Report Name
Persistency Report
About This Report
The Persistency Report summarizes categories of HCC data for reported chronic conditions that should be reported annually. The report identifies whether there is a lack of persistence in HCC reporting for chronic conditions (for instance - traditional timing issues of encounters for members not being managed by their primary care provider).
Project Type
Risk Adjustment Suspecting, Retrospective and Concurrent Chart Audit, Risk Score Capture
Service Type
Full Service, Platform Only, Risk Adjustment Suspecting
Intended User
Executive / Manager / Technical User
Best For
Identifying chronic HCC conditions not recaptured- suspecting- for the same members mix. Identifying decline in score for persisting HCC.
Using This Report
- Download the report and use within Excel.
- Create pivot table to group values.
- Identify Providers and HCC patterns.
- Build targets for retrospective chart audit, member and provider outreach, and concurrent risk activities.
What Information Can I Filter?
| Project |
What Do The Fields Mean?
| Field | Data Dictionary Definition |
| Chronic | Chronic HCCs included in the persistency rate |
| # All HCCs | Number of all HCCs in Voyager for the HCC category. |
| PY Total Score | Plan year total RAF score. |
| # Recur HCC | Number of recurring HCCs in Voyager for the HCC category. |
| CY Persisted Score | Calendar year total RAF score for the recurring (persisted) HCCs. |
| Persistency % | Ratio of recurring HCCs to all HCCs. |
| RAF Score Request ID | RAF Calculation ID the report uses. |
| CMS Plan ID | Contract number for each plan. |
| Member ID | Voyager ID. |
| Part AB Total Score | Risk score for Medicare A/B -- does not include Part D. |
| Part AB Total Pre-FFS Score | e Risk score for Medicare A/B, pre-fee-for-service program benefits. |
| Part AB Demo Score | Demographic-only risk score -- for Medicare A/B does not include Part D or diagnosis score. |
| Part AB Interaction Score | Diagnosis interaction risk score for Medicare A/B -- does not include Part D. |
| RAF Type Code | RAF type assigned to member (for instance, CN for Community Non-Dual). |
| Status | 1 = Active, 0 = Inactive |
| HCC | Hierarchical condition category |
| Score | HCC coefficient. |
| Persist | The persist-relevant HCC code. |
| Persist Count | 1 = Yes, it persisted. 0 = No, it did not persist. |
| Persist Score | 1 = HCC coefficient recorded; Yes, it persisted. 0 = No, it did not persist. |