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Percent of Medicare Beneficiaries Filling Prescription for a High-Risk Medication, by Cohort
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    Region
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    Percent of Medicare Beneficiaries Filling Prescription for a High-Risk Medication, by Cohort
    (Cohort: All Beneficiaries; Year: 2012; Region Levels: State)
    Alabama 25.3%
    Alaska 17.0%
    Arizona 17.7%
    Arkansas 20.2%
    California 18.7%
    Colorado 16.2%
    Connecticut 14.9%
    Delaware 17.7%
    District of Columbia 16.4%
    Florida 19.5%
    Georgia 23.5%
    Hawaii 21.1%
    Idaho 16.0%
    Illinois 16.1%
    Indiana 19.4%
    Iowa 13.2%
    Kansas 17.3%
    Kentucky 24.8%
    Louisiana 26.1%
    Maine 15.0%
    Maryland 17.3%
    Massachusetts 12.7%
    Michigan 15.9%
    Minnesota 11.7%
    Mississippi 23.5%
    Missouri 18.3%
    Montana 13.9%
    Nebraska 14.1%
    Nevada 17.6%
    New Hampshire 14.2%
    New Jersey 16.7%
    New Mexico 18.6%
    New York 15.5%
    North Carolina 21.4%
    North Dakota 12.8%
    Ohio 18.0%
    Oklahoma 23.5%
    Oregon 16.9%
    Pennsylvania 15.2%
    Rhode Island 13.8%
    South Carolina 21.2%
    South Dakota 11.1%
    Tennessee 23.8%
    Texas 21.9%
    Utah 17.3%
    Vermont 13.1%
    Virginia 18.8%
    Washington 17.2%
    West Virginia 20.2%
    Wisconsin 13.4%
    Wyoming 14.7%
    National Average 18.4%
    90th Percentile 23.5%
    50th Percentile 17.3%
    10th Percentile 13.2%
        • DENOMINATOR DEFINITION:
        • High-risk medication use was measured for Medicare beneficiaries who were age 65-99 on January 1 of the measurement year enrolled in Parts A and B and also continuously enrolled in a stand-alone Part D plan (based on a 40% random sample). Patients enrolled in risk-bearing HMOs at any time during the year and patients with hospice claims were excluded.

        • NUMERATOR DEFINITION:
        • High-risk medications examined were those identified on the HEDIS list by the NCQA as generally conferring more risk than benefit in older people.




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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.