Variation in Health Care Spending Target Decision Making, Not Geography (2013) / Chapter Skim
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Appendix G: Selected Results of the Committee's Commissioned Empirical Analyses
Appendix G: Selected Results of the Committee's Commissioned Empirical Analyses
Pages 151-164
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From page 151... ...
Table G-1 sorts 306 hospital referral regions (HRRs) by their total monthly adjusted differences from the national mean of spending (also known as residual cost)
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From page 152... ...
Total Monthly Acute Care Post-Acute Care Adjusted Monthly Adjusted Monthly Adjusted Differences from Differences from Differences from the National the National the National Mean of Spending Mean of Spending Mean of Spending HRR Name Across HRRs Across HRRs Across HRRs Rochester, NY -$174 -$43 -$79 Stockton, CA -$172 -$41 -$64 Sacramento, CA -$171 -$52 -$69 Buffalo, NY -$166 -$46 -$57 Bronx, NY -$166 -$38 -$89 Santa Cruz, CA -$158 -$39 -$64 Santa Rosa, CA -$157 -$61 -$67 Medford, OR -$156 -$48 -$69 San Francisco, CA -$153 -$34 -$65 Salem, OR -$150 -$47 -$58 Albuquerque, NM -$149 -$52 -$31 Modesto, CA -$141 -$25 -$80 La Crosse, WI -$138 -$36 -$68 Bakersfield, CA -$136 -$26 -$86 Yakima, WA -$135 -$39 -$70 Eugene, OR -$134 -$34 -$59 Santa Barbara, CA -$134 -$59 -$71 Alameda County, CA -$133 -$24 -$57 Syracuse, NY -$131 -$41 -$73 Portland, ME -$130 -$40 -$36 Fresno, CA -$130 -$34 -$83 Burlington, VT -$127 -$38 -$58 San Jose, CA -$126 -$36 -$58 Portland, OR -$126 -$36 -$57 Binghamton, NY -$121 -$45 -$71 Elmira, NY -$117 -$13 -$71 Danville, PA -$115 -$49 -$25
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From page 153... ...
APPENDIX G 153 TABLE G-1 Continued Total Monthly Acute Care Post-Acute Care Adjusted Monthly Adjusted Monthly Adjusted Differences from Differences from Differences from the National the National the National Mean of Spending Mean of Spending Mean of Spending HRR Name Across HRRs Across HRRs Across HRRs Minot, ND -$114 -$21 -$42 Albany, GA -$112 -$54 -$62 Olympia, WA -$110 -$33 -$43 Iowa City, IA -$108 -$14 -$52 Honolulu, HI -$108 -$28 -$48 Chico, CA -$104 -$17 -$57 El Paso, TX -$104 -$48 -$7 Redding, CA -$104 -$38 -$45 Dubuque, IA -$103 -$30 -$41 San Bernardino, CA -$102 -$23 -$26 Springfield, MA -$102 -$40 -$12 Pueblo, CO -$101 -$38 -$34 Marshfield, WI -$101 -$10 -$61 San Mateo County, CA -$100 -$28 -$48 Charleston, WV -$100 -$23 -$50 Appleton, WI -$99 -$34 -$49 Albany, NY -$97 -$21 -$57 Roanoke, VA -$96 -$24 -$25 Sayre, PA -$96 -$11 -$58 Madison, WI -$95 -$22 -$37 Bangor, ME -$93 -$20 -$55 Neenah, WI -$93 -$34 -$52 Rochester, MN -$93 -$4 -$51 Napa, CA -$92 -$15 -$80 Providence, RI -$92 -$30 -$16 Rapid City, SD -$91 -$22 -$44 Charlottesville, VA -$91 -$20 -$36 continued
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From page 154... ...
154 VARIATION IN HEALTH CARE SPENDING TABLE G-1 Continued Total Monthly Acute Care Post-Acute Care Adjusted Monthly Adjusted Monthly Adjusted Differences from Differences from Differences from the National the National the National Mean of Spending Mean of Spending Mean of Spending HRR Name Across HRRs Across HRRs Across HRRs Everett, WA -$90 -$38 -$47 Bend, OR -$88 -$36 -$42 Winchester, VA -$87 -$18 -$42 Tacoma, WA -$86 -$28 -$36 Grand Junction, CO -$84 -$33 -$24 Muskegon, MI -$83 -$54 -$20 San Luis Obispo, CA -$82 -$42 -$51 Seattle, WA -$80 -$27 -$38 Fargo, ND/Moorhead, -$80 -$10 -$35 MN Contra Costa County, CA -$79 -$11 -$50 Greensboro, NC -$79 -$33 -$35 Morgantown, WV -$76 -$11 -$42 Cedar Rapids, IA -$75 -$14 -$40 Spokane, WA -$73 -$38 -$40 Des Moines, IA -$73 -$5 -$56 Bismarck, ND -$72 -$5 -$60 Erie, PA -$72 -$25 -$26 Anchorage, AK -$72 $6 -$62 Lancaster, PA -$71 -$11 -$22 Columbus, GA -$67 -$36 -$15 Lebanon, NH -$65 -$37 -$22 St. Cloud, MN -$63 -$1 -$45 Green Bay, WI -$63 -$15 -$37 San Diego, CA -$63 -$33 -$28 Grand Rapids, MI -$62 -$21 -$24 Minneapolis, MN -$61 $4 -$43 Salinas, CA -$61 $16 -$57
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From page 155... ...
APPENDIX G 155 TABLE G-1 Continued Total Monthly Acute Care Post-Acute Care Adjusted Monthly Adjusted Monthly Adjusted Differences from Differences from Differences from the National the National the National Mean of Spending Mean of Spending Mean of Spending HRR Name Across HRRs Across HRRs Across HRRs Mason City, IA -$59 $8 -$67 Wausau, WI -$59 -$1 -$44 Harrisburg, PA -$58 -$18 -$21 Springfield, MO -$58 -$25 -$21 Kingsport, TN -$57 -$9 -$9 Duluth, MN -$57 -$2 -$35 Augusta, GA -$56 -$25 -$33 Missoula, MT -$56 -$18 -$36 Durham, NC -$56 -$16 -$37 Altoona, PA -$55 -$31 $5 Spartanburg, SC -$54 -$25 -$12 St. Paul, MN -$53 $13 -$47 Hartford, CT -$52 -$24 -$10 Johnstown, PA -$51 -$3 -$6 Norfolk, VA -$51 -$13 -$36 Manhattan, NY -$51 -$10 -$86 Sioux City, IA -$50 $0 -$52 Lynchburg, VA -$50 $0 -$5 Springdale, AR -$48 -$6 $7 Marquette, MI -$45 -$10 -$39 Manchester, NH -$44 -$27 $3 Colorado Springs, CO -$43 -$22 -$8 Newport News, VA -$42 -$22 -$37 Worcester, MA -$42 -$18 $16 Billings, MT -$41 $0 -$45 Reading, PA -$40 -$8 -$6 Arlington, VA -$39 -$12 -$20 continued
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From page 156... ...
156 VARIATION IN HEALTH CARE SPENDING TABLE G-1 Continued Total Monthly Acute Care Post-Acute Care Adjusted Monthly Adjusted Monthly Adjusted Differences from Differences from Differences from the National the National the National Mean of Spending Mean of Spending Mean of Spending HRR Name Across HRRs Across HRRs Across HRRs York, PA -$39 -$16 -$17 Tucson, AZ -$39 -$9 -$20 Tallahassee, FL -$37 -$26 -$10 Ogden, UT -$37 -$61 $25 Boise, ID -$35 -$41 $7 Davenport, IA -$35 $8 -$30 South Bend, IN -$33 -$22 -$7 Sioux Falls, SD -$33 $15 -$43 Kalamazoo, MI -$32 $2 -$16 Reno, NV -$32 -$12 -$21 Allentown, PA -$32 $13 -$14 Phoenix, AZ -$31 $4 -$21 Traverse City, MI -$31 $3 -$40 Huntington, WV -$31 $4 -$31 Urbana, IL -$30 $11 -$38 Fort Wayne, IN -$29 -$20 -$6 New Haven, CT -$29 -$10 -$10 Asheville, NC -$29 -$31 -$11 Richmond, VA -$28 $17 -$22 Scranton, PA -$27 -$15 $14 Macon, GA -$27 $3 -$40 Salt Lake City, UT -$27 -$50 $13 Atlanta, GA -$27 -$20 -$15 Petoskey, MI -$26 -$1 -$29 Waterloo, IA -$26 $2 -$53 Winston-Salem, NC -$26 -$12 -$22 Ventura, CA -$24 -$7 -$45
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From page 157... ...
APPENDIX G 157 TABLE G-1 Continued Total Monthly Acute Care Post-Acute Care Adjusted Monthly Adjusted Monthly Adjusted Differences from Differences from Differences from the National the National the National Mean of Spending Mean of Spending Mean of Spending HRR Name Across HRRs Across HRRs Across HRRs Bloomington, IL -$24 $0 -$35 Great Falls, MT -$23 $15 -$36 Columbia, MO -$23 $22 -$34 Greenville, SC -$23 -$20 -$6 Springfield, IL -$22 $15 -$37 Canton, OH -$22 -$10 -$2 White Plains, NY -$17 $16 -$44 Denver, CO -$16 -$20 -$10 Boston, MA -$15 -$9 $31 East Long Island, NY -$15 $12 -$54 Milwaukee, WI -$15 $11 -$20 Bridgeport, CT -$14 $1 -$31 Jonesboro, AR -$14 $6 -$10 Palm Springs/ -$14 -$12 -$43 Rancho Mira, CA Paterson, NJ -$14 -$2 -$30 Lansing, MI -$13 $3 -$19 Flint, MI -$13 $26 -$20 Temple, TX -$13 -$25 $27 Hickory, NC -$12 -$22 -$8 Raleigh, NC -$12 $1 -$25 Peoria, IL -$11 $20 -$15 Greenville, NC -$11 $10 -$43 Charlotte, NC -$11 -$15 -$18 Johnson City, TN -$10 $12 $3 Casper, WY -$9 $20 -$24 Florence, SC -$9 $23 -$39 St. Joseph, MI -$9 -$6 -$10 continued
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From page 158... ...
158 VARIATION IN HEALTH CARE SPENDING TABLE G-1 Continued Total Monthly Acute Care Post-Acute Care Adjusted Monthly Adjusted Monthly Adjusted Differences from Differences from Differences from the National the National the National Mean of Spending Mean of Spending Mean of Spending HRR Name Across HRRs Across HRRs Across HRRs Fort Smith, AR -$8 -$27 $72 Greeley, CO -$8 $0 -$9 Knoxville, TN -$8 -$18 $1 Fort Collins, CO -$7 -$1 -$8 Grand Forks, ND -$5 $21 -$29 Newark, NJ -$5 $14 -$39 Joplin, MO -$4 $25 -$2 Wilkes-Barre, PA -$4 -$28 $51 Rockford, IL -$3 $27 -$18 Washington, DC -$2 $45 -$48 Wilmington, DE -$1 $21 -$12 Dothan, AL -$1 $5 $18 Chattanooga, TN $0 -$11 $18 Muncie, IN $0 -$21 $9 Rome, GA $1 -$1 $8 Little Rock, AR $2 $12 -$2 Sun City, AZ $3 $10 -$26 Akron, OH $3 $13 $7 Morristown, NJ $4 $5 -$16 Lafayette, IN $4 -$8 $0 St. Louis, MO $6 $26 -$13 Youngstown, OH $7 $29 -$1 Philadelphia, PA $8 $22 -$17 Lawton, OK $8 $3 $37 New Brunswick, NJ $9 $21 -$22 Topeka, KS $10 $1 -$3 Montgomery, AL $10 -$12 $21
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From page 159... ...
APPENDIX G 159 TABLE G-1 Continued Total Monthly Acute Care Post-Acute Care Adjusted Monthly Adjusted Monthly Adjusted Differences from Differences from Differences from the National the National the National Mean of Spending Mean of Spending Mean of Spending HRR Name Across HRRs Across HRRs Across HRRs Ridgewood, NJ $10 $13 -$22 Cape Girardeau, MO $10 $3 -$21 Cleveland, OH $11 $14 $20 Idaho Falls, ID $11 -$24 $6 Jackson, TN $12 -$5 $42 Lexington, KY $12 $7 $4 Boulder, CO $12 -$2 $0 Cincinnati, OH $13 $4 $6 Paducah, KY $13 $34 -$5 Memphis, TN $14 $10 $15 Indianapolis, IN $15 -$8 $13 Aurora, IL $15 $26 $11 Toledo, OH $15 $21 $6 Pittsburgh, PA $15 $26 $20 Nashville, TN $15 $2 $21 Columbia, SC $16 -$4 -$10 Owensboro, KY $16 $24 -$24 Oxford, MS $16 $12 $20 Omaha, NE $17 $25 -$17 Ann Arbor, MI $17 $11 $12 Provo, UT $17 -$45 $44 Huntsville, AL $19 $8 -$1 Los Angeles, CA $20 $3 -$12 Columbus, OH $20 $18 $3 Camden, NJ $20 $20 -$17 Dayton, OH $21 $16 $10 Birmingham, AL $22 $12 $23 continued
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From page 160... ...
160 VARIATION IN HEALTH CARE SPENDING TABLE G-1 Continued Total Monthly Acute Care Post-Acute Care Adjusted Monthly Adjusted Monthly Adjusted Differences from Differences from Differences from the National the National the National Mean of Spending Mean of Spending Mean of Spending HRR Name Across HRRs Across HRRs Across HRRs Waco, TX $22 -$6 $37 Saginaw, MI $25 $32 -$4 Savannah, GA $25 -$6 -$23 Gainesville, FL $25 $9 $14 Hackensack, NJ $26 $13 -$21 Lincoln, NE $27 $11 -$21 Louisville, KY $27 $19 $13 Charleston, SC $29 -$3 -$4 Covington, KY $30 $48 -$1 Kansas City, MO $30 $16 $9 Tuscaloosa, AL $33 $41 $26 Evansville, IN $34 $8 $23 Mesa, AZ $34 $15 -$6 Salisbury, MD $36 $61 -$28 Ocala, FL $36 -$6 $12 Takoma Park, MD $37 $60 -$42 Pensacola, FL $37 $9 $17 Wichita, KS $39 $18 -$9 Tupelo, MS $40 -$6 $29 Melrose Park, IL $40 $49 $31 Kettering, OH $42 $5 $30 Wilmington, NC $42 -$12 -$19 Ormond Beach, FL $43 -$18 $31 Orange County, CA $44 -$5 $4 Odessa, TX $47 -$16 $80 San Antonio, TX $47 -$20 $63 Dearborn, MI $50 $42 $26
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From page 161... ...
APPENDIX G 161 TABLE G-1 Continued Total Monthly Acute Care Post-Acute Care Adjusted Monthly Adjusted Monthly Adjusted Differences from Differences from Differences from the National the National the National Mean of Spending Mean of Spending Mean of Spending HRR Name Across HRRs Across HRRs Across HRRs New Orleans, LA $52 -$20 $85 Hinsdale, IL $55 $42 $29 Hudson, FL $57 -$5 $42 Lakeland, FL $57 $9 $46 Chicago, IL $59 $51 $63 Mobile, AL $61 $31 $34 Terre Haute, IN $64 $11 -$3 Tampa, FL $65 $13 $44 Detroit, MI $66 $38 $25 Gary, IN $66 $50 $26 San Angelo, TX $67 $16 $55 Abilene, TX $68 $23 $45 Evanston, IL $69 $24 $29 Elyria, OH $69 $51 $28 Orlando, FL $73 $13 $28 Sarasota, FL $74 -$36 $11 Texarkana, AR $75 $1 $94 Pontiac, MI $75 $32 $16 Houma, LA $76 -$5 $54 Blue Island, IL $79 $78 $37 Corpus Christi, TX $85 -$36 $115 Royal Oak, MI $90 $37 $22 Elgin, IL $90 $72 $33 Las Vegas, NV $91 $27 $54 Joliet, IL $92 $85 $15 Fort Myers, FL $93 $1 $10 Lubbock, TX $93 $23 $73 continued
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From page 162... ...
162 VARIATION IN HEALTH CARE SPENDING TABLE G-1 Continued Total Monthly Acute Care Post-Acute Care Adjusted Monthly Adjusted Monthly Adjusted Differences from Differences from Differences from the National the National the National Mean of Spending Mean of Spending Mean of Spending HRR Name Across HRRs Across HRRs Across HRRs Bradenton, FL $96 -$10 $32 Tulsa, OK $97 $17 $87 Gulfport, MS $97 $52 $52 Baltimore, MD $98 $135 -$53 Jacksonville, FL $98 $24 $28 Austin, TX $100 -$1 $57 Amarillo, TX $100 $7 $69 Munster, IN $104 $78 $50 Oklahoma City, OK $108 $22 $82 Hattiesburg, MS $108 $17 $60 Longview, TX $109 $3 $101 Panama City, FL $109 $26 $39 Bryan, TX $111 $33 $60 Jackson, MS $115 $5 $110 Wichita Falls, TX $115 -$8 $114 Fort Worth, TX $116 -$7 $113 St. Petersburg, FL $120 $13 $72 Meridian, MS $120 -$4 $125 Clearwater, FL $120 -$13 $81 Harlingen, TX $123 -$34 $157 Beaumont, TX $123 -$5 $102 Slidell, LA $129 $30 $81 Lake Charles, LA $132 $17 $107 Tyler, TX $133 -$2 $90 Victoria, TX $152 $38 $79 Dallas, TX $159 -$3 $140 Metairie, LA $163 $11 $111
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From page 163... ...
APPENDIX G 163 TABLE G-1 Continued Total Monthly Acute Care Post-Acute Care Adjusted Monthly Adjusted Monthly Adjusted Differences from Differences from Differences from the National the National the National Mean of Spending Mean of Spending Mean of Spending HRR Name Across HRRs Across HRRs Across HRRs Fort Lauderdale, FL $172 -$2 $52 Baton Rouge, LA $172 -$12 $140 Shreveport, LA $174 $20 $145 Lafayette, LA $177 $5 $143 Alexandria, LA $180 $41 $134 Houston, TX $189 $23 $120 Monroe, LA $229 $8 $179 McAllen, TX $266 -$23 $255 Miami, FL $435 -$10 $350
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From page 164... ...
HRR regions are divided into five spending quintiles. The figure above illustrates the variation in total health care spending in the United States.
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