Attachment_J.11(b)_CMS_State-Level_Bene_and_Facility_Numbers.xlsx

benes_Hosp & Med Yearly Counts

The Medicare Enrollment Dashboard includes counts of Medicare beneficiaries with Hospital/Medical and Prescription Drug coverage, for all areas, state/territory and county. The Hospital/Medical enrollee counts can be further broken out by health care delivery (Original Medicare and Medicare Advantage/Other Health Plans). Original Medicare is Medicare’s traditional health care system (also known as fee-for-service). Medicare Advantage and Other Health Plans (MA and Other) are health plans that are offered by private companies approved by Medicare to provide hospital and medical coverage. Each type of plan has special rules and exceptions. The Prescription Drug enrollee counts can be further broken out for those enrolled in stand-alone Prescription Drug Plans (PDPs) and those enrolled in Medicare Advantage Prescription Drug plans (MAPDs).

The data reported in this Dashboard are based upon Centers for Medicare & Medicaid Services (CMS) administrative enrollment data for beneficiaries enrolled in the Medicare program. The data are available from the CMS Chronic Conditions Data Warehouse (CCW), a database with 100% of Medicare enrollment and fee-for-service claims data. Detailed information on the CCW is available from the CCW website, www.ccwdata.org.

For the yearly data, the Medicare enrollment counts are determined using a person-year methodology. For each calendar year, total person-year counts are determined by summing the total number of months that each beneficiary is enrolled during the year and dividing by 12. Using this methodology, a beneficiary’s partial-year enrollment may be counted in more than one category (i.e., Original Medicare/MA and Other and PDP/MAPD). The monthly counts represent the number of Medicare beneficiaries enrolled in the reported month. The most current year’s data in the yearly trend is subject to change as new data become available.

CMS is obligated by the Federal Privacy Act, 5 U.S.C. Section 552a to protect the privacy of individual beneficiaries. Enrollee counts of 1-10 in this file are suppressed and are denoted with an asterisk (*). Additional counts are cross-suppressed to prevent the recalculation of suppressed counts of 1-10 and are denoted with a plus sign (+).

all facilities

hospitals

nursing homes

home health

clinicians

dialysis facilities

long term care hospital