Urban and Rural Differences in Utilization Patterns, Risk Factors and Expenditures of the Dually Eligible Elderly and Non-Elderly Persons with Disabilities
Using a unique data set that researchers at the Muskie School have created by linking Medicare (Parts A and B) and Medicaid claims files for Maine, this project will produce a profile of the characteristics and health care utilization patterns of rural and urban elders and/or people with disabilities who are dually eligible for Medicare and Medicaid. The chart book will include descriptive information on the average per member per month expenditures by Medicare and Medicaid for major categories of services (e.g., hospital, physician, drugs, home health, nursing facility, ICF/MR) computed for rural and urban beneficiaries and areas. Interwoven with the presentation of the rural-urban comparisons of beneficiary characteristics and health care use patterns, the chart book will outline and discuss research and policy questions and/or issues that emerge from those comparisons. Descriptive analyses presented in the chart book will serve as a prototype for the development of similar analyses by other states that have, or are in the process of creating, linked Medicaid and Medicare data.
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