Comparison of Geographic Areas by Chronic Conditions, 2018
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GENDER:AGE GROUP:ENROLLMENT:Chronic Condition Prevalence
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Alcohol Abuse Co-MorbidityGender: All, Age Group: All, Enrollment: All
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Prevalence: State Selector
Medicare Chronic Conditions Dashboard: State LevelProduced by the CMS/Office of Enterprise Data & Analytics (OEDA), January 2021
PREVALENCE HELP
This map shows the prevalence of beneficiaries with a selected chronic condition presented as a ratio of the state to the national average. You can hover-over each state and the District of Columbia to show specific values.This stacked bar graph shows the breakdown of the number of co-occurring chronic conditions among Medicare beneficiaries with the selected condition, comparing multiple selected geographic areas (states or national level). Chronic condition co-morbidity is defined as beneficiaries with the selected chronic condition divided into groups with just that condition, that condition plus one or two other conditions, and so on up to five or more other conditions. The total for the co-morbidity sums to 100%, with the percentage format rounded to the nearest hundredth place.Chronic Condition Prevalence: State to National Ratio Map (Right Map) Chronic Condition Co-Morbidity Stacked Graph (Bottom-Right Graph)Prevalence is defined as a count of beneficiaries with the selected chronic condition divided by the count of all beneficiaries at the state or national level, in percentage format rounded to the nearest hundredth place.

You can change the selection of geographic areas using the “Prevalence States” selector menu at the left of the page and also examine specific sub-populations using the gender, age group and Enrollment drop-down menus at the top center of the page. You can change the selected chronic condition by clicking on the names of the chronic condition displayed in the “Chronic Conditions Prevalence” Bar Graph to the left. The conditions are underlined to signify click-ability.  Data can be viewed in a table format by changing the selector to the right of each title from “Graph” to “Grid.”

Information is suppressed that is based upon fewer than eleven (11) beneficiaries in the population.
 Chronic Conditions Prevalence Bar Graph (Left Graph)This bar graph shows the prevalence of beneficiaries with each chronic condition shown, comparing multiple selected geographic areas (states or national level).
SPENDING HELP
This bar graph shows per capita Medicare spending by chronic conditions counts for selected geographic areas (states or national level). Within each chronic condition count grouping, per capita Medicare spending is defined as the total of all standardized payments for beneficiaries divided by the count of beneficiaries, in currency format rounded to the nearest whole dollar.Per Capita Medicare Spending Bar Graph (Top-Left Graph)You can change the selection of the geographic areas using the “Medicare Spending: State Selector” menu at the left of the page. Also, you can examine specific sub-populations using the gender, age group and enrollment drop-down menus at the top center of the page. For the bottom graph, you can change the demographic subpopulations using the drop-down menus for that graph. Data can be viewed in a table format by changing the selector to the right of each title from “Graph” to “Grid.”Per Capita Medicare Spending by Demographic Group Bar Graph (Bottom Graph)For the selected geographic areas (states or national level), this graph shows the relationship between the percentage of beneficiaries that have a specified number of chronic conditions and their Medicare spending. The stacked bar graph on the left shows the percentage of Medicare beneficiaries in each of the chronic condition counts and the stacked bar graph on the right shows the percentage of total Medicare spending for each of the chronic condition counts.

The percentage of beneficiaries in each of the chronic condition counts represents the prevalence and is defined as a count of beneficiaries with the selected number of chronic conditions divided by the count of all beneficiaries for the selected geographic area, in percentage format rounded to the nearest hundredth place. Percentage of total Medicare spending is defined as the total of all standardized payments (Parts A and B) for beneficiaries with the selected number of chronic conditions divided by the total of all standardized payments for the selected geographic area, in percentage format rounded to the nearest hundredth place.
Distribution of Beneficiaries by Number of Chronic Conditions and Total Medicare Spending Bar Graph (Top-Right Graph)This bar graph show per capita Medicare spending by chronic condition counts for the selected geographic areas (states or national level) segmented by gender, age group and enrollment (you can flip through each demographic graph by using the left hand selector in this section).

Within each chronic condition count grouping, per capita Medicare spending is defined as the total of all standardized payments (Parts A and B) for beneficiaries divided by the count of beneficiaries, in currency format rounded to the nearest whole dollar.
MAPPING HELP
 Prevalence, Medicare Spending, & Utilization: State to National Ratio Map and GraphsYou can change the selection of the geographic areas using the “Map: State Selector” menu at the left of the page. Data can be viewed in a table format by changing the selector to the right of the map from “Graph” to “Grid.”This map shows the state-to-national ratio for four metrics: (1) prevalence, (2) per capita Medicare spending, (3) number of ER visits per 1,000 Medicare beneficiaries and (4) 30 day all-cause hospital readmission rates. Each metric is presented as a ratio of the state value to the national average, and segmented by number of chronic conditions. You can only choose one metric to map at a time. You can hover-over each state and the District of Columbia to show specific values for the measurement selected. The bar graph below the map shows the values for the corresponding metric.

Prevalence is calculated by taking the beneficiaries with a particular number of chronic conditions divided by the total number of beneficiaries in our fee-for-service population, in percentage format rounded to the nearest hundredth place. Per capita Medicare spending is defined as the total of all standardized payments (Parts A and B) for beneficiaries with the selected number of chronic conditions divided by the count of beneficiaries with the selected number of chronic conditions, in currency format rounded to the nearest whole dollar. Within each chronic condition count grouping, the number of ED visits per 1,000 Medicare beneficiaries, is defined as the total number of emergency room visits divided by the count of beneficiaries times 1000, in numeric format rounded to the nearest whole number. Within each chronic condition count grouping, the 30 day all-cause hospital readmission rate is defined as the count of readmissions to the same hospital occurring within 30 days after discharge from the initial visit divided by the count of admissions, in percentage format rounded to the nearest hundredth place.