State variations in Medicare expenditures
Bibliographic Data
| ID | 11027509 |
|---|---|
| Authors | Robert L Kane (0009-0005-8505-6218, Department of Health Services), B Friedman, B E Friedman (0000-0001-6020-5217, University of Minnesota) |
| Year | 1997 |
| Volume | 87 |
| Issue | 10 |
| Pages | 1611-1619 |
| Publication date | 1997-10-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Public Health (JOURNAL) |
| Journal identifiers | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Publisher | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.87.10.1611 |
| PMID | 9357341 |
| OpenAlex | W2033785022 |
| Language | EN |
| Citations received | 3 |
| References cited | 30 |
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
Business · Payment · Service (business) · Unit (ring theory) · Demography · Finance · Global Health Care Issues · Healthcare Policy and Management · Medicine · Primary Care and Health Outcomes · Psychology · Gerontology
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An analysis of variance test for normality (complete samples)
Health Perceptions and Survival
Small Area Variations in Health Care Delivery
Trends in Medicare Payments in the Last Year of Life
Diagnostics for heteroscedasticity in regression
Best Subsets Logistic Regression
Effects of Race and Income on Mortality and Use of Services among Medicare Beneficiaries
A Heteroskedasticity-Consistent Covariance Matrix Estimator and a Direct Test for Heteroskedasticity
Racial differences in the elderly's use of medical procedures and diagnostic tests
Population Illness Rates Do Not Explain Population Hospitalization Rates
Professional uncertainty and the problem of supplier-induced demand
| Citations per year | 0.1 |
|---|---|
| Citation span | 1997 - 2009 (13) |
| Highly cited | No |