title: Medicare spending by state: the border-crossing adjustment.
abstract: As the first step in a pioneering effort by the Health Care Financing Administration (HCFA) to measure interstate border crossing for services used by both Medicare and non-Medicare beneficiaries, the authors study the spending behavior of Medicare beneficiaries for 10 Medicare-covered services. Based on interstate flow-of-expenditure data developed for calendar year 1991, the authors analyze the spending patterns of State residents by studying the inflow and outflow rates and the netflow ratios of expenditures incurred by Medicare patients. The report also provides per capita expenditure estimates with residence-based adjustments and evaluates the impact of the border-crossing adjustment for individual services and States.
authors.affiliation: Office of the Actuary, Health Care Financing Administration, Baltimore, MD 21244, USA.
authors.forename: J
authors.initials: J
authors.lastname: Basu
authors.forename: H C
authors.initials: HC
authors.lastname: Lazenby
authors.forename: K R
authors.initials: KR
authors.lastname: Levit
mesh_terms: D002391:Catchment Area, Health / Q000191:economics* / Q000706:statistics & numerical data; D014487:Centers for Medicare and Medicaid Services, U.S.; D005102:Health Expenditures / Q000706:statistics & numerical data*; D006297:Health Services Accessibility / Q000191:economics / Q000706:statistics & numerical data*; D006302:Health Services Research; D006278:Medicare / Q000706:statistics & numerical data*; D010548:Personal Health Services / Q000191:economics* / Q000706:statistics & numerical data; D014195:Travel; D014481:United States