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

该数据集汇总了同时符合Medicare和Medicaid双重资格的参保人数量，包括参与Medicare储蓄计划的人员。双重资格参保人占所有Medicare受益人的20%，但支出占该计划的34%。数据涵盖州和县级别的资格类型和季度注册情况，基于各州向CMS提交的月度快照，包含一个表和12个字段。