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Total Medicare Reimbursements per Decedent, by Interval Before Death
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    • Interval Before Death:

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    Region
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    Total Medicare Reimbursements per Decedent, by Interval Before Death
    (Interval Before Death: Last Six Months of Life; Year: 2014; Region Levels: State)
    California $44,371
    New Jersey $43,240
    New York $42,485
    Nevada $41,456
    Maryland $41,148
    Connecticut $40,350
    Massachusetts $39,298
    District of Columbia $38,930
    Florida $38,074
    Texas $37,251
    Illinois $36,362
    Delaware $36,170
    Rhode Island $36,170
    Arizona $36,097
    Michigan $34,565
    Pennsylvania $33,853
    Hawaii $33,633
    Louisiana $33,500
    Alaska $33,395
    Ohio $33,389
    Indiana $32,924
    New Mexico $31,861
    New Hampshire $31,783
    Mississippi $31,258
    Georgia $30,994
    Virginia $30,877
    Oklahoma $30,827
    Missouri $30,550
    Washington $30,539
    South Carolina $30,483
    Kentucky $30,336
    West Virginia $30,260
    Vermont $30,160
    Colorado $30,071
    Arkansas $29,841
    Nebraska $29,504
    Tennessee $29,324
    Minnesota $29,313
    Wyoming $29,303
    North Carolina $29,138
    Kansas $29,133
    Utah $28,989
    Wisconsin $28,717
    Alabama $28,520
    Oregon $27,888
    Maine $27,505
    Idaho $26,553
    Iowa $26,319
    South Dakota $25,031
    North Dakota $24,603
    Montana $23,768
    National Average $34,837
    90th Percentile $41,148
    50th Percentile $30,877
    10th Percentile $26,553
        • FOOTNOTES:
        • Sum of the per decedent spending rates from the combined 100% sample files (MedPAR, Home Health Agency, Hospice and DME), the Part B file, and the Outpatient file.

        • DENOMINATOR DEFINITION:
        • Click here to read about changes in methods between the 2001-05 and 2003-07 analyses. The study population includes beneficiaries with one of nine chronic conditions who were enrolled in traditional (fee-for-service) Medicare and died during the measurement period. To allow for two years of follow-back for all patients, the population is restricted to those whose age on the date of death was 67 to 99 years, and to those having full Part A and Part B entitlement throughout the last two years of life. Persons enrolled in managed care organizations were excluded from the analysis. For the hospital-specific analyses, patients had to be hospitalized for chronic illness at least once during their last two years of life to be included. For regional analyses, all patients diagnosed with a chronic illness were included.

        • ADJUSTMENTS:
        • Rates are adjusted for age, sex, race, primary chronic condition, and the presence of more than one chronic condition using ordinary least squares regression.




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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.