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Medicare Reimbursements per Decedent, by Interval Before Death and Sector
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    Region
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    Medicare Reimbursements per Decedent, by Interval Before Death and Sector
    (Interval Before Death: Last Six Months of Life; Sector: Home Health; Year: 2014; Region Levels: State)
    Alabama $3,987
    Alaska $710
    Arizona $4,512
    Arkansas $1,007
    California $4,548
    Colorado $4,209
    Connecticut $1,714
    Delaware $1,152
    District of Columbia $37,205
    Florida $5,451
    Georgia $15,636
    Hawaii $6,648
    Idaho $1,148
    Illinois $5,373
    Indiana $3,522
    Iowa $13,592
    Kansas $9,919
    Kentucky $1,220
    Louisiana $3,714
    Maine $3,794
    Maryland $1,097
    Massachusetts $7,696
    Michigan $3,880
    Minnesota $807
    Mississippi $3,315
    Missouri $833
    Montana $2,613
    Nebraska $5,413
    Nevada $1,674
    New Hampshire $12,891
    New Jersey $1,261
    New Mexico $7,479
    New York $1,394
    North Carolina $3,853
    North Dakota $306
    Ohio $1,096
    Oklahoma $7,161
    Oregon $1,082
    Pennsylvania $4,053
    Rhode Island $1,438
    South Carolina $8,739
    South Dakota $401
    Tennessee $3,571
    Texas $1,867
    Utah $1,815
    Vermont $28,396
    Virginia $1,210
    Washington $1,022
    West Virginia $987
    Wisconsin $24,454
    Wyoming $739
    National Average $4,111
    90th Percentile $8,268
    50th Percentile $3,441
    10th Percentile $22,954
        • FOOTNOTES:
        • Overall spending measures were calculated for the 100% sample files (MedPAR, Home Health Agency, Hospice and DME), the Part B file, and the Outpatient file, and were adjusted for differences in age, sex, race, and primary chronic diagnosis. Payments were then partitioned into components based on the proportional distribution of the crude component spending rates. The Part B (physician) spending that occurred at each site of care (determined using the place of service code on the Part B claim) was added to the facility component to determine spending in each sector.

        • 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.