Medicare Spending Claims Based by Price Age Sex and Race County Level

$79 / year

Data on Medicare spending are claims-based and adjusted for price, age, sex, and race (20% sample for 2003-2009, 100% sample for 2010-2013). This dataset includes the county level Medicare spending claims based data by price, age, sex and race. The variables included are: state, number of Medicare enrollees, total Medicare reimbursements per enrollee, hospital and skilled nursing facility reimbursements per enrollee, physician reimbursements per enrollee, outpatient facility reimbursements per enrollee, home health agency reimbursements per enrollee, hospice reimbursements per enrollee, and durable medical equipment per enrollee.

Complexity

Medicare spending is concentrated among a few high-cost beneficiaries who are often targeted by cost-saving interventions. Rapidly rising health care costs pose a serious threat not only to the future of public and private health insurance coverage, but also to the sustainability of efforts to expand coverage to the millions of uninsured Americans. Many policy experts have concluded that excessive growth in health care spending is a foregone conclusion, driven by inexorable forces such as advancing technology. Some conclude that only by rationing beneficial care will the U.S. be able to achieve a sustainable and affordable future.
Neither of these conclusions is inevitable. Both rest on the assumption that all of the additional spending in high spending regions areas is buying services that are necessary and beneficial. However, studies comparing similar patients have found that those in higher-spending regions are more likely to be admitted to the hospital, spend more time in the hospital, receive more discretionary tests, see more medical specialists, and have many more different physicians involved in their care. The extra care does not produce better outcomes overall or result in better quality of care, whether one looks at measures of technical quality (such as providing appropriate medication to heart attack patients), or survival following such serious conditions as a heart attack or hip fracture. Higher spending also does not result in improved patient perceptions of the accessibility or quality of medical care.
Slowing the rate of Medicare spending growth is both necessary and achievable. Taking steps now to limit future spending increases such as slowing the growth of capacity, developing better evidence on the risks and benefits of many common treatments (and countering the assumption that more medical care necessarily means better medical care), and reforming the payment system to reward the value, rather than volume, of care will result in better health care for those enrolled in Medicare and better fiscal health for Medicare itself.

Date Created

2013

Last Modified

2014

Version

2014

Update Frequency

Annual

Temporal Coverage

N/A

Spatial Coverage

United States

Source

John Snow Labs => The Dartmouth Atlas of Health Care

Source License URL

John Snow Labs Standard License

Source License Requirements

N/A

Source Citation

N/A

Keywords

Medicare Spending, Medicare Spending Claims, Claim Based Medicare Spending, Medicare Spending by County Level, Health Insurance Claim

Other Titles

Hospice Reimburesement, Medicare Reimbursement, Medicare Reimbursements Data, County Level Medicare Spending Claims

Name Description Type Constraints
County_IDIdentification number of a county/region.integerrequired : 1 level : Nominal
County_NameName of County/Region.stringrequired : 1
Medicare_Enrollees_2014Number of medicare benificiaries in the year 2014.integerrequired : 1 level : Ratio
Medicare_Reimb_Per_Enrollee_2014_Age_Sex_Race_AdjustedThe amount of money reimbursed per enrollee for year 2014 and adjusted by age, sex and race.integerlevel : Ratio
Medicare_Reimb_Per_Enrollee_2014_Price_Age_Sex_Race_AdjustedThe amount of money reimbursed per enrollee for year 2014 and adjusted by price, age, sex and race.integerlevel : Ratio
Hosp_Skilled_Nursing_Fac_Reimb_Per_Enrollee_2014_Age_Sex_Race_AdjustedThe amount of money reimbursed to Hospital skilled nursing facility.integerlevel : Ratio
Hosp_Skilled_Nursing_Fac_Reimb_2014_Price_Age_Sex_Race_AdjustedThe amount of money reimbursed to Hospital skilled nursing facility.integerlevel : Ratio
Physician_Reimb_Per_Enrollee_2014_Age_Sex_Race_AdjustedThe amount of money reimbursed to physician.integerlevel : Ratio
Physician_Reimb_Per_Enrollee_2014_Price_Age_Sex_Race_AdjustedThe amount of money reimbursed to physician.integerlevel : Ratio
Outpatient_Fac_Reimb_Per_Enrollee_2014_Age_Sex_Race_AdjustedThe amount of money reimbursed to medicare outpatient facility.integerlevel : Ratio
Outpatient_Fac_Reimb_Per_Enrollee_2014_Price_Age_Sex_Race_AdjustedThe amount of money reimbursed to medicare outpatient facility.integerlevel : Ratio
Home_Health_Agency_Reimb_Per_Enrollee_2014_Age_Sex_Race_AdjustedThe amount of money reimbursed to home health agency.integerlevel : Ratio
Home_Health_Agency_Reimb_Per_Enrollee_2014_Price_Age_Sex_Race_AdjustedThe amount of money reimbursed to home health agency.integerlevel : Ratio
Hospice_Reimb_Per_Enrollee_2014_Age_Sex_Race_AdjustedThe amount of money reimbursed to hospice facility.integerlevel : Ratio
Hospice_Reimb_Per_Enrollee_2014_Price_Age_Sex_Race_AdjustedThe amount of money reimbursed to home health agency.integerlevel : Ratio
Durable_Med_Equip_Reimb_Per_Enrollee_2014_Age_Sex_Race_AdjustedThe amount of money reimbursed to Durable Medical Equipment facility.integerlevel : Ratio
Durable_Med_Equip_Reimb_Per_Enrollee_2014_Price_Age_Sex_Race_AdjustedThe amount of money reimbursed to Durable Medical Equipment facility.integerlevel : Ratio
County_IDCounty_NameMedicare_Enrollees_2014Medicare_Reimb_Per_Enrollee_2014_Age_Sex_Race_AdjustedMedicare_Reimb_Per_Enrollee_2014_Price_Age_Sex_Race_AdjustedHosp_Skilled_Nursing_Fac_Reimb_Per_Enrollee_2014_Age_Sex_Race_AdjustedHosp_Skilled_Nursing_Fac_Reimb_2014_Price_Age_Sex_Race_AdjustedPhysician_Reimb_Per_Enrollee_2014_Age_Sex_Race_AdjustedPhysician_Reimb_Per_Enrollee_2014_Price_Age_Sex_Race_AdjustedOutpatient_Fac_Reimb_Per_Enrollee_2014_Age_Sex_Race_AdjustedOutpatient_Fac_Reimb_Per_Enrollee_2014_Price_Age_Sex_Race_AdjustedHome_Health_Agency_Reimb_Per_Enrollee_2014_Age_Sex_Race_AdjustedHome_Health_Agency_Reimb_Per_Enrollee_2014_Price_Age_Sex_Race_AdjustedHospice_Reimb_Per_Enrollee_2014_Age_Sex_Race_AdjustedHospice_Reimb_Per_Enrollee_2014_Price_Age_Sex_Race_AdjustedDurable_Med_Equip_Reimb_Per_Enrollee_2014_Age_Sex_Race_AdjustedDurable_Med_Equip_Reimb_Per_Enrollee_2014_Price_Age_Sex_Race_Adjusted
48301TX-Loving County10
15005HI-Kalawao County10
51600VA-Fairfax city369719972420922014763744
223022301105444472027002273151313718347135753
48269TX-King County20642570551773176916321776
210521053026518531428162109148213031590133810290
227522753721268797037120494614761313357930025556
38087ND-Slope County6270677348845872361635629391
48261TX-Kenedy County3414070152383864382919272105
16033ID-Clark County784138444313041434658687207192