Others titles
- Aged Beneficiaries Reimbursement for Skilled Nursing Facility by State and County of Residence
- Medicare Fee-for-Service Data for County by Age, Disabled, and ESRD Beneficiaries
- Repricing Of FFS Claims Aged Skilled Nursing Facility Reimbursement by State and County of Residence
Keywords
- Cost Management
- Medicare Cost
- Medicare Fee for Service
- FFS Insurance Medicare
- FFS
- FFS Cost
- Medicare Spending per Beneficiaries
- Fee for Service Reimbursement
- Repricing of FFS Claims
- Aged Skilled Nursing Facility Reimbursement
Repricing FFS Claims Aged Skilled Nursing Facility Reimbursement
The dataset includes data for Aged beneficiaries of Skilled Nursing Facility Reimbursement by state and county of residence. Medicare fee-for-service data for each county broken down by aged, disabled, and end-stage renal disease (ESRD) beneficiaries.
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Description
The historical claims data for 2015 through 2019 is used to rebase the Medicare Advantage (MA) Fee-For-Service (FFS) capitation rate book. 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. Medicare fee-for-service data for each county broken down by aged, disabled, and end-stage renal disease (ESRD) beneficiaries including data on total Medicare Fee-For-Service (FFS) reimbursement and enrollment for Parts A and B, the corresponding per capita reimbursement, for Part A, reimbursement for direct (DME) and indirect medical education (IME) expenditures and disproportionate share expenditures (DSH), and the per capita expenditures with the medical education and disproportionate share expenditures removed. The adjusted or repriced spreadsheets for Aged and Disabled reflect the annual impact of the repricing of 2015-2019 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 wage index or 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 file. The dataset includes Aged beneficiaries repricing adjustments to the 2010-2014 skilled nursing facility reimbursement data to reflect the most current wage index (Data cells with less than 11 beneficiaries have been suppressed for privacy).
About this Dataset
Data Info
Date Created | 2016-04-04 |
---|---|
Last Modified | 2021-12-07 |
Version | 2021-12-07 |
Update Frequency |
Annual |
Temporal Coverage |
2016-2020 |
Spatial Coverage |
United States |
Source | John Snow Labs; Centers for Medicaid and Medicare Services; |
Source License URL | |
Source License Requirements |
N/A |
Source Citation |
N/A |
Keywords | Cost Management, Medicare Cost, Medicare Fee for Service, FFS Insurance Medicare, FFS, FFS Cost, Medicare Spending per Beneficiaries, Fee for Service Reimbursement, Repricing of FFS Claims, Aged Skilled Nursing Facility Reimbursement |
Other Titles | Aged Beneficiaries Reimbursement for Skilled Nursing Facility by State and County of Residence, Medicare Fee-for-Service Data for County by Age, Disabled, and ESRD Beneficiaries, Repricing Of FFS Claims Aged Skilled Nursing Facility Reimbursement by State and County of Residence |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
FIPS_Code | Identification code | string | - |
State | Name of state | string | - |
Year_2016 | Repricing adjustments to the 2016 skilled nursing facility reimbursement data to reflect the most current wage index | number | level : Ratio |
Year_2017 | Repricing adjustments to the 2017 skilled nursing facility reimbursement data to reflect the most current wage index | number | level : Ratio |
Year_2018 | Repricing adjustments to the 2018 skilled nursing facility reimbursement data to reflect the most current wage index | number | level : Ratio |
Year_2019 | Repricing adjustments to the 2019 skilled nursing facility reimbursement data to reflect the most current wage index | number | level : Ratio |
Year_2020 | Repricing adjustments to the 2020 skilled nursing facility reimbursement data to reflect the most current wage index | number | level : Ratio |
Data Preview
FIPS Code | State | Year 2016 | Year 2017 | Year 2018 | Year 2019 | Year 2020 |
1 | Alabama | -294353.0 | -170441.0 | -99792.0 | -97655.0 | -57053.0 |
2 | Alaska | -7164.0 | -9388.0 | -4067.0 | 1201.0 | -2013.0 |
3 | Arizona | -398429.0 | -271737.0 | -211148.0 | -148772.0 | -115384.0 |
4 | Arkansas | -25878.0 | 11998.0 | 15670.0 | 10715.0 | -23807.0 |
5 | California | 4166906.0 | 3082611.0 | 2837753.0 | 1157472.0 | 434604.0 |
6 | Colorado | -64485.0 | -156013.0 | -138835.0 | -83047.0 | -69457.0 |
7 | Connecticut | -720657.0 | -516455.0 | -414971.0 | -261416.0 | -151280.0 |
8 | Delaware | 17913.0 | -32217.0 | -43596.0 | -48154.0 | -24132.0 |
9 | District of Columbia | -69750.0 | -47516.0 | -34746.0 | 15675.0 | 2753.0 |
10 | Florida | -942012.0 | -749390.0 | -527733.0 | -313182.0 | -26298.0 |