Geographic VariationFinal ChartpackNovember 30, 2009.ppt

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Geographic VariationFinal ChartpackNovember 30, 2009.ppt

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* * * * * * * * * * Premium levels for private insurance show a different pattern of variation than Medicare spending levels. Source: The Commonweath Fund. (2009). Paying the Price: How Health Insurance Premiums Are Eating Up Middle Class Incomes. New York, NY. $11,001 – $12,000 $11,000 $12,001 – $13,000 $13,001 Chart 20: Average Commercial Insurance Premium for Family Coverage by State, 2008 National Average = $12,298 States with low spending levels don’t necessarily exhibit lower spending growth. Source: THEORI analysis of the Acute Inpatient Prospective Payment System, Physician Fee Schedule and Medicare Advantage data published by the Centers for Medicare Medicaid Services. Note: Adjustment removes teaching and DSH payments and standardizes by the risk score and wage adjustments. DGME= direct graduate medical education. IME= indirect medical education. DSH= disproportionate share payments made to hospitals that may see a greater proportion of low-income beneficiaries. $7,001 – $7,500 $6,500 – $7,000 $6,500 $7,501 – $8,000 $8,000 Chart 21: Medicare Spending per Beneficiary Adjusted for Wages, Health Status, and DGME/IME/DSH, by State, 2006 National Average = $7,400 States with low spending levels don’t necessarily exhibit lower spending growth. Source: THEORI analysis of the Acute Inpatient Prospective Payment System, Physician Fee Schedule and Medicare Advantage data published by the Centers for Medicare Medicaid Services. Note: Adjustment removes teaching and DSH payments and standardizes by the risk score and wage adjustments. DGME= direct graduate medical education. IME= indirect medical education. DSH= disproportionate share payments made to hospitals that may see a greater proportion of low-income beneficiaries. 6% - 6.9% 5% - 5.9% 5% 7% - 7.9% 8% Chart 22: Compound Annual Growth in Medicare Spending per Beneficiary, Adjusted for Wages, Health Status, and DGME/IME/DSH, by State, 2000 – 2006 National Average = 6.7% There is no discernable relationship