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Medicare Advantage & Part DSource-backed product
CMS-HCC Risk Adjustment Model
The diagnosis-to-HCC mappings and model coefficients used to translate member conditions into Medicare Advantage risk scores, rate years 2016 to 2027 across model versions (V21, V22, V24, V28, RxHCC). Pin the rate year and model version.
What Vlada adds: Preserves the publisher data, normalizes schema eras and identifiers, and connects the product to compatible healthcare entities with measured join coverage.
- rows
- 341.8K
- rows
- datasets
- 2
- datasets
- cadence
- annual
- cadence
- coverage
- 2016-2027
- coverage
Publishers: Centers for Medicare & Medicaid Services
What's inside
ICD-10 to HCC crosswalk
CMS reference crosswalk mapping each ICD-10-CM diagnosis to its Hierarchical Condition Category under a specific risk-model version and payment year.
grain: One row per (icd_code, model_version, rate_year). 171,676 rows.
333.0K rows
HCC risk-model coefficients
CMS risk-adjustment COEFFICIENT tables (Part C HCC + Part D RxHCC).
grain: One row per (rate_year, model_version, variable, segment) = one risk-model coefficient. 8,805 rows.
8.8K rows