title: Geographic Variations in Incremental Costs of Heart Disease Among Medicare Beneficiaries, by Type of Service, 2012.
abstract: Using 2012 data on fee-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-acute care). 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.
authors.affiliation: Division for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Hwy NE, Atlanta, GA 30341. Email: myc5@cdc.gov.|Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia.
authors.forename: Rita
authors.initials: R
authors.lastname: Wakim
authors.affiliation: Division for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Matthew
authors.initials: M
authors.lastname: Ritchey
authors.affiliation: Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia.
authors.forename: Jason
authors.initials: J
authors.lastname: Hockenberry
authors.affiliation: Division for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Michele
authors.initials: M
authors.lastname: Casper
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D014487:Centers for Medicare and Medicaid Services, U.S.; D017281:Cost of Illness; D016208:Databases, Factual; D018588:Fee-for-Service Plans / Q000706:statistics & numerical data*; D005260:Female; D005843:Geography; D005102:Health Expenditures / Q000706:statistics & numerical data*; D006331:Heart Diseases / Q000453:epidemiology* / Q000628:therapy*; D006801:Humans; D008297:Male; D006278:Medicare; D014481:United States