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Inpatient Spending per Decedent During the Last Six Months of Life, by Race and Level of Care Intensity
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    Inpatient Spending per Decedent During the Last Six Months of Life, by Race and Level of Care Intensity
    (Race: Overall; Level of Care Intensity: Overall; Year: 2015; Region Levels: State)
    Alabama $11,629
    Alaska $16,676
    Arizona $14,428
    Arkansas $12,535
    California $20,516
    Colorado $11,475
    Connecticut $18,887
    Delaware $16,215
    District of Columbia $17,051
    Florida $15,105
    Georgia $12,939
    Hawaii $15,679
    Idaho $9,790
    Illinois $16,063
    Indiana $13,596
    Iowa $12,186
    Kansas $12,309
    Kentucky $14,190
    Louisiana $12,889
    Maine $12,076
    Maryland $22,262
    Massachusetts $18,644
    Michigan $16,371
    Minnesota $13,568
    Mississippi $12,946
    Missouri $13,648
    Montana $10,428
    Nebraska $13,152
    Nevada $16,371
    New Hampshire $13,596
    New Jersey $20,419
    New Mexico $13,360
    New York $22,933
    North Carolina $12,741
    North Dakota $12,546
    Ohio $14,023
    Oklahoma $12,981
    Oregon $12,401
    Pennsylvania $14,673
    Rhode Island $16,263
    South Carolina $12,513
    South Dakota $11,765
    Tennessee $12,318
    Texas $14,127
    Utah $9,684
    Vermont $13,754
    Virginia $13,835
    Washington $13,561
    West Virginia $14,085
    Wisconsin $12,664
    Wyoming $13,932
    National Average $15,366
    90th Percentile $18,887
    50th Percentile $13,596
    10th Percentile $11,629
        • DENOMINATOR DEFINITION:
        • 100% of Medicare enrollees age 65-99 who died during the measurement year with full Part A entitlement and no HMO enrollment during the measurement period. Age, gender, race, and eligibility are determined using the Denominator file.

        • NUMERATOR DEFINITION:
        • Inpatient reimbursements ($) within six months of the death date in the MedPAR file. For stays that began prior to the six-month period before the death date, only the portion of the event that occurred within the six-month window is used. ICU spending represents Medicare allowed charges, rather than reimbursements. ICU charges are determined by the following indicators in the MedPAR claim: ICAREAMT (intensive care charge amount), CRNRYAMT (coronary care charge amount).

        • ADJUSTMENTS:
        • Rates are adjusted for age, sex and race using the indirect method, using the U.S. Medicare decedent population as the standard. Gender-specific rates are age and race adjusted; race-specific rates are age and sex adjusted.




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    The Dartmouth Atlas of Health Care is based at The Dartmouth Institute for Health Policy and Clinical Practice and is supported by a coalition of funders led by the Robert Wood Johnson Foundation, including the WellPoint Foundation, the United Health Foundation, the California HealthCare Foundation, and the Charles H. Hood Foundation.