This dataset is also known as Medicare Spending per Beneficiary (MSPB) Spending Breakdowns by Claim Type file. This dataset shows average spending levels during hospitals’ Medicare Spending per Beneficiary (MSPB) episodes.
An MSPB episode includes all Medicare Part A and Part B claims paid during the period from 3 days prior to a hospital admission through 30 days after discharge. These average Medicare payment amounts have been price-standardized to remove the effect of geographic payment differences and add-on payments for indirect medical education (IME) and disproportionate share hospitals (DSH). CMS uses the information on this webpage to calculate a hospital’s MSPB Measure value, which is reported on Hospital Compare.
Specifically, the MSPB Measure methodology risk-adjusts the values on this webpage to account for beneficiary age and severity of illness. This webpage provides the pre-risk-adjusted values to help the public understand the MSPB Measure and its composition.
The dataset under discussion divides each hospital’s average episode spending levels into three time periods:
1) 1 to 3 days Prior to Index Hospital Admission,
2) During Index Hospital Admission, and
3) 1 through 30 days After Discharge from Index Hospital Admission.
Within these three time periods, the average episode spending levels are further broken down into the seven claim types (e.g. inpatient, outpatient). The start and end date of this data set is January 01, 2015 to December 31st, 2015.