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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)
    Wyoming $739
    Wisconsin $705
    West Virginia $987
    Washington $1,022
    Virginia $1,210
    Vermont $1,310
    Utah $1,815
    Texas $1,867
    Tennessee $1,435
    South Dakota $401
    South Carolina $952
    Rhode Island $1,438
    Pennsylvania $1,215
    Oregon $1,082
    Oklahoma $1,678
    Ohio $1,096
    North Dakota $306
    North Carolina $972
    New York $1,394
    New Mexico $1,255
    New Jersey $1,261
    New Hampshire $1,253
    Nevada $1,674
    Nebraska $794
    Montana $568
    Missouri $833
    Mississippi $1,517
    Minnesota $807
    Michigan $1,336
    Massachusetts $1,723
    Maryland $1,097
    Maine $1,072
    Louisiana $1,684
    Kentucky $1,220
    Kansas $820
    Iowa $603
    Indiana $1,318
    Illinois $1,427
    Idaho $1,148
    Hawaii $549
    Georgia $1,126
    Florida $1,976
    District of Columbia $892
    Delaware $1,152
    Connecticut $1,714
    Colorado $1,198
    California $1,684
    Arkansas $1,007
    Arizona $1,046
    Alaska $710
    Alabama $1,291
    National Average $1,340
    90th Percentile $1,714
    50th Percentile $1,152
    10th Percentile $603
        • 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.