Prices Don't Drive Regional Medicare Spending Variations

被引：176

作者：

Gottlieb, Daniel J. ^{[1
]}

Zhou, Weiping

Song, Yunjie

Andrews, Kathryn Gilman

Skinner, Jonathan S. ^{[2
]}

Sutherland, Jason M. ^{[3
]}

机构：

[1] Dartmouth Inst Hlth Policy & Clin Practice, Lebanon, NH USA

[2] Dartmouth Coll, Dept Econ, Hanover, NH 03755 USA

[3] Univ British Columbia, Sch Populat & Publ Hlth, Vancouver, BC V5Z 1M9, Canada

来源：

HEALTH AFFAIRS | 2010年 / 29卷 / 03期

关键词：

HEALTH-CARE; COST;

D O I：

10.1377/hlthaff.2009.0609

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Per capita Medicare spending is more than twice as high in New York City and Miami than in places like Salem, Oregon. How much of these differences can be explained by Medicare's paying more to compensate for the higher cost of goods and services in such areas? To answer this question, we analyzed Medicare spending after adjusting for local price differences in 306 Hospital Referral Regions. The price-adjustment analysis resulted in less variation in what Medicare pays regionally, but not much. The findings suggest that utilization-not local price differences-drives Medicare regional payment variations, along with special payments for medical education and care for the poor.

引用

页码：537 / 543

页数：7