Medicare Spending Claims Based by Price Age Sex and Race State 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 State level Medicare spending claims based data by price, age, sex and race. 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 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

Name Description Type Constraints
State_NumberState Identification Number.integerrequired : 1 level : Nominal
State_NameName of USA States.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.integerrequired : 1 level : 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.integerrequired : 1 level : Ratio
Hosp_Skilled_Nursing_Fac_Reimb_Per_Enrollee_2014_Age_Sex_Race_AdjustedThe amount of money reimbursed to Hospital skilled nursing facility.integerrequired : 1 level : Ratio
Hosp_Skilled_Nursing_Fac_Reimb_2014_Price_Age_Sex_Race_AdjustedThe amount of money reimbursed to Hospital skilled nursing facility.integerrequired : 1 level : Ratio
Physician_Reimb_Per_Enrollee_2014_Age_Sex_Race_AdjustedThe amount of money reimbursed to physician.integerrequired : 1 level : Ratio
Physician_Reimb_Per_Enrollee_2014_Price_Age_Sex_Race_AdjustedThe amount of money reimbursed to physician.integerrequired : 1 level : Ratio
Outpatient_Fac_Reimb_Per_Enrollee_2014_Age_Sex_Race_AdjustedThe amount of money reimbursed to medicare outpatient facility.integerrequired : 1 level : Ratio
Outpatient_Fac_Reimb_Per_Enrollee_2014_Price_Age_Sex_Race_AdjustedThe amount of money reimbursed to medicare outpatient facility.integerrequired : 1 level : Ratio
Home_Health_Agency_Reimb_Per_Enrollee_2014_Age_Sex_Race_AdjustedThe amount of money reimbursed to home health agency.integerrequired : 1 level : Ratio
Home_Health_Agency_Reimb_Per_Enrollee_2014_Price_Age_Sex_Race_AdjustedThe amount of money reimbursed to home health agency.integerrequired : 1 level : Ratio
Hospice_Reimb_Per_Enrollee_2014_Age_Sex_Race_AdjustedThe amount of money reimbursed to hospice facility.integerrequired : 1 level : Ratio
Hospice_Reimb_Per_Enrollee_2014_Price_Age_Sex_Race_AdjustedThe amount of money reimbursed to hospice facility.integerrequired : 1 level : Ratio
Durable_Med_Equip_Reimb_Per_Enrollee_2014_Age_Sex_Race_AdjustedThe amount of money reimbursed to Durable Medical Equipment facility.integerrequired : 1 level : Ratio
Durable_Med_Equip_Reimb_Per_Enrollee_2014_Price_Age_Sex_Race_AdjustedThe amount of money reimbursed to Durable Medical Equipment facility.integerrequired : 1 level : Ratio
State_NumberState_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
12Hawaii85577746471833338303721132116144014661371403473409390
2Alaska5663487036971410230762334197116601389209176185172118108
16Iowa37550379388355347136841853194319662066216226256273192179
46Utah15776384848717346235832148218914491464638643545598257260
13Idaho13536479468238330633481620169719102015429446462517225223
20Maine16383982898558354436021763195321572190401401263265176162
36Ohio881460962610171446347502321245417391826485508442449173181
1Alabama49496686819962344742662579272713521517551629543635229213
3Arizona50740890688977365236163211321012111180318307489472176180
3Arizona50740890688977365236163211321012111180318307489472176180