Others titles
- Hospice Reimburesement
- Medicare Reimbursement
- Claim Based Medicare Spending Reimbursements Data
- State Level Medicare Spending Claims for years 2014-2016
Keywords
- Medicare Claims
- Medicare Spending
- Medicare Spending Claims
- Medicare Spending by State Level
- Claim Based Medicare Spending
- Health Insurance Claim
Medicare Spending Claims Based by Price Age Sex and Race State Level
This dataset includes the State 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.
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Description
Medicare spending is concentrated among a few high-cost beneficiaries who are often targeted by cost-saving interventions. 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). Rapidly rising healthcare 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.
About this Dataset
Data Info
Date Created | 2005-11-02 |
---|---|
Last Modified | 2018-10-11 |
Version | 2018-10-11 |
Update Frequency |
Annual |
Temporal Coverage |
2014-2016 |
Spatial Coverage |
United States |
Source | John Snow Labs; The Dartmouth Atlas of Health Care; |
Source License URL | |
Source License Requirements |
N/A |
Source Citation |
N/A |
Keywords | Medicare Claims, Medicare Spending, Medicare Spending Claims, Medicare Spending by State Level, Claim Based Medicare Spending, Health Insurance Claim |
Other Titles | Hospice Reimburesement, Medicare Reimbursement, Claim Based Medicare Spending Reimbursements Data, State Level Medicare Spending Claims for years 2014-2016 |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
Year | The year in which data is recorded | date | - |
State_Number | State Identification Number. | integer | level : Nominal |
State_Name | Name of USA States. | string | - |
Medicare_Enrollees | Number of medicare benificiaries in the year 2014. | integer | level : Ratio |
Medicare_Reimb_Per_Enrollee_Age_Sex_Race_Adjusted | The amount of money reimbursed per enrollee for year 2014 and adjusted by age, sex and race. | number | level : Ratio |
Medicare_Reimb_Per_Enrollee_Price_Age_Sex_Race_Adjusted | The amount of money reimbursed per enrollee for year 2014 and adjusted by price, age, sex and race. | number | level : Ratio |
Hosp_Skilled_Nursing_Fac_Reimb_Per_Enrollee_Age_Sex_Race_Adjusted | The amount of money reimbursed to Hospital skilled nursing facility. | number | level : Ratio |
Hosp_Skilled_Nursing_Fac_Reimb_Price_Age_Sex_Race_Adjusted | The amount of money reimbursed to Hospital skilled nursing facility. | number | level : Ratio |
Physician_Reimb_Per_Enrollee_Age_Sex_Race_Adjusted | The amount of money reimbursed to physician. | number | level : Ratio |
Physician_Reimb_Per_Enrollee_Price_Age_Sex_Race_Adjusted | The amount of money reimbursed to physician. | number | level : Ratio |
Outpatient_Fac_Reimb_Per_Enrollee_Age_Sex_Race_Adjusted | The amount of money reimbursed to medicare outpatient facility. | number | level : Ratio |
Outpatient_Fac_Reimb_Per_Enrollee_Price_Age_Sex_Race_Adjusted | The amount of money reimbursed to medicare outpatient facility. | number | level : Ratio |
Home_Health_Agency_Reimb_Per_Enrollee_Age_Sex_Race_Adjusted | The amount of money reimbursed to home health agency. | number | level : Ratio |
Home_Health_Agency_Reimb_Per_Enrollee_Price_Age_Sex_Race_Adjusted | The amount of money reimbursed to home health agency. | number | level : Ratio |
Hospice_Reimb_Per_Enrollee_Age_Sex_Race_Adjusted | The amount of money reimbursed to hospice facility. | integer | level : Ratio |
Hospice_Reimb_Per_Enrollee_Price_Age_Sex_Race_Adjusted | The amount of money reimbursed to hospice facility. | integer | level : Ratio |
Durable_Med_Equip_Reimb_Per_Enrollee_Age_Sex_Race_Adjusted | The amount of money reimbursed to Durable Medical Equipment facility. | integer | level : Ratio |
Durable_Med_Equip_Reimb_Per_Enrollee_Price_Age_Sex_Race_Adjusted | The amount of money reimbursed to Durable Medical Equipment facility. | integer | level : Ratio |
Data Preview
Year | State Number | State Name | Medicare Enrollees | Medicare Reimb Per Enrollee Age Sex Race Adjusted | Medicare Reimb Per Enrollee Price Age Sex Race Adjusted | Hosp Skilled Nursing Fac Reimb Per Enrollee Age Sex Race Adjusted | Hosp Skilled Nursing Fac Reimb Price Age Sex Race Adjusted | Physician Reimb Per Enrollee Age Sex Race Adjusted | Physician Reimb Per Enrollee Price Age Sex Race Adjusted | Outpatient Fac Reimb Per Enrollee Age Sex Race Adjusted | Outpatient Fac Reimb Per Enrollee Price Age Sex Race Adjusted | Home Health Agency Reimb Per Enrollee Age Sex Race Adjusted | Home Health Agency Reimb Per Enrollee Price Age Sex Race Adjusted | Hospice Reimb Per Enrollee Age Sex Race Adjusted | Hospice Reimb Per Enrollee Price Age Sex Race Adjusted | Durable Med Equip Reimb Per Enrollee Age Sex Race Adjusted | Durable Med Equip Reimb Per Enrollee Price Age Sex Race Adjusted |
2014 | 1 | Alabama | 494966 | 8681.0 | 9962.0 | 3447.0 | 4266.0 | 2579.0 | 2727.0 | 1352.0 | 1517.0 | 551.0 | 629.0 | 543 | 635 | 229 | 213 |
2014 | 2 | Alaska | 56634 | 8703.0 | 6971.0 | 4102.0 | 3076.0 | 2334.0 | 1971.0 | 1660.0 | 1389.0 | 209.0 | 176.0 | 185 | 172 | 118 | 108 |
2014 | 3 | Arizona | 507408 | 9068.0 | 8977.0 | 3652.0 | 3616.0 | 3211.0 | 3210.0 | 1211.0 | 1180.0 | 318.0 | 307.0 | 489 | 472 | 176 | 180 |
2014 | 4 | Arkansas | 332791 | 8467.0 | 9544.0 | 3861.0 | 4617.0 | 2231.0 | 2343.0 | 1389.0 | 1538.0 | 409.0 | 458.0 | 342 | 365 | 235 | 226 |
2014 | 5 | California | 2148329 | 10506.0 | 8908.0 | 4799.0 | 3871.0 | 3104.0 | 2896.0 | 1495.0 | 1200.0 | 573.0 | 465.0 | 367 | 306 | 164 | 165 |
2014 | 6 | Colorado | 333404 | 8395.0 | 8404.0 | 3554.0 | 3621.0 | 2344.0 | 2299.0 | 1495.0 | 1479.0 | 407.0 | 400.0 | 356 | 350 | 230 | 247 |
2014 | 7 | Connecticut | 341676 | 10548.0 | 9192.0 | 4944.0 | 4059.0 | 2881.0 | 2766.0 | 1752.0 | 1527.0 | 591.0 | 515.0 | 246 | 197 | 155 | 159 |
2014 | 8 | Delaware | 122797 | 9878.0 | 9506.0 | 4291.0 | 4079.0 | 2957.0 | 2913.0 | 1593.0 | 1539.0 | 401.0 | 380.0 | 443 | 401 | 193 | 191 |
2014 | 9 | District of Columbia | 45051 | 8877.0 | 8063.0 | 4203.0 | 3669.0 | 2640.0 | 2445.0 | 1398.0 | 1347.0 | 268.0 | 259.0 | 289 | 274 | 133 | 138 |
2014 | 10 | Florida | 1825196 | 10600.0 | 10943.0 | 4027.0 | 4443.0 | 3793.0 | 3700.0 | 1254.0 | 1292.0 | 866.0 | 885.0 | 450 | 409 | 199 | 206 |