Geographic variations in incremental costs of heart disease among medicare beneficiaries, by type of service, 2012

• Type of Material: Article
• Authors: Rita Wakim, Centers for Disease Control and Prevention; Matthew Ritchey, Centers for Disease Control and Prevention; Jason Hockenberry, Emory University; Michele Casper, Centers for Disease Control and Prevention
• Language: English
• Date: 2016-12-29
• Publisher: Centers for Disease Control and Prevention
• Publication Version: Final Published Version
• Copyright Statement: Copyright 2016 U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention
• Final Published Version (URL): http://dx.doi.org/10.5888/pcd13.160209
• Title of Journal or Parent Work: Preventing Chronic Disease
• ISSN: 1545-1151
• Volume: 13
• Issue: 12
• Start Page: E180
• End Page: E180
• Research Categories: Health Sciences, Public Health; Health Sciences, Health Care Management

Abstract

Using 2012 data onfee-for-service Medicare claims, we documented regional and county variation in incremental standardized costs of heart disease (ie, comparing costs between beneficiaries with heart disease and beneficiaries without heart disease) by type of service (eg, inpatient, outpatient, post-acutecare). Absolute incremental total costs varied by region. Although the largest absolute incremental total costs of heart disease were concentrated in southern and Appalachian counties, geographic patterns of costs varied by type of service. These data can be used to inform development of policies and payment models that address the observed geographic disparities.