Government Information

Earl Gregg Swem Library

National Inpatient Hospital Costs: The Most Expensive Conditions by Payer, 2013

Categories: Health Insurance,Health/Medical,Medicare/Medicaid,Prices/Inflation,Statistics

http://www.hcup-us.ahrq.gov/reports/statbriefs/sb204-Most-Expensive-Hospital-Conditions.pdf

The mean expense per U.S. hospital stay in 2012 was over $18,000.  This report describes the distribution of costs by expected primary payer and illustrates the conditions accounting for the largest percentage of each payer’s hospital costs.  From the Agency for Healthcare Research and Quality

 

State Variation in Health Care Service Utilization: United States, 2014

Categories: Health Insurance,Health/Medical,Medicare/Medicaid,Statistics

http://www.cdc.gov/nchs/data/databriefs/db245.pdf

Examines the prevalence of two health care utilization measures—percentage of adults without a usual place of medical care, and percentage of adults who did not have a general doctor–by state.  Also examines state differences by Medicaid expansion status and state Health Insurance Marketplace type.  From the National Center for Health Statistics

 

Mapping Medicare Disparities

Categories: Health/Medical,Maps/Geography,Medicare/Medicaid,Statistics

https://www.cms.gov/About-CMS/Agency-Information/OMH/OMH-Mapping-Medicare-Disparities.html

A new mapping tool which identifies disparities in health outcomes, utilization, and spending by race, ethnicity, and geographic area for Medicare beneficiaries. From the Centers for Medicare and Medicaid Services

 

CMS Proposes to Test New Medicare Part B Prescription Drug Models to Improve Quality of Care and Deliver Better Value for Medicare Beneficiaries

Categories: Health/Medical,Laws/Regulations,Medicare/Medicaid,Prices/Inflation

https://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2016-Press-releases-items/2016-03-08.html

Describes proposed rule that would alter reimbursement methods for drugs administered in physician offices. Proposes to try different methods in different regions of country to encourage use of high quality but less costly drugs. Includes links to Federal Register and factsheet with more information. From the Centers for Medicare and Medicaid Services

 

Budget and Economic Data

Categories: Govt Finance,Medicare/Medicaid,Retirement/Social Security,Statistics

https://www.cbo.gov/about/products/budget_economic_data

New site which features budget, economic, revenue, and spending projections; historical budget data, 10-year trust fund projections, and more. From the Congressional Budget Office

 

Medicaid Managed Care: Trends in Federal Spending and State Oversight of Costs and Enrollment

Categories: Federal State Relations,Health/Medical,Laws/Regulations,Medicare/Medicaid

http://www.gao.gov/assets/680/674307.pdf

Analyzes federal expenditures under the Affordable Care Act for Medicaid managed care and the range in state payments made to managed care organizations (MCOs), selected states’ standards and how they compare with federal standards, and selected states’ methods for assigning Medicaid beneficiaries to MCOs. From the Government Accountability Office

 

All-Cause Readmissions by Payer and Age, 2009-2013

Categories: Health Insurance,Health/Medical,Medicare/Medicaid,Prices/Inflation,Statistics

http://www.hcup-us.ahrq.gov/reports/statbriefs/sb199-Readmissions-Payer-Age.pdf

Hospital readmissions are increasingly being used as a measure for assessing the performance of the health care system. This report presents data on 30-day all-cause readmissions among patients aged 1+ by expected payer and patient age group. Shows a decrease in readmissions of Medicare patients from 2011 to 2013. From the Agency for Healthcare Research and Quality

 

Hospital Stays in Medicare Advantage Plans Versus the Traditional Medicare Fee-for-Service Program, 2013

Categories: Elderly,Health Insurance,Health/Medical,Medicare/Medicaid,Prices/Inflation,Statistics

http://www.hcup-us.ahrq.gov/reports/statbriefs/sb198-Hospital-Stays-Medicare-Advantage-Versus-Traditional-Medicare.pdf

Compares volume of patients, cost per stay, and length of stay in the two main types of payment plans for Medicare beneficiaries utilizing hospital services. From the Agency for Healthcare Research and Quality

 

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