Medicare Data for the Geographic Variation Public Use File: a Methodological Overview

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Publisher : CreateSpace
ISBN 13 : 9781508496557
Total Pages : 24 pages
Book Rating : 4.4/5 (965 download)

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Book Synopsis Medicare Data for the Geographic Variation Public Use File: a Methodological Overview by : Centers for Centers for Medicare & Medicaid

Download or read book Medicare Data for the Geographic Variation Public Use File: a Methodological Overview written by Centers for Centers for Medicare & Medicaid and published by CreateSpace. This book was released on 2015-02-16 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt: Federal policymakers and health researchers have long recognized that the amount and quality of the health care services that Medicare beneficiaries receive vary substantially across different regions of the United States. Much of that variation does not appear to be caused by differences in beneficiaries' health, and one widely-publicized estimate asserted that as much as 30 percent of Medicare expenditures may be unnecessary. The Office of Information Products and Data Analytics within the Centers for Medicare & Medicaid Services (CMS) has developed a public use file, the Geographic Variation Public Use File (GV PUF), to support further analysis of this important issue. This public use file is based primarily on information from CMS's Chronic Conditions Data Warehouse (CCW), which contains 100 percent of Medicare claims for beneficiaries who are enrolled in the fee-for-service (FFS) program as well as enrollment and eligibility data. The GV PUF covers calendar years 2008-2012 and has information on the demographics, spending, service utilization, and prevalence of certain chronic conditions for Medicare beneficiaries in different parts of the country. We also incorporated a variety of quality indicators that can be used to analyze relationships between Medicare utilization and quality of care. The December 2013 update to the GV PUF adds data for 2012 and incorporates several minor revisions to the CMS methodology. This update supersedes the data that we provided in May 2013. This overview is divided into the following eight sections: 1. Key data sources 2. Study population 3. Geographic variables 4. Disease variables 5. Standardization and risk adjustment of spending 6. Utilization measures 7. Quality measures 8. Changes from the May 2013 dataset to the December 2013 update

Geographic Adjustment in Medicare Payment

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Publisher : National Academies Press
ISBN 13 : 030921145X
Total Pages : 236 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Geographic Adjustment in Medicare Payment by : Institute of Medicine

Download or read book Geographic Adjustment in Medicare Payment written by Institute of Medicine and published by National Academies Press. This book was released on 2012-05-23 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare is the largest health insurer in the United States, providing coverage for 39 million people aged 65 and older and 8 million people with disabilities, and reaching more than an estimated $500 billion in payments in 2010. Although Medicare is a national program, it adjusts fee-for-service payments according to the geographic location of a practice. While there is widespread agreement about the importance of providing accurate payments to providers, there is disagreement about how best to adjust payment based on geographic location. At the request of Congress and the Department of Health and Human Services (HHS), the Institute of Medicine (IOM) examined ways to improve the accuracy of data sources and methods used for making the geographic adjustments to payments. The IOM recommends an integrated approach that includes moving to a single source of wage and benefits data; changing to one set of payment areas; and expanding the range of occupations included in the index calculations. The first of two reports, Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy, assesses existing practices in regards to accuracy, criteria consistency, evidence for adjustment, sound rationale, transparency, and separate policy adjustments to reform the current payment system. Adopting the recommendations outlined in this report will mean a change in the way that the indexes are calculated, and will require a combination of legislative, rule-making, and administrative actions, as well as a period of public comment. Geographic Adjustment in Medicare Payment will inform the work of government agencies such as HHS, the Centers for Medicare and Medicaid Services, congressional members and staff, the health care industry, national professional organizations and state medical and nursing societies, and Medicare advocacy groups.

Geographic Adjustment in Medicare Payment

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Author :
Publisher : National Academies Press
ISBN 13 : 0309211492
Total Pages : 236 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Geographic Adjustment in Medicare Payment by : Institute of Medicine

Download or read book Geographic Adjustment in Medicare Payment written by Institute of Medicine and published by National Academies Press. This book was released on 2012-04-23 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare is the largest health insurer in the United States, providing coverage for 39 million people aged 65 and older and 8 million people with disabilities, and reaching more than an estimated $500 billion in payments in 2010. Although Medicare is a national program, it adjusts fee-for-service payments according to the geographic location of a practice. While there is widespread agreement about the importance of providing accurate payments to providers, there is disagreement about how best to adjust payment based on geographic location. At the request of Congress and the Department of Health and Human Services (HHS), the Institute of Medicine (IOM) examined ways to improve the accuracy of data sources and methods used for making the geographic adjustments to payments. The IOM recommends an integrated approach that includes moving to a single source of wage and benefits data; changing to one set of payment areas; and expanding the range of occupations included in the index calculations. The first of two reports, Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy, assesses existing practices in regards to accuracy, criteria consistency, evidence for adjustment, sound rationale, transparency, and separate policy adjustments to reform the current payment system. Adopting the recommendations outlined in this report will mean a change in the way that the indexes are calculated, and will require a combination of legislative, rule-making, and administrative actions, as well as a period of public comment. Geographic Adjustment in Medicare Payment will inform the work of government agencies such as HHS, the Centers for Medicare and Medicaid Services, congressional members and staff, the health care industry, national professional organizations and state medical and nursing societies, and Medicare advocacy groups.

Geographic Variation in Medicare Spending

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Publisher :
ISBN 13 :
Total Pages : 5 pages
Book Rating : 4.:/5 (872 download)

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Book Synopsis Geographic Variation in Medicare Spending by : Amanda Cassiday

Download or read book Geographic Variation in Medicare Spending written by Amanda Cassiday and published by . This book was released on 2014 with total page 5 pages. Available in PDF, EPUB and Kindle. Book excerpt: Researchers continue to study why Medicare spending per beneficiary varies significantly from one part of the country to another.

Geographic Adjustment in Medicare Payment

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Publisher : National Academies Press
ISBN 13 : 0309258014
Total Pages : 262 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Geographic Adjustment in Medicare Payment by : Institute of Medicine

Download or read book Geographic Adjustment in Medicare Payment written by Institute of Medicine and published by National Academies Press. This book was released on 2012-10-31 with total page 262 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare, the world's single largest health insurance program, covers more than 47 million Americans. Although it is a national program, it adjusts payments to hospitals and health care practitioners according to the geographic location in which they provide service, acknowledging that the cost of doing business varies around the country. Under the adjustment systems, payments in high-cost areas are increased relative to the national average, and payments in low-cost areas are reduced. In July 2010, the Department of Health and Human Services, which oversees Medicare, commissioned the IOM to conduct a two-part study to recommend corrections of inaccuracies and inequities in geographic adjustments to Medicare payments. The first report examined the data sources and methods used to adjust payments, and recommended a number of changes. Geographic Adjustment in Medicare Payment - Phase II:Implications for Access, Quality, and Efficiency applies the first report's recommendations in order to determine their potential effect on Medicare payments to hospitals and clinical practitioners. This report also offers recommendations to improve access to efficient and appropriate levels of care. Geographic Adjustment in Medicare Payment - Phase II:Implications for Access, Quality, and Efficiency expresses the importance of ensuring the availability of a sufficient health care workforce to serve all beneficiaries, regardless of where they live.

Medicaid Hospital Payment

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Publisher :
ISBN 13 :
Total Pages : 110 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Medicaid Hospital Payment by : Jennifer Baldwin

Download or read book Medicaid Hospital Payment written by Jennifer Baldwin and published by . This book was released on 1991 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Geography of Medicare

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Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (137 download)

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Book Synopsis The Geography of Medicare by : Louise Sheiner

Download or read book The Geography of Medicare written by Louise Sheiner and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: There is a great deal of geographic variation in Medicare spending. For example, while the average Medicare cost per beneficiary was around $5200 in 1996, Medicare spending, adjusted for diffences in regional prices and demographic composition, was about $8000 per person in Miami, but only $3500 in Minneapolis. In this paper, we explore the source of this variation. We find that a substantial amount can be explained by differences across areas in the health of the elderly population. This finding suggests that some of the geographic variation in Medicare spending is efficient. But even accounting for differences in the health of the population, significant variation remains. We have been able to explain some of the remaining variation. The strongest factors are supply variables: for-profit hospitals and specialist physicians both increase Medicare spending. If these factors are exogenous, public policy may want to consider the supply of medical services more than it currently does. We do not find that expensive places spend a disproportionate amount on those near death.

Race, Ethnicity, and Language Data

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Publisher : National Academies Press
ISBN 13 : 0309140129
Total Pages : 286 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Race, Ethnicity, and Language Data by : Institute of Medicine

Download or read book Race, Ethnicity, and Language Data written by Institute of Medicine and published by National Academies Press. This book was released on 2009-12-30 with total page 286 pages. Available in PDF, EPUB and Kindle. Book excerpt: The goal of eliminating disparities in health care in the United States remains elusive. Even as quality improves on specific measures, disparities often persist. Addressing these disparities must begin with the fundamental step of bringing the nature of the disparities and the groups at risk for those disparities to light by collecting health care quality information stratified by race, ethnicity and language data. Then attention can be focused on where interventions might be best applied, and on planning and evaluating those efforts to inform the development of policy and the application of resources. A lack of standardization of categories for race, ethnicity, and language data has been suggested as one obstacle to achieving more widespread collection and utilization of these data. Race, Ethnicity, and Language Data identifies current models for collecting and coding race, ethnicity, and language data; reviews challenges involved in obtaining these data, and makes recommendations for a nationally standardized approach for use in health care quality improvement.

Registries for Evaluating Patient Outcomes

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Publisher : Government Printing Office
ISBN 13 : 1587634333
Total Pages : 385 pages
Book Rating : 4.5/5 (876 download)

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Book Synopsis Registries for Evaluating Patient Outcomes by : Agency for Healthcare Research and Quality/AHRQ

Download or read book Registries for Evaluating Patient Outcomes written by Agency for Healthcare Research and Quality/AHRQ and published by Government Printing Office. This book was released on 2014-04-01 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.

Medicare Laboratory Payment Policy

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Publisher : National Academies Press
ISBN 13 : 0309183618
Total Pages : 261 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Medicare Laboratory Payment Policy by : Institute of Medicine

Download or read book Medicare Laboratory Payment Policy written by Institute of Medicine and published by National Academies Press. This book was released on 2000-12-04 with total page 261 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical laboratory tests play an integral role in helping physicians diagnose and treat patients. New developments in laboratory technology offer the prospect of improvements in diagnosis and care, but will place an increased burden on the payment system. Medicare, the federal program providing coverage of health-care services for the elderly and disabled, is the largest payer of clinical laboratory services. Originally designed in the early 1980s, Medicare's payment policy methodology for outpatient laboratory services has not evolved to take into account technology, market, and regulatory changes, and is now outdated. This report examines the current Medicare payment methodology for outpatient clinical laboratory services in the context of environmental and technological trends, evaluates payment policy alternatives, and makes recommendations to improve the system.

Agglomeration Economics

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Publisher : University of Chicago Press
ISBN 13 : 0226297926
Total Pages : 376 pages
Book Rating : 4.2/5 (262 download)

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Book Synopsis Agglomeration Economics by : Edward L. Glaeser

Download or read book Agglomeration Economics written by Edward L. Glaeser and published by University of Chicago Press. This book was released on 2010-04-15 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt: When firms and people are located near each other in cities and in industrial clusters, they benefit in various ways, including by reducing the costs of exchanging goods and ideas. One might assume that these benefits would become less important as transportation and communication costs fall. Paradoxically, however, cities have become increasingly important, and even within cities industrial clusters remain vital. Agglomeration Economics brings together a group of essays that examine the reasons why economic activity continues to cluster together despite the falling costs of moving goods and transmitting information. The studies cover a wide range of topics and approach the economics of agglomeration from different angles. Together they advance our understanding of agglomeration and its implications for a globalized world.

Report to the Congress, Medicare Payment Policy

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Publisher :
ISBN 13 :
Total Pages : 184 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Report to the Congress, Medicare Payment Policy by : Medicare Payment Advisory Commission (U.S.)

Download or read book Report to the Congress, Medicare Payment Policy written by Medicare Payment Advisory Commission (U.S.) and published by . This book was released on 1998 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Health, United States, 2016, with Chartbook on Long-Term Trends in Health

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Publisher : Government Printing Office
ISBN 13 : 9780160939778
Total Pages : 494 pages
Book Rating : 4.9/5 (397 download)

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Book Synopsis Health, United States, 2016, with Chartbook on Long-Term Trends in Health by : National Center for Health Statistics

Download or read book Health, United States, 2016, with Chartbook on Long-Term Trends in Health written by National Center for Health Statistics and published by Government Printing Office. This book was released on 2017-08-16 with total page 494 pages. Available in PDF, EPUB and Kindle. Book excerpt: This annual overview report of national trends in health statistics contains a Chartbook that assesses the nation's health by presenting trends and current information on selected measures of morbidity, mortality, health care utilization and access, health risk factors, prevention, health insurance, and personal health-care expenditures. Chapters devoted to population characteristics, prevention, health risk factors, health care resources, personal health care expenditures, health insurance, and trend tables may provide the health/medical statistician, data analyst, biostatistician with additional information to complete experimental studies or provide necessary research for pharmaceutical companies to gain data for modeling and sampling. Undergraduate students engaged in applied mathematics or statistical compilations to graduate students completing biostatistics degree programs to include statistical inference principles, probability, sampling methods and data analysis as well as specialized medical statistics courses relating to epidemiology and other health topics may be interested in this volume. Related products: Your Guide to Choosing a Nursing Home or Other Long-Term Services & Supports available here: https://bookstore.gpo.gov/products/your-guide-choosing-nursing-home-or-other-long-term-services-supports Health Insurance Coverage in the United States, 2014 available here: https://bookstore.gpo.gov/products/health-insurance-coverage-united-states-2014 "Some System of the Nature Here Proposed": Joseph Lovell's Remarks on the Sick Report, Northern Department, U.S. Army, 1817, and the Rise of the Modern US Army Medical Department can be found here: https://bookstore.gpo.gov/products/some-system-nature-here-proposed-joseph-lovells-remarks-sick-report-northern-department-us Guide to Clinical Preventive Services 2014: Recommendations of the U.S. Preventive Services Task Force (ePub) -Free digital eBook download available at the US Government Online Bookstore here: https://bookstore.gpo.gov/products/guide-clinical-preventive-services-2014-recommendations-us-preventive-services-task-force --Also available for FREE digital eBook download from Apple iBookstore, BarnesandNoble.com (Nook Bookstore), Google Play eBookstore, and Overdrive -Please use ISBN: 9780160926426 to search these commercial platforms.

Conditions of Participation for Hospitals

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Publisher :
ISBN 13 :
Total Pages : 64 pages
Book Rating : 4.:/5 (66 download)

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Book Synopsis Conditions of Participation for Hospitals by : United States. Social Security Administration

Download or read book Conditions of Participation for Hospitals written by United States. Social Security Administration and published by . This book was released on 1966 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Expanding Access to Research Data

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Publisher : National Academies Press
ISBN 13 : 9780309100120
Total Pages : 142 pages
Book Rating : 4.1/5 (1 download)

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Book Synopsis Expanding Access to Research Data by : Panel on Data Access for Research Purposes

Download or read book Expanding Access to Research Data written by Panel on Data Access for Research Purposes and published by National Academies Press. This book was released on 2005-11-11 with total page 142 pages. Available in PDF, EPUB and Kindle. Book excerpt: Policy makers need information about the nation—ranging from trends in the overall economy down to the use by individuals of Medicare—in order to evaluate existing programs and to develop new ones. This information often comes from research based on data about individual people, households, and businesses and other organizations, collected by statistical agencies. The benefit of increasing data accessibility to researchers and analysts is better informed public policy. To realize this benefit, a variety of modes for data access— including restricted access to confidential data and unrestricted access to appropriately altered public-use data—must be used. The risk of expanded access to potentially sensitive data is the increased probability of breaching the confidentiality of the data and, in turn, eroding public confidence in the data collection enterprise. Indeed, the statistical system of the United States ultimately depends on the willingness of the public to provide the information on which research data are based. Expanding Access to Research Data issues guidance on how to more fully exploit these tradeoffs. The panel’s recommendations focus on needs highlighted by legal, social, and technological changes that have occurred during the last decade.

GIS Automated Delineation of Hospital Service Areas

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Publisher :
ISBN 13 : 9781032079493
Total Pages : pages
Book Rating : 4.0/5 (794 download)

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Book Synopsis GIS Automated Delineation of Hospital Service Areas by : Fahui Wang

Download or read book GIS Automated Delineation of Hospital Service Areas written by Fahui Wang and published by . This book was released on 2021-11 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "This book intends to mainly serve professionals in geography, urban and regional planning, public health, and related fields. It is also useful for scholars in the above fields who have research interests related to GIS and spatial analysis applications in health care. It can be used as a supplemental text for graduate students in a course related to GIS and Health"--

The Dartmouth Atlas of Health Care

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Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (376 download)

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Book Synopsis The Dartmouth Atlas of Health Care by : Dartmouth Medical School. Center for the Evaluative Clinical Sciences

Download or read book The Dartmouth Atlas of Health Care written by Dartmouth Medical School. Center for the Evaluative Clinical Sciences and published by . This book was released on 1996 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: