,424	7,636	9,121	9,075	11,054	8,236
Bacterial Pneumonia	6,111	4,762	6,358	5,018	6,780	4,777	5,487	5,721	6,586	5,091
Urinary Tract Infection	4,136	2,719	3,986	3,262	4,643	2,859	3,634	3,354	4,467	3,145
Infection Due to Device or Implant	833	596	787	700	853	660	735	736	860	680
Dehydration	2,543	1,597	2,349	2,023	2,733	1,785	2,185	2,078	2,699	1,912
Composite: ACSC Chronic Conditions	15,293	9,522	14,253	12,022	15,802	11,083	13,095	12,484	15,396	11,838
Composite: ACSC Acute Conditions	9,468	6,813	9,371	7,708	10,530	7,005	8,314	8,522	10,408	7,479
Composite: ACSC Overall	24,760	16,334	23,622	19,729	26,330	18,086	21,408	21,005	25,803	19,316
Pressure Ulcer	4,583	2,937	4,303	3,638	4,774	3,353	4,098	3,440	4,727	3,530
Injurious Falls	397	350	396	366	462	324	384	363	466	342

Notes: 

ACSC = ambulatory care-sensitive condition; HCBS = home and community-based services; I/DD = intellectual and development disabilities; SMI = serious mental illness.

^a. All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS population. HCBS population for outcome indicators excludes: individuals under age 18; people with only institutional use in a given quarter; people on managed care plans; and persons in the States of Arizona, Maine, Washington, and Wisconsin.

Dually eligible = dually eligible for Medicaid and Medicare. Eligibility for Medicare defined as inclusion in Medicare denominator file.

Medicaid only = part of Medicaid HCBS population but not enrolled in Medicare.

HCBS subpopulations of I/DD, SMI, Under 65 Without I/DD or SMI, and 65+ are defined as in the Appendix.

Median is defined as the value at which half of States are below and half of States are above.

Source for Outcome Indicators: Agency for Healthcare Research and Quality (AHRQ), Medicaid Analytic eXtract (MAX) data, and Medicare Provider Analysis and Review (MedPAR) data.

Sources for column heading data are described in the Appendix.

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