Center for Medicare and Medicaid Services

The data summarize counts of enrollees who are dually eligible for both Medicare and Medicaid programs, including those in Medicare Savings Programs.

“Duals” represent 20 percent of all Medicare beneficiaries, yet they account for 34 percent of all spending by the program, according to the Commonwealth Fund.

The dataset includes eligibility type and enrollment by quarter, at both the state and county levels. These data represent monthly snapshots submitted by states to the CMS, which are inherently lower than ever-enrolled counts (which include persons enrolled at any time during a calendar year.)

The dataset contains one table "DUAL_ELIGIBLE_ENROLLMENT_BY_COUNTY_AND_PROGRAM", and a total of 12 fields, which include:

- COUNTY_NAME
- QMB_PLUS_FULL
- PUBLIC_TOTAL
- FIPS

And many more!

搜集汇总

背景与挑战

背景概述

该数据集统计了同时符合Medicare和Medicaid双重参保条件的人员数量，包含州/县层级的季度参保数据。这些占医保受益人20%的群体却贡献了34%的支出，数据表含12个字段，可分析不同地区与参保类型的关联。