Medicare Physician Services: Utilization Trends Indicate Sustained Beneficiary Access with High and Growing Levels of Service in Some Areas of the Nation
DIANE Publishing, 2010 - 91 pages
Congress, policy analysts, and groups representing physicians have raised questions about beneficiary access to Medicare physician services. At the same time, high levels of spending for health care in some parts of the country, and rapid increases in spending for physician services, have been identified as factors that threaten the long-term fiscal sustainability of the Medicare program. This report: (1) examines whether, from 2000 through 2008, beneficiaries had problems accessing physician services; (2) identifies areas of the country in which Medicare beneficiaries are potentially over-served by physicians; and (3) describes characteristics that distinguish the potentially over-served areas from other areas in the nation. Charts and tables.
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1,000 beneficiaries 1,000 Medicare FFS access to physician analysis of Medicare area Large MSA area Metropolitan division area Rural areas area Small MSA Areas Percentage change beneficiaries in potentially beneficiary access change in services claims data colonoscopies counties Other area Countyc data from CMS enrollment data FL Potentially overserved GAO analysis geographic areas growth in utilization hospital referral regions Medicare beneficiaries Medicare FFS beneficiaries Medicare physician payment Medicare Spending metropolitan areas number of physicians number of services overserved area Large overserved area Metropolitan overserved payment locality physician payment localities Physician Services Provided Potentially overserved area Potentially overserved HRR Potentially overserved payment proportion of beneficiaries Provided per 1,000 Rural counties Selected Physician Services services from 2000 services in April services per 1,000 Services per beneficiary Small MSA areas Small Other area top half TX Other HRR Type of areab U.S. Census Bureau U.S. counties U.S. Virgin Islands utilization of physician Utilization Status