Others titles

  • Medicare Home Healthcare Claims Based Data
  • Medicare Cost And utilization Aggregated Data

Keywords

  • Medicare Provider Number
  • Medicare Cost Report
  • Medicare Hospital
  • Medicare Spending Data
  • CHMS Based Reports
  • Medicare Reports by Sex Age and Race

Medicare Spending CMHS Based by Age Sex and Race State Level

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.

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Description

Medicare spending is concentrated among a few high-cost beneficiaries who are often targeted by cost-saving interventions. The continuous medicare history sample file was used to analyze trends in the spending concentration over thirty years. Annual expenditures became less concentrated over time, although the year-to-year persistence of person-level high costs remained strong. There was an increase in the prevalence of chronic conditions among high-cost beneficiaries, which supports the rationale for focusing cost-saving interventions on chronic disease management. However, the decrease in concentration may reduce the potential savings from interventions focused on such beneficiaries. Annual spending has become less concentrated over time, with the top 5 percent of spenders accounting for less of the Medicare spending total than in the 1980s. The concentration of Medicare spending among a small number of beneficiaries is well documented. In any given year, the most expensive 5 percent of beneficiaries account for roughly half of fee-for-service (FFS) Medicare costs.1 Aggregated over multiple years, spending becomes less concentrated: During the five-year period 1997–2001, the top 5 percent of beneficiaries accounted for 27.3 percent of Medicare costs.

Nonetheless, many high-cost beneficiaries have persistently high costs from year to year. Similar spending patterns have been found in non-Medicare healthcare markets. The CMHS contains enrollment and claims data for a 5 percent sample of the Medicare population, selected on the basis of the last two digits of the Health Insurance Claim (HIC) number. The file covers the most recent thirty-year period for which data are available. Data on cost and utilization are aggregated by type of service by calendar year. Claim-specific data such as diagnoses and procedures are not contained in the file. Data on managed care enrollment and state buy-in status are included for each year of Medicare entitlement. The CMHS is longitudinal; that is, beneficiaries remain in the file unless a change in their HIC numbers causes them to drop out of the digital sample.

About this Dataset

Data Info

Date Created

2007

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

Source License Requirements

N/A

Source Citation

N/A

Keywords

Medicare Provider Number, Medicare Cost Report, Medicare Hospital, Medicare Spending Data, CHMS Based Reports, Medicare Reports by Sex Age and Race

Other Titles

Medicare Home Healthcare Claims Based Data, Medicare Cost And utilization Aggregated Data

Data Fields

Name Description Type Constraints
State_NumberState Identification Number.integerlevel : Ordinalrequired : 1
StateName of USA States.stringrequired : 1
Medicare_Enrollees_CMHS_Five_Percent_SampleNumber of medicare benificiaries CMHS based five percent sample in the year 2007.The CMHS contains enrollment and claims data for a 5 percent sample of the Medicare population, selected on the basis of the last two digits on the Health Insurance Claim (HIC) numberintegerlevel : Ratiorequired : 1
Total_Medicare_Reimb_Part_A_And_B_Per_EnrolleeTotal amount reimbursed per enrollee for year 2007 both Part A and B claims.integerlevel : Ratiorequired : 1
Total_Part_A_Medicare_Reimb_Per_EnrolleeTotal amount reimbursed per enrollee for year 2007 Part A claims.integerlevel : Ratiorequired : 1
Total_Part_B_Medicare_Reimb_Per_EnrolleeTotal amount reimbursed per enrollee for year 2007 Part B claims.integerlevel : Ratiorequired : 1
Medicare_Reimb_For_Inpatient_Short_Stays_Per_EnrolleeTotal amount reimbursed per enrollee for year 2007 Inpatient Short Stays.integerlevel : Ratiorequired : 1
Medicare_Reimb_For_Inpatient_Long_Stays_Per_EnrolleeTotal amount reimbursed per enrollee for year 2007 Inpatient long Stays.integerlevel : Ratiorequired : 1
Medicare_Reimb_For_Outpatient_Services_Per_EnrolleeTotal amount reimbursed per enrollee for year 2007 Outpatient Services.integerlevel : Ratiorequired : 1
Part_B_Medicare_Reimb_For_Prof_And_Lab_Services_Per_EnrolleeTotal amount reimbursed per enrollee for year 2007 Part B claims for Professional and Laboratory services.integerlevel : Ratiorequired : 1
Part_B_Medicare_Reimb_For_Med_And_Surgi_Services_Per_EnrolleeTotal amount reimbursed per enrollee for year 2007 Part B claims for Medical and Surgical services.integerlevel : Ratiorequired : 1
Part_B_Medicare_Reimb_For_Medical_Care_Per_EnrolleeTotal amount reimbursed per enrollee for year 2007 Part B claims for Medical Care.integerlevel : Ratiorequired : 1
Part_B_Medicare_Reimb_For_Surgical_Services_Per_EnrolleeTotal amount reimbursed per enrollee for year 2007 Part B claims for Surgical Services.integerlevel : Ratiorequired : 1
Part_B_Medicare_Reimb_For_Diag_Lab_And_Xray_Services_Per_EnrolleeTotal amount reimbursed per enrollee for year 2007 Part B claims for Diagnostic Laboratory and X-ray Services.integerlevel : Ratiorequired : 1
Part_B_Medicare_Reimb_For_Durable_Medical_Equipment_Per_EnrolleeTotal amount reimbursed per enrollee for year 2007 Part B claims for Durable Medical Equipment.integerlevel : Ratiorequired : 1
Medicare_Reimb_For_Home_Health_Services_Per_EnrolleeTotal amount reimbursed per enrollee for year 2007 Home Health Services.integerlevel : Ratiorequired : 1
Medicare_Reimb_For_Hospice_Services_Per_EnrolleeTotal amount reimbursed per enrollee for year 2007 Hospice Services.integerlevel : Ratiorequired : 1
Medicare_Reimb_For_Skilled_Nursing_Facs_Per_EnrolleeTotal amount reimbursed per enrollee for year 2007 Skilled Nursing Facilities.integerlevel : Ratio

Data Preview

State NumberStateMedicare Enrollees CMHS Five Percent SampleTotal Medicare Reimb Part A And B Per EnrolleeTotal Part A Medicare Reimb Per EnrolleeTotal Part B Medicare Reimb Per EnrolleeMedicare Reimb For Inpatient Short Stays Per EnrolleeMedicare Reimb For Inpatient Long Stays Per EnrolleeMedicare Reimb For Outpatient Services Per EnrolleePart B Medicare Reimb For Prof And Lab Services Per EnrolleePart B Medicare Reimb For Med And Surgi Services Per EnrolleePart B Medicare Reimb For Medical Care Per EnrolleePart B Medicare Reimb For Surgical Services Per EnrolleePart B Medicare Reimb For Diag Lab And Xray Services Per EnrolleePart B Medicare Reimb For Durable Medical Equipment Per EnrolleeMedicare Reimb For Home Health Services Per EnrolleeMedicare Reimb For Hospice Services Per EnrolleeMedicare Reimb For Skilled Nursing Facs Per Enrollee
1Alabama235098217454236772826359857191814211029392497237503511630
2Alaska1940803546953355353355813201407108679728932213223248379
3Arizona202438137438237542923407737222816221176446605206248470425
4Arkansas16039789644103488275170487817661333982351433263376243538
5California975199337515041883489405912233617531307446583222491186852
6Colorado13792764740503595238939197316951306919386389397339267826
7Connecticut18472950053934100355321210602189165812454135311644971741177
8Delaware51968774494138353376405951222816701209461559171298305634
9District of Columbia214784055007336036204611053199514911065430505115218228526
10Florida913339854458552702814279971282020111438573809286886421826