How is the HCC score being calculated by Health Endeavors? 

Problem

How is the HCC score being calculated by Health Endeavors?

Solution

Risk Score = Patient Demographic Score + Health Status
Health Status are the weight of each HCC diagnosis assigned to a patient.

The demographic variables include:
--Age as of February 1st of the payment year.
--Sex of the beneficiary.
--Disabled Status results in the inclusion of additional factors in the risk scores of community residents who are disabled beneficiaries under 65 years old.
--Original Reason for Entitlement results in the inclusion of a factor in the risk score for beneficiaries 65 years of age or older who were originally entitled to Medicare due to disability; the factor differs by the age and sex of the beneficiary.
--Medicaid Eligibility results in the inclusion of an additional factor in the risk score.