Regional Inequality in Medicare Spending: The Key to Medicare Reform?
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Regional Inequality in Medicare Spending: The Key to Medicare Reform?
Medicare expenditures per capita vary widely across different parts of the country. Average fee-for-service per capita expenditures in 1995/96 were $3,420 in Eugene, Oregon, $3,663 in Minneapolis, $7,847 in Miami, and $8,861 in McAllen, Texas. These measures are adjusted for differences across regions in the age, sex, and racial composition of the population, as well as differences in the under...
متن کاملPrices don't drive regional Medicare spending variations.
Per capita Medicare spending is more than twice as high in New York City and Miami than in places like Salem, Oregon. How much of these differences can be explained by Medicare's paying more to compensate for the higher cost of goods and services in such areas? To answer this question, we analyzed Medicare spending after adjusting for local price differences in 306 Hospital Referral Regions. Th...
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Medicare is one of our most popular public programs and constitutes the largest public health insurance program in the United States. But it is facing major challenges in adjusting to an aging society. Either the program and/or its financing will need to change to meet the greater demands of an increase in the number of elderly and disabled persons served by the program and the expected increas...
متن کاملRegional variation in Medicare Part D drug spending.
BACKGROUND Sources of regional variation in spending for prescription drugs under Medicare Part D are poorly understood, and such variation may reflect differences in health status, use of effective treatments, or selection of branded drugs over lower-cost generics. METHODS We analyzed 2008 Medicare data for 4.7 million beneficiaries for prescription-drug use and expenditures overall and in t...
متن کاملMedicare Spending , The PhysicianWorkforce , And
The quality of care received by Medicare beneficiaries varies across areas. We find that states with higher Medicare spending have lower-quality care. This negative relationship may be driven by the use of intensive, costly care that crowds out the use of more effective care. One mechanism for this trade-off may be the mix of the provider workforce: States with more general practitioners use mo...
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ژورنال
عنوان ژورنال: NBER/Frontiers in Health Policy Research
سال: 2000
ISSN: 0000-0000,1096-231X
DOI: 10.1162/109623100300091078