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SOURCE: RTI Analysis of 100% 2022-2023 Medicare Enrollment Data, 2023 Prescription Drug Event (PDE) Data, 2022 Professional Claims (Carrier), 2022 Inpatient Claims, 2022 Outpatient Claims, and 2022 Medicare Advantage Encounter Data.

Table VIII-4. 2026 RxHCC Model Relative Factors for New Enrollees, Institutional (2022/2023 Calibration; HCPCS-based Filtering Logic; Reflects MFPs) Variable Not Concurrently ESRD Concurrently ESRD Female 0-34 Years 3.447 2.481 35-44 Years 3.447 2.481 45-54 Years 3.447 2.481 55-59 Years 2.690 2.481 60-64 Years 2.490 2.481 65 Years 2.651 2.481 66 Years 2.651 2.481 67 Years 1.929 2.481 68 Years 1.929 2.481 69 Years 1.451 2.481 70-74 Years 1.451 2.481 75-79 Years 1.451 2.481 80-84 Years 0.925 2.481 85-89 Years 0.925 2.481 90-94 Years 0.491 2.481 95 Years or Over 0.491 2.481 Male 0-34 Years 2.974 2.316