Medicare Spending by Claim
Pre-Risk Adjusted Hospital Spending Data
By Health [source]
About this dataset
The Medicare Hospital Spending by Claim Type dataset provides a comprehensive view of the average spending levels for hospitals during their Medicare Spending per Beneficiary (MSPB) episodes. This dataset gives insight into how much money is being spent on different types of care and services, in addition to shedding light on regional disparities in hospital spending across the nation. The pre-risk-adjusted values provide invaluable information to those interested in understanding how hospitals are allocating resources, as well as enabling academic researchers to gain deeper insights into how health care decisions are made. With this data, stakeholders can make informed decisions on how best to allocate resources, better serve vulnerable patient populations, and reduce overall healthcare costs
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How to use the dataset
This dataset contains information on average Medicare spending levels during hospitals' Medicare Spending per Beneficiary (MSPB) episodes. The data provides detailed insight into the amount of expenditure associated with different types of claims made by hospitals. By exploring this dataset one can assess which areas are getting more financial investment and whether services are receiving enough funding accordingly.
Using this dataset one can easily explore hospital spending across different dimensions such as state, claim type, and period. To get started, individuals should begin by looking at the overall percent of spending for different states as well as for a particular hospital or period of time in order to gain an understanding about where money is being allocated in terms of claim type or medical service being provided.
From there it is possible to further breakdown the percent of spending from a state or hospitals’ perspective and see what specifics types medical services are driving the most cost efficiency within that state or hospital system respectively. Finally, users can compare these findings against the national average to determine where their state/hospital system compares against other states/hospitals on a national level in terms of quality and resources for healthcare delivery
Research Ideas
- Analyzing the cost-effectiveness of treatments for different illnesses among hospitals operating in a state or nationwide.
- Examining differences in average Medicare payments across different claim types and states, to better understand variations in healthcare pricing.
- Comparing start/end dates to track changes in Medicare spending related to hospital procedures over time
Acknowledgements
If you use this dataset in your research, please credit the original authors.
Data Source
License
License: Open Database License (ODbL) v1.0
- You are free to:
- Share - copy and redistribute the material in any medium or format.
- Adapt - remix, transform, and build upon the material for any purpose, even commercially.
- You must:
- Give appropriate credit - Provide a link to the license, and indicate if changes were made.
- ShareAlike - You must distribute your contributions under the same license as the original.
- Keep intact - all notices that refer to this license, including copyright notices.
- No Derivatives - If you remix, transform, or build upon the material, you may not distribute the modified material.
- No additional restrictions - You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Columns
File: Medicare_Hospital_Spending_by_Claim.csv
| Column name |
Description |
| Hospital Name |
The name of the hospital associated with the claim. (String) |
| State |
The state in which the hospital is located. (String) |
| Period |
The period of time associated with the claim. (String) |
| Claim Type |
The type of claim associated with the hospital. (String) |
| Avg Spending Per Episode (Hospital) |
The average spending per episode for the hospital. (Number) |
| Avg Spending Per Episode (State) |
The average spending per episode for the state. (Number) |
| Avg Spending Per Episode (Nation) |
The average spending per episode for the nation. (Number) |
| Percent of Spending (Hospital) |
The percent of spending for the hospital. (Number) |
| Percent of Spending (State) |
The percent of spending for the state. (Number) |
| Percent of Spending (Nation) |
The percent of spending for the nation. (Number) |
| Measure Start Date |
The start date of the measure. (Date) |
| Measure End Date |
The end date of the measure. (Date) |
File: rows.csv
| Column name |
Description |
| Hospital Name |
The name of the hospital associated with the claim. (String) |
| State |
The state in which the hospital is located. (String) |
| Period |
The period of time associated with the claim. (String) |
| Claim Type |
The type of claim associated with the hospital. (String) |
| Avg Spending Per Episode (Hospital) |
The average spending per episode for the hospital. (Number) |
| Avg Spending Per Episode (State) |
The average spending per episode for the state. (Number) |
| Avg Spending Per Episode (Nation) |
The average spending per episode for the nation. (Number) |
| Percent of Spending (Hospital) |
The percent of spending for the hospital. (Number) |
| Percent of Spending (State) |
The percent of spending for the state. (Number) |
| Percent of Spending (Nation) |
The percent of spending for the nation. (Number) |
| Measure Start Date |
The start date of the measure. (Date) |
| Measure End Date |
The end date of the measure. (Date) |
Acknowledgements
If you use this dataset in your research, please credit the original authors.
If you use this dataset in your research, please credit Health.