Others titles
- Aged Beneficiaries Reimbursement Cost Contracts Part A and Part B by State and County of Residence
- Repricing Of FFS Claims Aged Cost Contracts For PartA PartB by State and County of Residence
- Medicare fee-for-service data for aged, disabled, and ESRD beneficiaries by County
Keywords
- FFS Claims Aged Cost Contracts
- Part A and Part B Cost Contracts
- Medicare Fee for Service Data
- Medicare Fee-for-Service Reimbursement
- Medicare Advantage Fee-For-Service
- ACO Part A and Part B Reimbursement
- Medicare Spending per Beneficiary
- Repricing FFS Claims
- Disabled Beneficiaries Reimbursement
- Aged Beneficiaries Reimbursement
Repricing FFS Claims Aged Disabled Cost Contracts For PartA And PartB

The dataset includes aged and disabled beneficiaries’ reimbursement data for cost contracts for part A and part B by state and county for years 2016-2020. It also contains Medicare Fee-For-Service (FFS) data for each county by aged and disabled beneficiaries including total Medicare FFS reimbursement data for Parts A and B, reimbursement for direct graduate education (DGME) and indirect medical education (IME) expenditures and disproportionate share hospital (DSH) expenditures for Part A.
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Description
The historical claims data is used to rebase the Medicare Advantage (MA) Fee-For-Service (FFS) capitation rate book for the years that follow. The historical claims data is rebased to reflect the most current wage and cost indices, repriced the claims to account for the changes made by the Affordable Care Act (ACA) to payments to disproportionate share hospitals, and also repriced durable medical equipment claims to account for the change in prices associated with the competitive bid program. The adjusted or repriced datasets for aged and disabled reflect the annual impact of the repricing of FFS claims. The institutional claims – acute inpatient hospital, skilled nursing facility, hospital outpatient, home health agency, and physician – reflect the repricing of the original claims with the current geographic practice cost index (GPCI). Adjustments have also been made to reflect the transition of disproportionate share hospital (DSH) payments to uncompensated care payments (UCP). The effects of competitive bidding for durable medical equipment (DME) are reflected in the corresponding adjustment dataset. An additional adjustment to the 2012-2016 claims to account for shared savings payments and shared losses is made to Medicare Shared Savings Program (MSSP) ACOs, including ACOs from Pioneer program for 2012 and without the ACOs of Pioneer program for 2013-2016. The dataset contains information on ACOs combined data for aged and disabled beneficiaries reimbursement for part A and part B by state and county of residence.
Data cells with less than 11 beneficiaries have been suppressed for privacy.
About this Dataset
Data Info
Date Created | 2016-04-04 |
---|---|
Last Modified | 2022-01-13 |
Version | 2022-01-13 |
Update Frequency |
Annual |
Temporal Coverage |
2016-2020 |
Spatial Coverage |
United States |
Source | John Snow Labs; Centers for Medicare and Medicaid Services; |
Source License URL | |
Source License Requirements |
N/A |
Source Citation |
N/A |
Keywords | FFS Claims Aged Cost Contracts, Part A and Part B Cost Contracts, Medicare Fee for Service Data, Medicare Fee-for-Service Reimbursement, Medicare Advantage Fee-For-Service, ACO Part A and Part B Reimbursement, Medicare Spending per Beneficiary, Repricing FFS Claims, Disabled Beneficiaries Reimbursement, Aged Beneficiaries Reimbursement |
Other Titles | Aged Beneficiaries Reimbursement Cost Contracts Part A and Part B by State and County of Residence, Repricing Of FFS Claims Aged Cost Contracts For PartA PartB by State and County of Residence, Medicare fee-for-service data for aged, disabled, and ESRD beneficiaries by County |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
FIPS_Code | The 5 digits county Federal Information Processing Standard (FIPS) code | string | - |
State | The full name of the state | string | - |
County | Name of county | string | - |
Part_A_Total_Reimbursement | Medicare fee-for-service Part A total reimbursement cost contracts | number | level : Ratio |
Part_A_Total_Reimbursement_Without_IME_DSH_DGME | Medicare fee-for-service Part A total reimbursement without direct graduate medical education (DGME) and indirect medical education (IME) expenditures and disproportionate share hospital (DSH) expenditures | number | level : Ratio |
Part_A_Reimbursement_For_IME | Medicare fee-for-service Part A reimbursement for indirect medical education (IME) expenditures; data available starting with 2015 data | number | level : Ratio |
Part_A_Reimbursement_For_DSH | Medicare fee-for-service Part A reimbursement for disproportionate share hospital (DSH) expenditures; data available starting with 2015 data | number | level : Ratio |
Part_A_Reimbursement_For_DGME | Medicare fee-for-service Part A reimbursement for direct graduate medical education (DGME) expenditures; data available starting with 2015 data | number | level : Ratio |
Part_B_Total_Reimbursement | Medicare fee-for-service Part B total reimbursement cost contracts | number | level : Ratio |
Data Preview
FIPS Code | State | County | Part A Total Reimbursement | Part A Total Reimbursement Without IME DSH DGME | Part A Reimbursement For IME | Part A Reimbursement For DSH | Part A Reimbursement For DGME | Part B Total Reimbursement |
1000 | ALABAMA | AUTAUGA | 3405 | 3345 | 0 | 60 | 0 | 9474 |
1010 | ALABAMA | BALDWIN | 63616 | 62277 | 850 | 489 | 0 | 119577 |
1020 | ALABAMA | BARBOUR | 0 | 0 | 0 | 0 | 0 | 117 |
1030 | ALABAMA | BIBB | 741250 | 694119 | 17901 | 12011 | 17219 | 460207 |
1040 | ALABAMA | BLOUNT | 122742 | 120414 | 1022 | 972 | 334 | 53814 |
1050 | ALABAMA | BULLOCK | 0 | 0 | 0 | 0 | 0 | 0 |
1060 | ALABAMA | BUTLER | 0 | 0 | 0 | 0 | 0 | 0 |
1070 | ALABAMA | CALHOUN | 4908 | 4733 | 0 | 175 | 0 | 0 |
1080 | ALABAMA | CHAMBERS | 0 | 0 | 0 | 0 | 0 | 0 |
1090 | ALABAMA | CHEROKEE | 0 | 0 | 0 | 0 | 0 | 9361 |