Regional Growth in Medicare Spending, 1992-2010.

ABSTRACT:

Objective

To determine if regions with high Medicare expenditures in a given setting remain high cost over time.

Data sources/study setting

One hundred percent of national Medicare Parts A and B fee-for-service beneficiary claims data and enrollment for 1992-2010.

Study design

Patients are classified into regions. Claims are price-standardized. Risk adjustment is performed at the beneficiary level using the CMS Hierarchical Condition Categories model. Correlation analyses are conducted.

Data collection/extraction methods

The data were obtained through a contract with CMS for a study performed for the Institute of Medicine.

Principal findings

High-cost regions in 1992 are likely to remain high cost in 2010. Stability in regional spending is highest in the

SUBMITTER: Chicklis C 

PROVIDER: S-EPMC4600362 | biostudies-literature | 2015 Oct

REPOSITORIES: biostudies-literature