In an attempt to figure out why there is a tremendous difference between Medicare reimbursements between states, data was pulled from the top and the bottom of the list that include the following information adjusted for price, age, sex, and race. The 90th percentile group is at or above $10,578, and the 10th percentile group is at or below $7,497.

What are the variation issues that may affect diverse Medicare reimbursements and why. Recommend strategies for overcoming the issues.

Dartmouth Atlas Data Column1 Column2 Column Co Column5 Column 6 Column7 Dartmouth Top and Bottom 10% updated 90th percentile 10th percentile Florida Key Statistics Alaska Key Statistics Medicare Enrollees, by Gender (2012) Medicare Enrollees, by Gender (2012) Male 885, 164 Male 29,327 Female ,080,658 Female 29,495 Overall 1,965,822 Overall 58,822 Medicare Enrollees, by Race (2012) Medicare Enrollees, by Race (2012) Black 122,149 Black 1,218 Non-Black 1,843,673 Non-Black 57,604 Overall 1,965,822 Overall 58,822 Mean income 45,040 Mean income 67,712 % below poverty level 10% % below poverty level 6.3% Kentucky Key Statistics Hawaii Key Statistics Medicare Enrollees, by Gender (2012) Medicare Enrollees, by Gender (2012) Male 206,420 Male 51,077 Female 267,587 Female 58,580 Overall 474,007 Overall 109,657 Medicare Enrollees, by Race (2012) Medicare Enrollees, by Race (2012) Black 21,207 Black 886 Non-Black 452,800 Non-Black 108,771 Overall 474,007 Overall 109,657 Mean income 41,724 Mean income 66,259 % below poverty level 7.2% % below poverty level 8.2% Missippi Key Statistics Vermont Key Statistics Medicare Enrollees, by Gender (2012) Medicare Enrollees, by Gender (2012) Male 144,051 Male 40,115 Female 192,760 Female 18,885 Overall 336,811 Overall 89,000 Medicare Enrollees, by Race (2012) Medicare Enrollees, by Race (2012) Black 73,027 Black 229 Non-Black 263,784 Non-Black 88,771 Overall 336,811 Overall 39,000 Mean income 37,095 Mean income 52,977 % below poverty level 13.5% % below poverty level 7.0% Texas Key Statistics Oregon Key Statistics Medicare Enrollees, by Gender (2012) Medicare Enrollees, by Gender (2012) Male 908,281 Male 150,808 Female 1,122,606 Female 161,680 Overall 2,030,887 Overall 312,488 Medicare Enrollees, by Race (2012) Medicare Enrollees, by Race (2012) Black 151,264 Black 2,509 Non-Black 1,879,623 Non-Black 309,979 Overall 2,030,887 Overall 312,488 Mean income 50740 Mean income 49, 161 % below poverty level 11.4% % below poverty level 7.4 Montana Key Statistics Medicare Enrollees, by Gender (2012) Male 59,912 Female 65,978 Overall 125,890 Medicare Enrollees, by Race (2012) Black 189 Non-Black 25,701 Overall 125,890 Mean income 45,076 % below poverty level 8.1% Income from Dartmouth Atlas - The percent below Poverty Rate from U.S. Census Household income is for poverty is for those Bureau data for 2012 for