Others titles
- Aged Beneficiaries Reimbursement by State and County of Residence
- Medicare Fee-For-Service Data for County by Aged, Disabled, and ESRD Beneficiaries
- Repricing Of FFS Claims Aged by State and County of Residence
Keywords
- Medicare Fee For Service
- FFS Insurance Medicare
- FFS
- FFS Cost
- Medicare Spending Per Beneficiaries
- Fee For Service Reimbursement
- Repricing Of FFS Claims
- Aged Durable Medical Equipment Non-CBA
- FFS Claims Aged
Repricing FFS Claims Aged
The dataset includes data for Aged beneficiaries for part A and part B 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 2020 is used to rebase the Medicare Advantage (MA) Fee-For-Service (FFS) capitation rate book for 2017. 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 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 2014-2018 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 / 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. An additional adjustment to 2012, 2013, and 2014 claims to account for shared savings payments and shared losses are made to Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACO) and Pioneer ACOs. The dataset includes Aged beneficiaries enrollment, reimbursement, per capita cost (monthly) for part A and part B by state and county of residence. (Beneficiaries enrolled in parts A and/or B except for Puerto Rico were enrolled in both parts A and B. Reimbursements excluded for hospice and cost contracts. Data cells with less than 11 beneficiaries have been suppressed for privacy).
About this Dataset
Data Info
Date Created | 2016-04-04 |
---|---|
Last Modified | 2022-01-25 |
Version | 2022-01-25 |
Update Frequency |
Annual |
Temporal Coverage |
2016-2022 |
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 | Medicare Fee For Service, FFS Insurance Medicare, FFS, FFS Cost, Medicare Spending Per Beneficiaries, Fee For Service Reimbursement, Repricing Of FFS Claims, Aged Durable Medical Equipment Non-CBA, FFS Claims Aged |
Other Titles | Aged Beneficiaries Reimbursement by State and County of Residence, Medicare Fee-For-Service Data for County by Aged, Disabled, and ESRD Beneficiaries, Repricing Of FFS Claims Aged by State and County of Residence |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
FIPS_Code | Identification code | string | - |
State | Name of state | string | - |
County | Name of County | string | - |
Part_A_Enrollment | Medicare Fee-For-Service Part A enrollment | number | level : Ratio |
Part_A_Total_Reimbursement | Medicare Fee-For-Service Part A total reimbursement | number | level : Ratio |
Part_A_Total_Per_Capita | Medicare Fee-For-Service Part A total per-capita expenditure | number | level : Ratio |
Part_A_Total_Reimbursement_Without_IME_DSH_DME | Medicare Fee-For-Service Part A total reimbursement without direct (DME) and indirect (IME) medical education expenditures and disproportionate share expenditures (DSH) | number | level : Ratio |
Part_A_Total_Per_Capita_Without_IME_DSH_DME | Medicare Fee-For-Service Part A total per-capita expenditure without direct (DME) and indirect (IME) medical education expenditures and disproportionate share expenditures (DSH) | number | level : Ratio |
Part_A_IME | Medicare Fee-For-Service Part A indirect medical education (IME) expenditures | number | level : Ratio |
Part_A_DSH | Medicare Fee-For-Service Part A disproportionate share expenditures (DSH) | number | level : Ratio |
Part_A_DME | Medicare Fee-For-Service Part A direct medical education expenditure (DME) | number | level : Ratio |
Part_B_Enrollment | Medicare Fee-For-Service Part B enrollment | number | level : Ratio |
Part_B_Total_Reimbursement | Medicare Fee-For-Service Part B total reimbursement | number | level : Ratio |
Part_B_Total_Per_Capita | Medicare Fee-For-Service Part B total per-capita expenditure | number | level : Ratio |
Data Preview
FIPS Code | State | County | Part A Enrollment | Part A Total Reimbursement | Part A Total Per Capita | Part A Total Reimbursement Without IME DSH DME | Part A Total Per Capita Without IME DSH DME | Part A IME | Part A DSH | Part A DME | Part B Enrollment | Part B Total Reimbursement | Part B Total Per Capita |
40010 | PUERTO RICO | ADJUNTAS | 956 | 1250030 | 108.96 | 1034738 | 90.2 | 37223 | 23775 | 154294 | 78 | 164640 | 175.9 |
40020 | PUERTO RICO | AGUADA | 1701 | 1777751 | 87.09 | 1626186 | 79.67 | 34992 | 33685 | 82888 | 241 | 957355 | 331.04 |
40030 | PUERTO RICO | AGUADILLA | 2903 | 4042175 | 116.03 | 3635370 | 104.36 | 142604 | 71524 | 192677 | 647 | 2652875 | 341.69 |
40040 | PUERTO RICO | AGUAS BUENAS | 1144 | 1263860 | 92.06 | 1238006 | 90.18 | 591 | 24278 | 985 | 129 | 311137 | 200.99 |
40050 | PUERTO RICO | AIBONITO | 1313 | 2199421 | 139.59 | 2109832 | 133.91 | 19970 | 55006 | 14613 | 229 | 608742 | 221.52 |
40060 | PUERTO RICO | ANASCO | 980 | 1469194 | 124.93 | 1291733 | 109.84 | 39768 | 22861 | 114832 | 129 | 452159 | 292.09 |
40070 | PUERTO RICO | ARECIBO | 4978 | 6369725 | 106.63 | 6068907 | 101.6 | 94037 | 142770 | 64011 | 840 | 2815926 | 279.36 |
40080 | PUERTO RICO | ARROYO | 779 | 1259196 | 134.7 | 1184825 | 126.75 | 29079 | 32675 | 12617 | 86 | 281351 | 272.63 |
40090 | PUERTO RICO | BARCELONETA | 1627 | 2494976 | 127.79 | 2376178 | 121.71 | 37661 | 57668 | 23469 | 245 | 868741 | 295.49 |
40100 | PUERTO RICO | BARRANQUITAS | 1340 | 2472052 | 153.73 | 2336133 | 145.28 | 14342 | 62577 | 59000 | 139 | 350291 | 210.01 |