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Spatial Analysis for Medicare Spending

Spatial Analysis for Medicare Spending. Examine Spatial Patterns. Does Higher Spending Translate to Better Health or Better Quality Health Care? Compare Health Care Spending to HCC Scores and Hospital Readmission Rates. Hot Spot Map of P er Capita Medicare Spending.

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Spatial Analysis for Medicare Spending

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  1. Spatial Analysis for Medicare Spending

  2. Examine Spatial Patterns Does Higher Spending Translate to Better Health or Better Quality Health Care? Compare Health Care Spending to HCC Scores and Hospital Readmission Rates

  3. Hot Spot Map of Per Capita Medicare Spending

  4. Hot Spot Map of HCC Scores Hierarchical Condition Categories (HCC) • Higher HCC scores indicate a sicker population: higher incidence of diabetes, heart disease, hypertension, and other chronic health conditions

  5. Hot Spot Map of Hospital Readmissions • Consistently high readmission rates indicate that the medical needs of patients are not being adequately addressed

  6. Spending HCC Scores Readmissions

  7. Prevent UnnecessaryHospital Admissions Where should we focus efforts to reduce health care costs? Analyze Preventable Hospital Admissions

  8. Map of Preventable Hospital Admissions • Red – diabetes and lower extremity amputation • Orange – bacterial pneumonia and dehydration • Yellow – hypertension • Green – bright spots: low rates for all above factors

  9. Explore Factors Contributing to Higher Spending Are the Factors Promoting Higher Spending the Same Everywhere? Understanding the Factors that Promote Higher Spending Provides Tools for Reducing Costs

  10. Map of Spatial Data Relationships Exploring Data • Geography matters • Factors vary over regions • Global policies may not be effective Factors for higher spending • Region 3: • Dehydration • Imaging • Hospital readmissions • Region 7: • Days in nursing facilities • Congestive heart failure • Number of hospital beds

  11. Remediate Using Targeted Strategies Where does each Factor have the Biggest Impact on Health Care Spending? Understanding Where each Factor is Most Important to Health Care Costs is Key

  12. Focus on Region 3 • Dehydration and Imaging are factors that affect high Medicare spending in the South. • Analyze these factors individually

  13. Where is each factor most important? Darker areas are: • not necessarily where imaging costs are highest • where imaging costs are an important contributor to higher health care costs • where greatest impact on decreased spending might be, if remediation efforts were focused there • Dehydration • Imaging

  14. Evaluate the Impact of Investments Which Programs or Policies Will Have the Biggest Impact? Knowing Which Programs or Policies Will Make the Biggest Difference Gives You An Advantage Compare “What-If” Analyses

  15. What if Dehydration was Reduced by 75%? • Messaging programs – importance of staying hydrated • Target families, nursing care facilities and medical staff • After • Before

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