Medicare Advantage, Part D, Medicaid

Vlada benefit reading, design transitions (edition v20261018b): members by base-year design x next-year design per benefit, same members

medicare_semantic.vw_benefit_reading_transitions·live·mart
Rows
17,670,144
Columns
30
History
N/A
Card
nocolumns only
Typed tools
1

What it is

  1. 1Base-year members followed 1:1 into their next-year plan (book <-> next on county_ssa + base_key); not followed = to_design 'exit'.
  2. 2Designs: allowances cap | cap_plus_card | no_max (copay_per_aid for hearing) | card | none | unknown; cost shares zero | copay | coinsurance | unknown; premium zero | paid;
  3. 3MOOP in_network | not_in_network; deductible none | plan | partb | none_in_network; giveback none | token | giveback; services offered | optional_only | none. v0__s / v1__s over pair_w = the like-for-like value both sides (allowances dollars a year; cost shares the copay pair, q = the coinsurance pair).
  4. 4The successor mix (same / other segment, crosswalk consolidated / renumbered, left county, plan not filed) and to_contract_changed / to_parent_changed (next contract's parent in the base parent's name space) / to_type_changed ride beside.
  5. 5Pointer -> medicare_semantic.benefit_reading_transitions_v20261018b.
  6. 6Owner: the Benefits lane.

Grain

KeyGrain
N/A
  1. 1One row per base_year x lvl x state x county_ssa x bucket ('ALL') x parent ('ALL') x benefit x from_design x to_design.

Columns (30)

ColumnTypeMeaning
base_yearint
value_yearint
lvlvarchar(8)
statestring
county_ssastring
county_namestring
bucketstring
parentstring
benefitstring
from_designstring
to_designstring
membersdouble
plans_frombigint
plans_tobigint
pair_wdouble
v0__sdouble
v1__sdouble
coins_wdouble
q0__sdouble
q1__sdouble
succ_same_segmentdouble
succ_other_segmentdouble
succ_crosswalk_consolidateddouble
succ_crosswalk_renumbereddouble
succ_left_countydouble
succ_plan_not_fileddouble
to_contract_changeddouble
to_parent_changeddouble
to_parent_unknowndouble
to_type_changeddouble

Query it

describe_data_source(source_fqn="medicare_semantic.vw_benefit_reading_transitions")     # the card, live
query_substrate(sql="SELECT * FROM medicare_semantic.vw_benefit_reading_transitions WHERE <filter> LIMIT 100")
ItemValue
Typed tools that read itget_benefit_change
Identity keybase_year,lvl,state,county_ssa,bucket,parent,benefit,from_design,to_design
Joinhow_to_join(source_fqn="medicare_semantic.vw_benefit_reading_transitions")
Raw doorAthena (read-only via query_substrate): medicare_semantic.vw_benefit_reading_transitions

This page as markdown: /docs-md/data/medicare_semantic_vw_benefit_reading_transitions.md · every page in one file: /llms-full.txt