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_Number | State Identification Number. | integer | level : Ordinalrequired : 1 |
State | Name of USA States. | string | required : 1 |
Medicare_Enrollees_CMHS_Five_Percent_Sample | Number 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) number | integer | level : Ratiorequired : 1 |
Total_Medicare_Reimb_Part_A_And_B_Per_Enrollee | Total amount reimbursed per enrollee for year 2007 both Part A and B claims. | integer | level : Ratiorequired : 1 |
Total_Part_A_Medicare_Reimb_Per_Enrollee | Total amount reimbursed per enrollee for year 2007 Part A claims. | integer | level : Ratiorequired : 1 |
Total_Part_B_Medicare_Reimb_Per_Enrollee | Total amount reimbursed per enrollee for year 2007 Part B claims. | integer | level : Ratiorequired : 1 |
Medicare_Reimb_For_Inpatient_Short_Stays_Per_Enrollee | Total amount reimbursed per enrollee for year 2007 Inpatient Short Stays. | integer | level : Ratiorequired : 1 |
Medicare_Reimb_For_Inpatient_Long_Stays_Per_Enrollee | Total amount reimbursed per enrollee for year 2007 Inpatient long Stays. | integer | level : Ratiorequired : 1 |
Medicare_Reimb_For_Outpatient_Services_Per_Enrollee | Total amount reimbursed per enrollee for year 2007 Outpatient Services. | integer | level : Ratiorequired : 1 |
Part_B_Medicare_Reimb_For_Prof_And_Lab_Services_Per_Enrollee | Total amount reimbursed per enrollee for year 2007 Part B claims for Professional and Laboratory services. | integer | level : Ratiorequired : 1 |
Part_B_Medicare_Reimb_For_Med_And_Surgi_Services_Per_Enrollee | Total amount reimbursed per enrollee for year 2007 Part B claims for Medical and Surgical services. | integer | level : Ratiorequired : 1 |
Part_B_Medicare_Reimb_For_Medical_Care_Per_Enrollee | Total amount reimbursed per enrollee for year 2007 Part B claims for Medical Care. | integer | level : Ratiorequired : 1 |
Part_B_Medicare_Reimb_For_Surgical_Services_Per_Enrollee | Total amount reimbursed per enrollee for year 2007 Part B claims for Surgical Services. | integer | level : Ratiorequired : 1 |
Part_B_Medicare_Reimb_For_Diag_Lab_And_Xray_Services_Per_Enrollee | Total amount reimbursed per enrollee for year 2007 Part B claims for Diagnostic Laboratory and X-ray Services. | integer | level : Ratiorequired : 1 |
Part_B_Medicare_Reimb_For_Durable_Medical_Equipment_Per_Enrollee | Total amount reimbursed per enrollee for year 2007 Part B claims for Durable Medical Equipment. | integer | level : Ratiorequired : 1 |
Medicare_Reimb_For_Home_Health_Services_Per_Enrollee | Total amount reimbursed per enrollee for year 2007 Home Health Services. | integer | level : Ratiorequired : 1 |
Medicare_Reimb_For_Hospice_Services_Per_Enrollee | Total amount reimbursed per enrollee for year 2007 Hospice Services. | integer | level : Ratiorequired : 1 |
Medicare_Reimb_For_Skilled_Nursing_Facs_Per_Enrollee | Total amount reimbursed per enrollee for year 2007 Skilled Nursing Facilities. | integer | level : Ratio |
Data Preview
State Number | State | Medicare Enrollees CMHS Five Percent Sample | Total Medicare Reimb Part A And B Per Enrollee | Total Part A Medicare Reimb Per Enrollee | Total Part B Medicare Reimb Per Enrollee | Medicare Reimb For Inpatient Short Stays Per Enrollee | Medicare Reimb For Inpatient Long Stays Per Enrollee | Medicare Reimb For Outpatient Services Per Enrollee | Part B Medicare Reimb For Prof And Lab Services Per Enrollee | Part B Medicare Reimb For Med And Surgi Services Per Enrollee | Part B Medicare Reimb For Medical Care Per Enrollee | Part B Medicare Reimb For Surgical Services Per Enrollee | Part B Medicare Reimb For Diag Lab And Xray Services Per Enrollee | Part B Medicare Reimb For Durable Medical Equipment Per Enrollee | Medicare Reimb For Home Health Services Per Enrollee | Medicare Reimb For Hospice Services Per Enrollee | Medicare Reimb For Skilled Nursing Facs Per Enrollee |
1 | Alabama | 23509 | 8217 | 4542 | 3677 | 2826 | 359 | 857 | 1918 | 1421 | 1029 | 392 | 497 | 237 | 503 | 511 | 630 |
2 | Alaska | 1940 | 8035 | 4695 | 3355 | 3533 | 558 | 1320 | 1407 | 1086 | 797 | 289 | 322 | 132 | 232 | 48 | 379 |
3 | Arizona | 20243 | 8137 | 4382 | 3754 | 2923 | 407 | 737 | 2228 | 1622 | 1176 | 446 | 605 | 206 | 248 | 470 | 425 |
4 | Arkansas | 16039 | 7896 | 4410 | 3488 | 2751 | 704 | 878 | 1766 | 1333 | 982 | 351 | 433 | 263 | 376 | 243 | 538 |
5 | California | 97519 | 9337 | 5150 | 4188 | 3489 | 405 | 912 | 2336 | 1753 | 1307 | 446 | 583 | 222 | 491 | 186 | 852 |
6 | Colorado | 13792 | 7647 | 4050 | 3595 | 2389 | 391 | 973 | 1695 | 1306 | 919 | 386 | 389 | 397 | 339 | 267 | 826 |
7 | Connecticut | 18472 | 9500 | 5393 | 4100 | 3553 | 212 | 1060 | 2189 | 1658 | 1245 | 413 | 531 | 164 | 497 | 174 | 1177 |
8 | Delaware | 5196 | 8774 | 4941 | 3835 | 3376 | 405 | 951 | 2228 | 1670 | 1209 | 461 | 559 | 171 | 298 | 305 | 634 |
9 | District of Columbia | 2147 | 8405 | 5007 | 3360 | 3620 | 461 | 1053 | 1995 | 1491 | 1065 | 430 | 505 | 115 | 218 | 228 | 526 |
10 | Florida | 91333 | 9854 | 4585 | 5270 | 2814 | 279 | 971 | 2820 | 2011 | 1438 | 573 | 809 | 286 | 886 | 421 | 826 |