State variations in Medicare expenditures

Kane, Robert L.; Friedman, Bruce
October 1997
American Journal of Public Health;Oct97, Vol. 87 Issue 10, p1611
Academic Journal
Objectives. This study examined variations in Medicare expenditures across states. Methods. 1992 data on average Medicare expenditures per enrollee, users of services per 1000 enrollees, service use per user, and payment per unit of service were compared across states for various services. Weighted least squares regression analysis was employed to examine total Medicare expenditures per enrollee by state. Results. Variation in Medicare expenditures across states is driven more by average number of service users per 1000 enrollees and average service units per user than by average payment per service unit. Medicare expenditures per enrollee by state are primarily a function of Medicare HMO penetration rate (P = .000), urban area (P = .001), hospital bed supply {P = .005), elderly mortality rate (P = .012), Medicare physician assignment rate (P = .026), percentage of primary care practitioners (P = .042), and interactions between urban elderly and percentage of primary care physicians (P = .005) and Black elderly and nursing home bed supply (P = .012). Conclusions. Before sweeping Medicare cuts are undertaken or excessive reliance on managed care occurs, attention should be focused on the current disproportionate distribution of expenditures across states.


Related Articles

  • Seeking a Replacement for the Medicare Physician Services Payment Method. Dodoo, Martey S.; Phillips Jr., Robert L.; Green, Larry A. // Business Economics;Jul2007, Vol. 42 Issue 3, p41 

    Business and government spending on physician services have soared over the last few decades. Most payers for services traditionally peg their payment rates to Medicare. However, most consider the current Medicare single payment rate flawed because it fails to improve health outcomes or control...

  • Updates on Incentive Payment Program and ICD-10.  // Internal Medicine Coding Alert;Apr2012, Vol. 15 Issue 4, pp28 

    The article reports on the Primary Care Incentive Payment program (PCIP) in the healthcare industry. It mentions PCIP is an incentive payment of 10 percent of Medicare's program payments that is to be paid to physicians and non-physician practitioners for their services rendered from January 1,...

  • SINGLE-PAYER PROPONENTS Ramp Up Campaign. Atkinson, Mary Layton; Idelson, Charles // Revolution: The Journal for RNs & Patient Advocacy;Nov/Dec2005, Vol. 6 Issue 6, p11 

    The article reports on the efforts of universal health care system to persuade the American people that real reform requires a radical shift away from the employer-based, private insurance-dominated system in the U.S. It is a matter of historical fact that everyone of the other industrialized...

  • (COMMENTARY) Medicare Celebrates Its 45th Anniversary.  // Aging News Alert;7/30/2010, p1 

    The article presents information on the Medicare program in the U.S. It not only provide health insurance of the elderly for medical care but also provide desperately needed coverage for Americans under age 65 who suffer from certain disabilities or chronic diseases. It is informed that Medicare...

  • Staffers tweak Medicare bill; measure's fate still uncertain. Young, Jeffrey // Hill;12/11/2007, Vol. 14 Issue 144, p28 

    The article reports on the Medicare bill worked by staffers that would prevent a scheduled 10% cut in Medicare payments to doctors in U.S. Lobbyists believe that House Democrats led the charge to fatten the bill, especially the provisions affecting health insurance companies. Senate Finance...

  • Send your office to 'Medicare School'. Jones, Donald // Getting Paid in Behavioral Healthcare;Jan2006, Vol. 11 Issue 1, p1 

    The article features "The Medicare Learning Network," which provides a variety of training and educational materials on Medicare policy. This program helps Medicare providers in coping up with changes in policies. The web based training programs include Front Office Medicare course, Health...

  • Political parties must deliver on health reform. Iliffe, Jill // Australian Nursing Journal;Jul2004, Vol. 12 Issue 1, p1 

    Focuses on the health care system and Medicare in Australia. Obscurity and disputes in the country's health care, particularly in Medicare; Background on its Medicare system; Advantages provided by Medicare; Significance of health reforms to addressing the problems in the country's system of...

  • Fee schedule update.  // Patient Care;Apr2003, Vol. 37 Issue 4, p62 

    Presents information on the 2003 Medicare Physician Fee Schedule released by the U.S. Centers for Medicare and Medicaid Services. Purpose of the Physician Fee Schedule; Information on the Medicare payment for administration of some vaccine immunizations; Information on the coding adjustments...

  • Emergency Room Use and Primary Care Case Management: Evidence from Four Medicaid Demonstration Programs. Hurley, Robert E.; Freund, Deborah A.; Taylor, Donald E. // American Journal of Public Health;Jul1989, Vol. 79 Issue 7, p843 

    Abstract: Claims-based utilization data collected in four Medicaid demonstration programs are used to examine the impact of primary care case management on patterns of reliance on the emergency room as a source of services. The experience of stratified random samples of AFDC (Aid to Families...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics