Medicare Reimbursements per Decedent, by Interval Before Death and Sector
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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 $4,054
    Alaska $710
    Arizona $5,815
    Arkansas $1,007
    California $4,335
    Colorado $4,826
    Connecticut $1,714
    Delaware $5,221
    District of Columbia $3,489
    Florida $1,976
    Georgia $4,889
    Hawaii $549
    Idaho $3,494
    Illinois $3,523
    Indiana $1,318
    Iowa $3,776
    Kansas $820
    Kentucky $5,139
    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 $4,988
    Nevada $1,674
    New Hampshire $1,253
    New Jersey $8,081
    New Mexico $3,769
    New York $1,394
    North Carolina $3,946
    North Dakota $306
    Ohio $6,178
    Oklahoma $3,670
    Oregon $1,082
    Pennsylvania $3,744
    Rhode Island $6,033
    South Carolina $3,772
    South Dakota $13,993
    Tennessee $2,943
    Texas $1,867
    Utah $4,582
    Vermont $4,136
    Virginia $16,630
    Washington $1,022
    West Virginia $4,435
    Wisconsin $3,984
    Wyoming $16,744
    National Average $30,127
    90th Percentile $8,268
    50th Percentile $3,441
    10th Percentile $3,022
        • 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.

        • 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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