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Chronic Conditions – Substance Use Disorder (Medicare Population)

This indicator reports the percentage of the Medicare Fee-for-Service population with substance use disorder. Data are based upon Medicare administrative enrollment and claims data for Medicare beneficiaries enrolled in the Fee-for-Service program.

Source

Source Description

Centers for Medicare & Medicaid Services Chronic Conditions Rate denominator: Medicare Beneficiaries, Rate Calculated by Source

Methodology

Indicator percentages are acquired for 2007 – 2018 from Centers for Medicare and Medicaid Services (CMS) Chronic Conditions. The data used in the chronic condition reports are based upon CMS administrative enrollment and claims data for Medicare beneficiaries enrolled in the fee-for-service program. Beneficiaries who died during the year are included up to their date of death if they meet the other inclusion criteria. Chronic condition prevalence estimates are calculated by CMS by taking the beneficiaries with a particular condition divided by the total number of beneficiaries in our fee-for-service population, expressed as a percentage. For more information and to view the original data, please visit the CMS Chronic Conditions web page.

Enrollment data are acquired for 2007 – 2018 from Centers for Medicare and Medicaid Services (CMS) Medicare Geographic Variation Public Use File. This CMS table has developed data that enables researchers and policy-makers to evaluate geographic variation in the utilization and quality of health care services for the Medicare fee-for-service population. data are aggregated into a Geographic Variation Public Use File that has demographic, spending, utilization, and quality indicators at the state level (including the District of Columbia, Puerto Rico, and the Virgin Islands), hospital referral region (HRR) level, and county level. For more information and to view the original data, please visit the CMS Medicare Geographic Variation web page.

Data Breakouts Available

  • Medicare Population with Drug/Substance Abuse Disorder, Percentage by Age
  • Medicare Population with Drug/Substance Abuse Disorder by Year, 2011 through 2018
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