Question:Scenario: Review the high volume Medicare Data Scenario located in the Learning Resources. In this scenario you are asked to work with a complex dataset of co-morbidity data of patients that have three concurrent co-morbid conditions (Chronic Condition Triads: Prevalence and Medicare Spending). How can data from HIT systems be used to formulate useful information to facilitate in the management of this population?

To prepare:

• Using the health care information systems standards for clinical and financial data discussed in Week 6 (Chapter 10 of Health Care Information Systems: A Practical Approach for Health Care Management), identify specific types of data (data sets, standards, examples of those data) that can be redeveloped into Big Data tools and used to address the management of population health initiatives.
• Define a "Big Data" analysis dataset to include in a data warehouse by identifying two specific types of clinical and financial data from the Chronic Condition Triads: Prevalence and Medicare Spending dataset in your Learning Resources that you feel could be used to drive behavior change in the patient and provider populations. This Big Data dataset will become the focus of your Discussion.

Assignment:

Explain why the two specific types of clinical and financial data you selected as your Big Data dataset would best affect behavior change in the type of co-morbid Medicare populations served in the scenario. Explain and assess how this Big Data dataset can change the behaviors of health care providers in the scenario. Assuming that your Big Data dataset is going to be shared in a regional health information exchange, explain how the Centers for Medicare and Medicaid Services and private payers might use these regional data sets to increase value in delivering services to co-morbid Medicare patient populations in the region.

see attachechment for the data scenario.

Thank you

Chronic Condition Triads: Prevalence and Medicare Spending Methods Data Source and Study Population: 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. These data are available from the CMS Chronic Condition Data Warehouse (CCW), www.ccwdata.org. For all the chronic condition reports the Medicare beneficiary population is limited to fee-for-service beneficiaries. We excluded Medicare beneficiaries with any Medicare Advantage enrollment during the year since claims data are not available for these beneficiaries. Also, we excluded beneficiaries who were enrolled at any time in the year in Part A only or Part B only, since their utilization and spending cannot be compared directly to beneficiaries enrolled in both Part A and Part B. Beneficiaries who died during the year are included up to their date of death if they meet the other inclusion criteria. For chronic condition triads, the population is further restricted to beneficiaries who have at least three of the 17 conditions. Data Years: 2008-2012 Chronic Condition Co-morbidity: The 17 chronic conditions were identified through Medicare administrative claims. A Medicare beneficiary is considered to have a chronic condition if the CMS administrative data have a claim indicating that the beneficiary received a service or treatment for the specific condition. Detailed information on the identification of chronic conditions in the CCW is available at http://www.ccwdata.org/chronic-conditions/index.htm. Chronic condition triads represent the combinations of three chronic conditions among Medicare beneficiaries who have at least three of the conditions. There are 680 triads. Socio-demographic Variables: A beneficiary's sex is available from the CMS enrollment database and is classified as Male/Female. Beneficiaries enrolled in both Medicare and Medicaid are known as \"dual eligibles.\" Medicare beneficiaries were classified as dual eligibles if in any month in the given calendar year they were receiving full or partial Medicaid benefits. Measures: Prevalence estimates are calculated by taking the beneficiaries with a particular chronic condition triad divided by the total number of beneficiaries in our fee-for-service population, expressed as a percentage. Medicare spending for beneficiaries with the chronic condition triad includes total Medicare payments for all Medicare covered services in Parts A and B and is presented per beneficiary (i.e., per capita). Data Suppression: A blank cell indicates that the data have been suppressed because there are fewer than 11 Medicare beneficiaries in the cell. Methodology Report: A complete description of the methodology for all the chronic condition reports can be downloaded from the link available on the chronic condition website main page. Chronic Condition Triads: All Beneficiaries with at least Three Chronic Conditions by A Alzheimer's Disease/Dementia and COPD and Diabetes Alzheimer's Disease/Dementia and COPD and Heart Failure Alzheimer's Disease/Dementia and COPD and Cancer Alzheimer's Disease/Dementia and COPD and Chronic Kidney Disease Alzheimer's Disease/Dementia and COPD and Depression Alzheimer's Disease/Dementia and COPD and Ischemic Heart Disease Alzheimer's Disease/Dementia and COPD and Osteoporosis Alzheimer's Disease/Dementia and COPD and Arthritis Alzheimer's Disease/Dementia and COPD and Stroke Alzheimer's Disease/Dementia and COPD and Atrial Fibrillation Alzheimer's Disease/Dementia and COPD and Asthma Alzheimer's Disease/Dementia and COPD and Hyperlipidemia Alzheimer's Disease/Dementia and COPD and Hypertension Alzheimer's Disease/Dementia and COPD and Autism Spectrum Disorders Alzheimer's Disease/Dementia and COPD and Schizophrenia and Other Psychotic Disorders Alzheimer's Disease/Dementia and Diabetes and Heart Failure Alzheimer's Disease/Dementia and Diabetes and Cancer Alzheimer's Disease/Dementia and Diabetes and Chronic Kidney Disease Alzheimer's Disease/Dementia and Diabetes and Depression Alzheimer's Disease/Dementia and Diabetes and Ischemic Heart Disease Alzheimer's Disease/Dementia and Diabetes and Osteoporosis Alzheimer's Disease/Dementia and Diabetes and Arthritis Alzheimer's Disease/Dementia and Diabetes and Stroke Alzheimer's Disease/Dementia and Diabetes and Atrial Fibrillation Alzheimer's Disease/Dementia and Diabetes and Asthma Alzheimer's Disease/Dementia and Diabetes and Hyperlipidemia Alzheimer's Disease/Dementia and Diabetes and Hypertension Alzheimer's Disease/Dementia and Diabetes and Autism Spectrum Disorders Alzheimer's Disease/Dementia and Diabetes and Schizophrenia and Other Psychotic Disorders Alzheimer's Disease/Dementia and Heart Failure and Cancer Alzheimer's Disease/Dementia and Heart Failure and Chronic Kidney Disease Alzheimer's Disease/Dementia and Heart Failure and Depression Alzheimer's Disease/Dementia and Heart Failure and Ischemic Heart Disease Alzheimer's Disease/Dementia and Heart Failure and Osteoporosis Alzheimer's Disease/Dementia and Heart Failure and Arthritis Alzheimer's Disease/Dementia and Heart Failure and Stroke Alzheimer's Disease/Dementia and Heart Failure and Atrial Fibrillation Alzheimer's Disease/Dementia and Heart Failure and Asthma Alzheimer's Disease/Dementia and Heart Failure and Hyperlipidemia Alzheimer's Disease/Dementia and Heart Failure and Hypertension Alzheimer's Disease/Dementia and Heart Failure and Autism Spectrum Disorders Alzheimer's Disease/Dementia and Heart Failure and Schizophrenia and Other Psychotic Disorders Alzheimer's Disease/Dementia and Cancer and Chronic Kidney Disease Alzheimer's Disease/Dementia and Cancer and Depression Alzheimer's Disease/Dementia and Cancer and Ischemic Heart Disease Alzheimer's Disease/Dementia and Cancer and Osteoporosis Alzheimer's Disease/Dementia and Cancer and Arthritis Alzheimer's Disease/Dementia and Cancer and Stroke Alzheimer's Disease/Dementia and Cancer and Atrial Fibrillation Alzheimer's Disease/Dementia and Cancer and Asthma Alzheimer's Disease/Dementia and Cancer and Hyperlipidemia Alzheimer's Disease/Dementia and Cancer and Hypertension Alzheimer's Disease/Dementia and Cancer and Autism Spectrum Disorders Alzheimer's Disease/Dementia and Cancer and Schizophrenia and Other Psychotic Disorders Alzheimer's Disease/Dementia and Chronic Kidney Disease and Depression Alzheimer's Disease/Dementia and Chronic Kidney Disease and Ischemic Heart Disease Alzheimer's Disease/Dementia and Chronic Kidney Disease and Osteoporosis Alzheimer's Disease/Dementia and Chronic Kidney Disease and Arthritis Alzheimer's Disease/Dementia and Chronic Kidney Disease and Stroke Alzheimer's Disease/Dementia and Chronic Kidney Disease and Atrial Fibrillation Alzheimer's Disease/Dementia and Chronic Kidney Disease and Asthma Alzheimer's Disease/Dementia and Chronic Kidney Disease and Hyperlipidemia Alzheimer's Disease/Dementia and Chronic Kidney Disease and Hypertension Alzheimer's Disease/Dementia and Chronic Kidney Disease and Autism Spectrum Disorders Alzheimer's Disease/Dementia and Chronic Kidney Disease and Schizophrenia and Other Psychotic Disorders Alzheimer's Disease/Dementia and Depression and Ischemic Heart Disease Alzheimer's Disease/Dementia and Depression and Osteoporosis Alzheimer's Disease/Dementia and Depression and Arthritis Alzheimer's Disease/Dementia and Depression and Stroke Alzheimer's Disease/Dementia and Depression and Atrial Fibrillation Alzheimer's Disease/Dementia and Depression and Asthma Alzheimer's Disease/Dementia and Depression and Hyperlipidemia Alzheimer's Disease/Dementia and Depression and Hypertension Alzheimer's Disease/Dementia and Depression and Autism Spectrum Disorders Alzheimer's Disease/Dementia and Depression and Schizophrenia and Other Psychotic Disorders Alzheimer's Disease/Dementia and Ischemic Heart Disease and Osteoporosis Alzheimer's Disease/Dementia and Ischemic Heart Disease and Arthritis Alzheimer's Disease/Dementia and Ischemic Heart Disease and Stroke Alzheimer's Disease/Dementia and Ischemic Heart Disease and Atrial Fibrillation Alzheimer's Disease/Dementia and Ischemic Heart Disease and Asthma Alzheimer's Disease/Dementia and Ischemic Heart Disease and Hyperlipidemia Alzheimer's Disease/Dementia and Ischemic Heart Disease and Hypertension Alzheimer's Disease/Dementia and Ischemic Heart Disease and Autism Spectrum Disorders Alzheimer's Disease/Dementia and Ischemic Heart Disease and Schizophrenia and Other Psychotic Disorders Alzheimer's Disease/Dementia and Osteoporosis and Arthritis Alzheimer's Disease/Dementia and Osteoporosis and Stroke Alzheimer's Disease/Dementia and Osteoporosis and Atrial Fibrillation Alzheimer's Disease/Dementia and Osteoporosis and Asthma Alzheimer's Disease/Dementia and Osteoporosis and Hyperlipidemia Alzheimer's Disease/Dementia and Osteoporosis and Hypertension Alzheimer's Disease/Dementia and Osteoporosis and Autism Spectrum Disorders Alzheimer's Disease/Dementia and Osteoporosis and Schizophrenia and Other Psychotic Disorders Alzheimer's Disease/Dementia and Arthritis and Stroke Alzheimer's Disease/Dementia and Arthritis and Atrial Fibrillation Alzheimer's Disease/Dementia and Arthritis and Asthma Alzheimer's Disease/Dementia and Arthritis and Hyperlipidemia Alzheimer's Disease/Dementia and Arthritis and Hypertension Alzheimer's Disease/Dementia and Arthritis and Autism Spectrum Disorders Alzheimer's Disease/Dementia and Arthritis and Schizophrenia and Other Psychotic Disorders Alzheimer's Disease/Dementia and Stroke and Atrial Fibrillation Alzheimer's Disease/Dementia and Stroke and Asthma Alzheimer's Disease/Dementia and Stroke and Hyperlipidemia Alzheimer's Disease/Dementia and Stroke and Hypertension Alzheimer's Disease/Dementia and Stroke and Autism Spectrum Disorders Alzheimer's Disease/Dementia and Stroke and Schizophrenia and Other Psychotic Disorders Alzheimer's Disease/Dementia and Atrial Fibrillation and Asthma Alzheimer's Disease/Dementia and Atrial Fibrillation and Hyperlipidemia Alzheimer's Disease/Dementia and Atrial Fibrillation and Hypertension Alzheimer's Disease/Dementia and Atrial Fibrillation and Autism Spectrum Disorders Alzheimer's Disease/Dementia and Atrial Fibrillation and Schizophrenia and Other Psychotic Disorders Alzheimer's Disease/Dementia and Asthma and Hyperlipidemia Alzheimer's Disease/Dementia and Asthma and Hypertension Alzheimer's Disease/Dementia and Asthma and Autism Spectrum Disorders Alzheimer's Disease/Dementia and Asthma and Schizophrenia and Other Psychotic Disorders Alzheimer's Disease/Dementia and Hyperlipidemia and Hypertension Alzheimer's Disease/Dementia and Hyperlipidemia and Autism Spectrum Disorders Alzheimer's Disease/Dementia and Hyperlipidemia and Schizophrenia and Other Psychotic Disorders Alzheimer's Disease/Dementia and Hypertension and Autism Spectrum Disorders Alzheimer's Disease/Dementia and Hypertension and Schizophrenia and Other Psychotic Disorders Alzheimer's Disease/Dementia and Autism Spectrum Disorders and Schizophrenia and Other Psychotic Disorders COPD and Diabetes and Heart Failure COPD and Diabetes and Cancer COPD and Diabetes and Chronic Kidney Disease COPD and Diabetes and Depression COPD and Diabetes and Ischemic Heart Disease COPD and Diabetes and Osteoporosis COPD and Diabetes and Arthritis COPD and Diabetes and Stroke COPD and Diabetes and Atrial Fibrillation COPD and Diabetes and Asthma COPD and Diabetes and Hyperlipidemia COPD and Diabetes and Hypertension COPD and Diabetes and Autism Spectrum Disorders COPD and Diabetes and Schizophrenia and Other Psychotic Disorders COPD and Heart Failure and Cancer COPD and Heart Failure and Chronic Kidney Disease COPD and Heart Failure and Depression COPD and Heart Failure and Ischemic Heart Disease COPD and Heart Failure and Osteoporosis COPD and Heart Failure and Arthritis COPD and Heart Failure and Stroke COPD and Heart Failure and Atrial Fibrillation COPD and Heart Failure and Asthma COPD and Heart Failure and Hyperlipidemia COPD and Heart Failure and Hypertension COPD and Heart Failure and Autism Spectrum Disorders COPD and Heart Failure and Schizophrenia and Other Psychotic Disorders COPD and Cancer and Chronic Kidney Disease COPD and Cancer and Depression COPD and Cancer and Ischemic Heart Disease COPD and Cancer and Osteoporosis COPD and Cancer and Arthritis COPD and Cancer and Stroke COPD and Cancer and Atrial Fibrillation COPD and Cancer and Asthma COPD and Cancer and Hyperlipidemia COPD and Cancer and Hypertension COPD and Cancer and Autism Spectrum Disorders COPD and Cancer and Schizophrenia and Other Psychotic Disorders COPD and Chronic Kidney Disease and Depression COPD and Chronic Kidney Disease and Ischemic Heart Disease COPD and Chronic Kidney Disease and Osteoporosis COPD and Chronic Kidney Disease and Arthritis COPD and Chronic Kidney Disease and Stroke COPD and Chronic Kidney Disease and Atrial Fibrillation COPD and Chronic Kidney Disease and Asthma COPD and Chronic Kidney Disease and Hyperlipidemia COPD and Chronic Kidney Disease and Hypertension COPD and Chronic Kidney Disease and Autism Spectrum Disorders COPD and Chronic Kidney Disease and Schizophrenia and Other Psychotic Disorders COPD and Depression and Ischemic Heart Disease COPD and Depression and Osteoporosis COPD and Depression and Arthritis COPD and Depression and Stroke COPD and Depression and Atrial Fibrillation COPD and Depression and Asthma COPD and Depression and Hyperlipidemia COPD and Depression and Hypertension COPD and Depression and Autism Spectrum Disorders COPD and Depression and Schizophrenia and Other Psychotic Disorders COPD and Ischemic Heart Disease and Osteoporosis COPD and Ischemic Heart Disease and Arthritis COPD and Ischemic Heart Disease and Stroke COPD and Ischemic Heart Disease and Atrial Fibrillation COPD and Ischemic Heart Disease and Asthma COPD and Ischemic Heart Disease and Hyperlipidemia COPD and Ischemic Heart Disease and Hypertension COPD and Ischemic Heart Disease and Autism Spectrum Disorders COPD and Ischemic Heart Disease and Schizophrenia and Other Psychotic Disorders COPD and Osteoporosis and Arthritis COPD and Osteoporosis and Stroke COPD and Osteoporosis and Atrial Fibrillation COPD and Osteoporosis and Asthma COPD and Osteoporosis and Hyperlipidemia COPD and Osteoporosis and Hypertension COPD and Osteoporosis and Autism Spectrum Disorders COPD and Osteoporosis and Schizophrenia and Other Psychotic Disorders COPD and Arthritis and Stroke COPD and Arthritis and Atrial Fibrillation COPD and Arthritis and Asthma COPD and Arthritis and Hyperlipidemia COPD and Arthritis and Hypertension COPD and Arthritis and Autism Spectrum Disorders COPD and Arthritis and Schizophrenia and Other Psychotic Disorders COPD and Stroke and Atrial Fibrillation COPD and Stroke and Asthma COPD and Stroke and Hyperlipidemia COPD and Stroke and Hypertension COPD and Stroke and Autism Spectrum Disorders COPD and Stroke and Schizophrenia and Other Psychotic Disorders COPD and Atrial Fibrillation and Asthma COPD and Atrial Fibrillation and Hyperlipidemia COPD and Atrial Fibrillation and Hypertension COPD and Atrial Fibrillation and Autism Spectrum Disorders COPD and Atrial Fibrillation and Schizophrenia and Other Psychotic Disorders COPD and Asthma and Hyperlipidemia COPD and Asthma and Hypertension COPD and Asthma and Autism Spectrum Disorders COPD and Asthma and Schizophrenia and Other Psychotic Disorders COPD and Hyperlipidemia and Hypertension COPD and Hyperlipidemia and Autism Spectrum Disorders COPD and Hyperlipidemia and Schizophrenia and Other Psychotic Disorders COPD and Hypertension and Autism Spectrum Disorders COPD and Hypertension and Schizophrenia and Other Psychotic Disorders COPD and Autism Spectrum Disorders and Schizophrenia and Other Psychotic Disorders Diabetes and Heart Failure and Cancer Diabetes and Heart Failure and Chronic Kidney Disease Diabetes and Heart Failure and Depression Diabetes and Heart Failure and Ischemic Heart Disease Diabetes and Heart Failure and Osteoporosis Diabetes and Heart Failure and Arthritis Diabetes and Heart Failure and Stroke Diabetes and Heart Failure and Atrial Fibrillation Diabetes and Heart Failure and Asthma Diabetes and Heart Failure and Hyperlipidemia Diabetes and Heart Failure and Hypertension Diabetes and Heart Failure and Autism Spectrum Disorders Diabetes and Heart Failure and Schizophrenia and Other Psychotic Disorders Diabetes and Cancer and Chronic Kidney Disease Diabetes and Cancer and Depression Diabetes and Cancer and Ischemic Heart Disease Diabetes and Cancer and Osteoporosis Diabetes and Cancer and Arthritis Diabetes and Cancer and Stroke Diabetes and Cancer and Atrial Fibrillation Diabetes and Cancer and Asthma Diabetes and Cancer and Hyperlipidemia Diabetes and Cancer and Hypertension Diabetes and Cancer and Autism Spectrum Disorders Diabetes and Cancer and Schizophrenia and Other Psychotic Disorders Diabetes and Chronic Kidney Disease and Depression Diabetes and Chronic Kidney Disease and Ischemic Heart Disease Diabetes and Chronic Kidney Disease and Osteoporosis Diabetes and Chronic Kidney Disease and Arthritis Diabetes and Chronic Kidney Disease and Stroke Diabetes and Chronic Kidney Disease and Atrial Fibrillation Diabetes and Chronic Kidney Disease and Asthma Diabetes and Chronic Kidney Disease and Hyperlipidemia Diabetes and Chronic Kidney Disease and Hypertension Diabetes and Chronic Kidney Disease and Autism Spectrum Disorders Diabetes and Chronic Kidney Disease and Schizophrenia and Other Psychotic Disorders Diabetes and Depression and Ischemic Heart Disease Diabetes and Depression and Osteoporosis Diabetes and Depression and Arthritis Diabetes and Depression and Stroke Diabetes and Depression and Atrial Fibrillation Diabetes and Depression and Asthma Diabetes and Depression and Hyperlipidemia Diabetes and Depression and Hypertension Diabetes and Depression and Autism Spectrum Disorders Diabetes and Depression and Schizophrenia and Other Psychotic Disorders Diabetes and Ischemic Heart Disease and Osteoporosis Diabetes and Ischemic Heart Disease and Arthritis Diabetes and Ischemic Heart Disease and Stroke Diabetes and Ischemic Heart Disease and Atrial Fibrillation Diabetes and Ischemic Heart Disease and Asthma Diabetes and Ischemic Heart Disease and Hyperlipidemia Diabetes and Ischemic Heart Disease and Hypertension Diabetes and Ischemic Heart Disease and Autism Spectrum Disorders Diabetes and Ischemic Heart Disease and Schizophrenia and Other Psychotic Disorders Diabetes and Osteoporosis and Arthritis Diabetes and Osteoporosis and Stroke Diabetes and Osteoporosis and Atrial Fibrillation Diabetes and Osteoporosis and Asthma Diabetes and Osteoporosis and Hyperlipidemia Diabetes and Osteoporosis and Hypertension Diabetes and Osteoporosis and Autism Spectrum Disorders Diabetes and Osteoporosis and Schizophrenia and Other Psychotic Disorders Diabetes and Arthritis and Stroke Diabetes and Arthritis and Atrial Fibrillation Diabetes and Arthritis and Asthma Diabetes and Arthritis and Hyperlipidemia Diabetes and Arthritis and Hypertension Diabetes and Arthritis and Autism Spectrum Disorders Diabetes and Arthritis and Schizophrenia and Other Psychotic Disorders Diabetes and Stroke and Atrial Fibrillation Diabetes and Stroke and Asthma Diabetes and Stroke and Hyperlipidemia Diabetes and Stroke and Hypertension Diabetes and Stroke and Autism Spectrum Disorders Diabetes and Stroke and Schizophrenia and Other Psychotic Disorders Diabetes and Atrial Fibrillation and Asthma Diabetes and Atrial Fibrillation and Hyperlipidemia Diabetes and Atrial Fibrillation and Hypertension Diabetes and Atrial Fibrillation and Autism Spectrum Disorders Diabetes and Atrial Fibrillation and Schizophrenia and Other Psychotic Disorders Diabetes and Asthma and Hyperlipidemia Diabetes and Asthma and Hypertension Diabetes and Asthma and Autism Spectrum Disorders Diabetes and Asthma and Schizophrenia and Other Psychotic Disorders Diabetes and Hyperlipidemia and Hypertension Diabetes and Hyperlipidemia and Autism Spectrum Disorders Diabetes and Hyperlipidemia and Schizophrenia and Other Psychotic Disorders Diabetes and Hypertension and Autism Spectrum Disorders Diabetes and Hypertension and Schizophrenia and Other Psychotic Disorders Diabetes and Autism Spectrum Disorders and Schizophrenia and Other Psychotic Disorders Heart Failure and Cancer and Chronic Kidney Disease Heart Failure and Cancer and Depression Heart Failure and Cancer and Ischemic Heart Disease Heart Failure and Cancer and Osteoporosis Heart Failure and Cancer and Arthritis Heart Failure and Cancer and Stroke Heart Failure and Cancer and Atrial Fibrillation Heart Failure and Cancer and Asthma Heart Failure and Cancer and Hyperlipidemia Heart Failure and Cancer and Hypertension Heart Failure and Cancer and Autism Spectrum Disorders Heart Failure and Cancer and Schizophrenia and Other Psychotic Disorders Heart Failure and Chronic Kidney Disease and Depression Heart Failure and Chronic Kidney Disease and Ischemic Heart Disease Heart Failure and Chronic Kidney Disease and Osteoporosis Heart Failure and Chronic Kidney Disease and Arthritis Heart Failure and Chronic Kidney Disease and Stroke Heart Failure and Chronic Kidney Disease and Atrial Fibrillation Heart Failure and Chronic Kidney Disease and Asthma Heart Failure and Chronic Kidney Disease and Hyperlipidemia Heart Failure and Chronic Kidney Disease and Hypertension Heart Failure and Chronic Kidney Disease and Autism Spectrum Disorders Heart Failure and Chronic Kidney Disease and Schizophrenia and Other Psychotic Disorders Heart Failure and Depression and Ischemic Heart Disease Heart Failure and Depression and Osteoporosis Heart Failure and Depression and Arthritis Heart Failure and Depression and Stroke Heart Failure and Depression and Atrial Fibrillation Heart Failure and Depression and Asthma Heart Failure and Depression and Hyperlipidemia Heart Failure and Depression and Hypertension Heart Failure and Depression and Autism Spectrum Disorders Heart Failure and Depression and Schizophrenia and Other Psychotic Disorders Heart Failure and Ischemic Heart Disease and Osteoporosis Heart Failure and Ischemic Heart Disease and Arthritis Heart Failure and Ischemic Heart Disease and Stroke Heart Failure and Ischemic Heart Disease and Atrial Fibrillation Heart Failure and Ischemic Heart Disease and Asthma Heart Failure and Ischemic Heart Disease and Hyperlipidemia Heart Failure and Ischemic Heart Disease and Hypertension Heart Failure and Ischemic Heart Disease and Autism Spectrum Disorders Heart Failure and Ischemic Heart Disease and Schizophrenia and Other Psychotic Disorders Heart Failure and Osteoporosis and Arthritis Heart Failure and Osteoporosis and Stroke Heart Failure and Osteoporosis and Atrial Fibrillation Heart Failure and Osteoporosis and Asthma Heart Failure and Osteoporosis and Hyperlipidemia Heart Failure and Osteoporosis and Hypertension Heart Failure and Osteoporosis and Autism Spectrum Disorders Heart Failure and Osteoporosis and Schizophrenia and Other Psychotic Disorders Heart Failure and Arthritis and Stroke Heart Failure and Arthritis and Atrial Fibrillation Heart Failure and Arthritis and Asthma Heart Failure and Arthritis and Hyperlipidemia Heart Failure and Arthritis and Hypertension Heart Failure and Arthritis and Autism Spectrum Disorders Heart Failure and Arthritis and Schizophrenia and Other Psychotic Disorders Heart Failure and Stroke and Atrial Fibrillation Heart Failure and Stroke and Asthma Heart Failure and Stroke and Hyperlipidemia Heart Failure and Stroke and Hypertension Heart Failure and Stroke and Autism Spectrum Disorders Heart Failure and Stroke and Schizophrenia and Other Psychotic Disorders Heart Failure and Atrial Fibrillation and Asthma Heart Failure and Atrial Fibrillation and Hyperlipidemia Heart Failure and Atrial Fibrillation and Hypertension Heart Failure and Atrial Fibrillation and Autism Spectrum Disorders Heart Failure and Atrial Fibrillation and Schizophrenia and Other Psychotic Disorders Heart Failure and Asthma and Hyperlipidemia Heart Failure and Asthma and Hypertension Heart Failure and Asthma and Autism Spectrum Disorders Heart Failure and Asthma and Schizophrenia and Other Psychotic Disorders Heart Failure and Hyperlipidemia and Hypertension Heart Failure and Hyperlipidemia and Autism Spectrum Disorders Heart Failure and Hyperlipidemia and Schizophrenia and Other Psychotic Disorders Heart Failure and Hypertension and Autism Spectrum Disorders Heart Failure and Hypertension and Schizophrenia and Other Psychotic Disorders Heart Failure and Autism Spectrum Disorders and Schizophrenia and Other Psychotic Disorders Cancer and Chronic Kidney Disease and Depression Cancer and Chronic Kidney Disease and Ischemic Heart Disease Cancer and Chronic Kidney Disease and Osteoporosis Cancer and Chronic Kidney Disease and Arthritis Cancer and Chronic Kidney Disease and Stroke Cancer and Chronic Kidney Disease and Atrial Fibrillation Cancer and Chronic Kidney Disease and Asthma Cancer and Chronic Kidney Disease and Hyperlipidemia Cancer and Chronic Kidney Disease and Hypertension Cancer and Chronic Kidney Disease and Autism Spectrum Disorders Cancer and Chronic Kidney Disease and Schizophrenia and Other Psychotic Disorders Cancer and Depression and Ischemic Heart Disease Cancer and Depression and Osteoporosis Cancer and Depression and Arthritis Cancer and Depression and Stroke Cancer and Depression and Atrial Fibrillation Cancer and Depression and Asthma Cancer and Depression and Hyperlipidemia Cancer and Depression and Hypertension Cancer and Depression and Autism Spectrum Disorders Cancer and Depression and Schizophrenia and Other Psychotic Disorders Cancer and Ischemic Heart Disease and Osteoporosis Cancer and Ischemic Heart Disease and Arthritis Cancer and Ischemic Heart Disease and Stroke Cancer and Ischemic Heart Disease and Atrial Fibrillation Cancer and Ischemic Heart Disease and Asthma Cancer and Ischemic Heart Disease and Hyperlipidemia Cancer and Ischemic Heart Disease and Hypertension Cancer and Ischemic Heart Disease and Autism Spectrum Disorders Cancer and Ischemic Heart Disease and Schizophrenia and Other Psychotic Disorders Cancer and Osteoporosis and Arthritis Cancer and Osteoporosis and Stroke Cancer and Osteoporosis and Atrial Fibrillation Cancer and Osteoporosis and Asthma Cancer and Osteoporosis and Hyperlipidemia Cancer and Osteoporosis and Hypertension Cancer and Osteoporosis and Autism Spectrum Disorders Cancer and Osteoporosis and Schizophrenia and Other Psychotic Disorders Cancer and Arthritis and Stroke Cancer and Arthritis and Atrial Fibrillation Cancer and Arthritis and Asthma Cancer and Arthritis and Hyperlipidemia Cancer and Arthritis and Hypertension Cancer and Arthritis and Autism Spectrum Disorders Cancer and Arthritis and Schizophrenia and Other Psychotic Disorders Cancer and Stroke and Atrial Fibrillation Cancer and Stroke and Asthma Cancer and Stroke and Hyperlipidemia Cancer and Stroke and Hypertension Cancer and Stroke and Autism Spectrum Disorders Cancer and Stroke and Schizophrenia and Other Psychotic Disorders Cancer and Atrial Fibrillation and Asthma Cancer and Atrial Fibrillation and Hyperlipidemia Cancer and Atrial Fibrillation and Hypertension Cancer and Atrial Fibrillation and Autism Spectrum Disorders Cancer and Atrial Fibrillation and Schizophrenia and Other Psychotic Disorders Cancer and Asthma and Hyperlipidemia Cancer and Asthma and Hypertension Cancer and Asthma and Autism Spectrum Disorders Cancer and Asthma and Schizophrenia and Other Psychotic Disorders Cancer and Hyperlipidemia and Hypertension Cancer and Hyperlipidemia and Autism Spectrum Disorders Cancer and Hyperlipidemia and Schizophrenia and Other Psychotic Disorders Cancer and Hypertension and Autism Spectrum Disorders Cancer and Hypertension and Schizophrenia and Other Psychotic Disorders Cancer and Autism Spectrum Disorders and Schizophrenia and Other Psychotic Disorders Chronic Kidney Disease and Depression and Ischemic Heart Disease Chronic Kidney Disease and Depression and Osteoporosis Chronic Kidney Disease and Depression and Arthritis Chronic Kidney Disease and Depression and Stroke Chronic Kidney Disease and Depression and Atrial Fibrillation Chronic Kidney Disease and Depression and Asthma Chronic Kidney Disease and Depression and Hyperlipidemia Chronic Kidney Disease and Depression and Hypertension Chronic Kidney Disease and Depression and Autism Spectrum Disorders Chronic Kidney Disease and Depression and Schizophrenia and Other Psychotic Disorders Chronic Kidney Disease and Ischemic Heart Disease and Osteoporosis Chronic Kidney Disease and Ischemic Heart Disease and Arthritis Chronic Kidney Disease and Ischemic Heart Disease and Stroke Chronic Kidney Disease and Ischemic Heart Disease and Atrial Fibrillation Chronic Kidney Disease and Ischemic Heart Disease and Asthma Chronic Kidney Disease and Ischemic Heart Disease and Hyperlipidemia Chronic Kidney Disease and Ischemic Heart Disease and Hypertension Chronic Kidney Disease and Ischemic Heart Disease and Autism Spectrum Disorders Chronic Kidney Disease and Ischemic Heart Disease and Schizophrenia and Other Psychotic Disorders Chronic Kidney Disease and Osteoporosis and Arthritis Chronic Kidney Disease and Osteoporosis and Stroke Chronic Kidney Disease and Osteoporosis and Atrial Fibrillation Chronic Kidney Disease and Osteoporosis and Asthma Chronic Kidney Disease and Osteoporosis and Hyperlipidemia Chronic Kidney Disease and Osteoporosis and Hypertension Chronic Kidney Disease and Osteoporosis and Autism Spectrum Disorders Chronic Kidney Disease and Osteoporosis and Schizophrenia and Other Psychotic Disorders Chronic Kidney Disease and Arthritis and Stroke Chronic Kidney Disease and Arthritis and Atrial Fibrillation Chronic Kidney Disease and Arthritis and Asthma Chronic Kidney Disease and Arthritis and Hyperlipidemia Chronic Kidney Disease and Arthritis and Hypertension Chronic Kidney Disease and Arthritis and Autism Spectrum Disorders Chronic Kidney Disease and Arthritis and Schizophrenia and Other Psychotic Disorders Chronic Kidney Disease and Stroke and Atrial Fibrillation Chronic Kidney Disease and Stroke and Asthma Chronic Kidney Disease and Stroke and Hyperlipidemia Chronic Kidney Disease and Stroke and Hypertension Chronic Kidney Disease and Stroke and Autism Spectrum Disorders Chronic Kidney Disease and Stroke and Schizophrenia and Other Psychotic Disorders Chronic Kidney Disease and Atrial Fibrillation and Asthma Chronic Kidney Disease and Atrial Fibrillation and Hyperlipidemia Chronic Kidney Disease and Atrial Fibrillation and Hypertension Chronic Kidney Disease and Atrial Fibrillation and Autism Spectrum Disorders Chronic Kidney Disease and Atrial Fibrillation and Schizophrenia and Other Psychotic Disorders Chronic Kidney Disease and Asthma and Hyperlipidemia Chronic Kidney Disease and Asthma and Hypertension Chronic Kidney Disease and Asthma and Autism Spectrum Disorders Chronic Kidney Disease and Asthma and Schizophrenia and Other Psychotic Disorders Chronic Kidney Disease and Hyperlipidemia and Hypertension Chronic Kidney Disease and Hyperlipidemia and Autism Spectrum Disorders Chronic Kidney Disease and Hyperlipidemia and Schizophrenia and Other Psychotic Disorders Chronic Kidney Disease and Hypertension and Autism Spectrum Disorders Chronic Kidney Disease and Hypertension and Schizophrenia and Other Psychotic Disorders Chronic Kidney Disease and Autism Spectrum Disorders and Schizophrenia and Other Psychotic Disorders Depression and Ischemic Heart Disease and Osteoporosis Depression and Ischemic Heart Disease and Arthritis Depression and Ischemic Heart Disease and Stroke Depression and Ischemic Heart Disease and Atrial Fibrillation Depression and Ischemic Heart Disease and Asthma Depression and Ischemic Heart Disease and Hyperlipidemia Depression and Ischemic Heart Disease and Hypertension Depression and Ischemic Heart Disease and Autism Spectrum Disorders Depression and Ischemic Heart Disease and Schizophrenia and Other Psychotic Disorders Depression and Osteoporosis and Arthritis Depression and Osteoporosis and Stroke Depression and Osteoporosis and Atrial Fibrillation Depression and Osteoporosis and Asthma Depression and Osteoporosis and Hyperlipidemia Depression and Osteoporosis and Hypertension Depression and Osteoporosis and Autism Spectrum Disorders Depression and Osteoporosis and Schizophrenia and Other Psychotic Disorders Depression and Arthritis and Stroke Depression and Arthritis and Atrial Fibrillation Depression and Arthritis and Asthma Depression and Arthritis and Hyperlipidemia Depression and Arthritis and Hypertension Depression and Arthritis and Autism Spectrum Disorders Depression and Arthritis and Schizophrenia and Other Psychotic Disorders Depression and Stroke and Atrial Fibrillation Depression and Stroke and Asthma Depression and Stroke and Hyperlipidemia Depression and Stroke and Hypertension Depression and Stroke and Autism Spectrum Disorders Depression and Stroke and Schizophrenia and Other Psychotic Disorders Depression and Atrial Fibrillation and Asthma Depression and Atrial Fibrillation and Hyperlipidemia Depression and Atrial Fibrillation and Hypertension Depression and Atrial Fibrillation and Autism Spectrum Disorders Depression and Atrial Fibrillation and Schizophrenia and Other Psychotic Disorders Depression and Asthma and Hyperlipidemia Depression and Asthma and Hypertension Depression and Asthma and Autism Spectrum Disorders Depression and Asthma and Schizophrenia and Other Psychotic Disorders Depression and Hyperlipidemia and Hypertension Depression and Hyperlipidemia and Autism Spectrum Disorders Depression and Hyperlipidemia and Schizophrenia and Other Psychotic Disorders Depression and Hypertension and Autism Spectrum Disorders Depression and Hypertension and Schizophrenia and Other Psychotic Disorders Depression and Autism Spectrum Disorders and Schizophrenia and Other Psychotic Disorders Ischemic Heart Disease and Osteoporosis and Arthritis Ischemic Heart Disease and Osteoporosis and Stroke Ischemic Heart Disease and Osteoporosis and Atrial Fibrillation Ischemic Heart Disease and Osteoporosis and Asthma Ischemic Heart Disease and Osteoporosis and Hyperlipidemia Ischemic Heart Disease and Osteoporosis and Hypertension Ischemic Heart Disease and Osteoporosis and Autism Spectrum Disorders Ischemic Heart Disease and Osteoporosis and Schizophrenia and Other Psychotic Disorders Ischemic Heart Disease and Arthritis and Stroke Ischemic Heart Disease and Arthritis and Atrial Fibrillation Ischemic Heart Disease and Arthritis and Asthma Ischemic Heart Disease and Arthritis and Hyperlipidemia Ischemic Heart Disease and Arthritis and Hypertension Ischemic Heart Disease and Arthritis and Autism Spectrum Disorders Ischemic Heart Disease and Arthritis and Schizophrenia and Other Psychotic Disorders Ischemic Heart Disease and Stroke and Atrial Fibrillation Ischemic Heart Disease and Stroke and Asthma Ischemic Heart Disease and Stroke and Hyperlipidemia Ischemic Heart Disease and Stroke and Hypertension Ischemic Heart Disease and Stroke and Autism Spectrum Disorders Ischemic Heart Disease and Stroke and Schizophrenia and Other Psychotic Disorders Ischemic Heart Disease and Atrial Fibrillation and Asthma Ischemic Heart Disease and Atrial Fibrillation and Hyperlipidemia Ischemic Heart Disease and Atrial Fibrillation and Hypertension Ischemic Heart Disease and Atrial Fibrillation and Autism Spectrum Disorders Ischemic Heart Disease and Atrial Fibrillation and Schizophrenia and Other Psychotic Disorders Ischemic Heart Disease and Asthma and Hyperlipidemia Ischemic Heart Disease and Asthma and Hypertension Ischemic Heart Disease and Asthma and Autism Spectrum Disorders Ischemic Heart Disease and Asthma and Schizophrenia and Other Psychotic Disorders Ischemic Heart Disease and Hyperlipidemia and Hypertension Ischemic Heart Disease and Hyperlipidemia and Autism Spectrum Disorders Ischemic Heart Disease and Hyperlipidemia and Schizophrenia and Other Psychotic Disorders Ischemic Heart Disease and Hypertension and Autism Spectrum Disorders Ischemic Heart Disease and Hypertension and Schizophrenia and Other Psychotic Disorders Ischemic Heart Disease and Autism Spectrum Disorders and Schizophrenia and Other Psychotic Disorders Osteoporosis and Arthritis and Stroke Osteoporosis and Arthritis and Atrial Fibrillation Osteoporosis and Arthritis and Asthma Osteoporosis and Arthritis and Hyperlipidemia Osteoporosis and Arthritis and Hypertension Osteoporosis and Arthritis and Autism Spectrum Disorders Osteoporosis and Arthritis and Schizophrenia and Other Psychotic Disorders Osteoporosis and Stroke and Atrial Fibrillation Osteoporosis and Stroke and Asthma Osteoporosis and Stroke and Hyperlipidemia Osteoporosis and Stroke and Hypertension Osteoporosis and Stroke and Autism Spectrum Disorders Osteoporosis and Stroke and Schizophrenia and Other Psychotic Disorders Osteoporosis and Atrial Fibrillation and Asthma Osteoporosis and Atrial Fibrillation and Hyperlipidemia Osteoporosis and Atrial Fibrillation and Hypertension Osteoporosis and Atrial Fibrillation and Autism Spectrum Disorders Osteoporosis and Atrial Fibrillation and Schizophrenia and Other Psychotic Disorders Osteoporosis and Asthma and Hyperlipidemia Osteoporosis and Asthma and Hypertension Osteoporosis and Asthma and Autism Spectrum Disorders Osteoporosis and Asthma and Schizophrenia and Other Psychotic Disorders Osteoporosis and Hyperlipidemia and Hypertension Osteoporosis and Hyperlipidemia and Autism Spectrum Disorders Osteoporosis and Hyperlipidemia and Schizophrenia and Other Psychotic Disorders Osteoporosis and Hypertension and Autism Spectrum Disorders Osteoporosis and Hypertension and Schizophrenia and Other Psychotic Disorders Osteoporosis and Autism Spectrum Disorders and Schizophrenia and Other Psychotic Disorders Arthritis and Stroke and Atrial Fibrillation Arthritis and Stroke and Asthma Arthritis and Stroke and Hyperlipidemia Arthritis and Stroke and Hypertension Arthritis and Stroke and Autism Spectrum Disorders Arthritis and Stroke and Schizophrenia and Other Psychotic Disorders Arthritis and Atrial Fibrillation and Asthma Arthritis and Atrial Fibrillation and Hyperlipidemia Arthritis and Atrial Fibrillation and Hypertension Arthritis and Atrial Fibrillation and Autism Spectrum Disorders Arthritis and Atrial Fibrillation and Schizophrenia and Other Psychotic Disorders Arthritis and Asthma and Hyperlipidemia Arthritis and Asthma and Hypertension Arthritis and Asthma and Autism Spectrum Disorders Arthritis and Asthma and Schizophrenia and Other Psychotic Disorders Arthritis and Hyperlipidemia and Hypertension Arthritis and Hyperlipidemia and Autism Spectrum Disorders Arthritis and Hyperlipidemia and Schizophrenia and Other Psychotic Disorders Arthritis and Hypertension and Autism Spectrum Disorders Arthritis and Hypertension and Schizophrenia and Other Psychotic Disorders Arthritis and Autism Spectrum Disorders and Schizophrenia and Other Psychotic Disorders Stroke and Atrial Fibrillation and Asthma Stroke and Atrial Fibrillation and Hyperlipidemia Stroke and Atrial Fibrillation and Hypertension Stroke and Atrial Fibrillation and Autism Spectrum Disorders Stroke and Atrial Fibrillation and Schizophrenia and Other Psychotic Disorders Stroke and Asthma and Hyperlipidemia Stroke and Asthma and Hypertension Stroke and Asthma and Autism Spectrum Disorders Stroke and Asthma and Schizophrenia and Other Psychotic Disorders Stroke and Hyperlipidemia and Hypertension Stroke and Hyperlipidemia and Autism Spectrum Disorders Stroke and Hyperlipidemia and Schizophrenia and Other Psychotic Disorders Stroke and Hypertension and Autism Spectrum Disorders Stroke and Hypertension and Schizophrenia and Other Psychotic Disorders Stroke and Autism Spectrum Disorders and Schizophrenia and Other Psychotic Disorders Atrial Fibrillation and Asthma and Hyperlipidemia Atrial Fibrillation and Asthma and Hypertension Atrial Fibrillation and Asthma and Autism Spectrum Disorders Atrial Fibrillation and Asthma and Schizophrenia and Other Psychotic Disorders Atrial Fibrillation and Hyperlipidemia and Hypertension Atrial Fibrillation and Hyperlipidemia and Autism Spectrum Disorders Atrial Fibrillation and Hyperlipidemia and Schizophrenia and Other Psychotic Disorders Atrial Fibrillation and Hypertension and Autism Spectrum Disorders Atrial Fibrillation and Hypertension and Schizophrenia and Other Psychotic Disorders Atrial Fibrillation and Autism Spectrum Disorders and Schizophrenia and Other Psychotic Disorders Asthma and Hyperlipidemia and Hypertension Asthma and Hyperlipidemia and Autism Spectrum Disorders Asthma and Hyperlipidemia and Schizophrenia and Other Psychotic Disorders Asthma and Hypertension and Autism Spectrum Disorders Asthma and Hypertension and Schizophrenia and Other Psychotic Disorders Asthma and Autism Spectrum Disorders and Schizophrenia and Other Psychotic Disorders Hyperlipidemia and Hypertension and Autism Spectrum Disorders Hyperlipidemia and Hypertension and Schizophrenia and Other Psychotic Disorders Hyperlipidemia and Autism Spectrum Disorders and Schizophrenia and Other Psychotic Disorders Hypertension and Autism Spectrum Disorders and Schizophrenia and Other Psychotic Disorders ons by Age, Sex, and Medicare-Medicaid Enrollment (Dual Eligibility), 2008 Per capita Medicare spending ($): Overall 42,953 41,426 41,203 48,535 41,440 39,546 38,277 38,214 49,470 46,429 42,482 38,101 37,433 42,194 43,325 35,901 35,129 40,669 35,486 32,264 33,361 31,171 42,338 40,132 43,277 28,373 29,209 27,701 36,408 38,790 40,951 37,862 32,984 35,487 33,136 44,186 37,034 44,319 34,525 32,661 34,804 Prevalence (%): Overall 1.7 2.4 0.5 1.5 1.7 2.7 0.6 1.9 0.7 0.8 0.6 1.7 3.4 0.0 0.8 3.5 0.6 2.6 2.4 4.3 0.7 2.9 1.2 1.1 0.4 3.5 5.9 0.0 1.2 0.7 3.2 2.7 5.5 1.0 3.5 1.4 2.0 0.6 3.1 6.4 0.0 Per capita Medicare spending ($): Males 44,457 43,718 41,468 49,528 44,765 40,466 43,313 40,665 51,525 47,927 44,820 39,128 39,569 41,946 45,701 38,670 35,015 42,234 39,361 33,172 39,798 34,216 44,828 42,061 46,159 29,753 31,693 27,320 39,959 39,217 43,063 42,913 34,877 42,486 37,079 47,702 39,772 47,768 36,296 36,183 38,621 Per capita Medicare spending ($): Females 41,842 39,916 40,901 47,699 39,626 38,846 37,469 36,974 47,916 45,306 41,374 37,341 36,035 42,466 41,702 34,219 35,258 39,504 33,520 31,611 32,438 29,798 40,642 38,767 42,012 27,456 27,742 28,106 34,317 38,336 39,483 35,592 31,782 34,579 31,536 42,064 35,367 42,878 33,383 30,804 31,385 38,371 42,176 36,944 33,851 33,492 32,581 42,239 39,861 42,060 29,771 31,327 28,881 39,579 43,755 39,344 39,848 38,528 50,374 46,358 51,386 38,778 37,352 40,005 43,859 34,852 32,240 31,426 41,315 41,245 42,415 31,523 30,765 26,100 34,995 32,562 29,932 40,124 36,041 41,276 28,133 28,938 30,247 36,469 29,223 38,343 1.3 0.6 0.6 1.0 0.2 0.7 0.3 0.3 0.1 0.8 1.4 0.0 0.3 1.8 3.5 0.6 2.2 1.0 1.1 0.3 2.2 4.5 0.0 1.0 3.4 1.1 3.0 1.1 1.0 0.4 2.7 5.1 0.0 1.5 1.3 4.4 1.8 2.0 0.6 4.8 8.3 0.0 1.6 1.5 0.4 43,085 41,706 38,709 33,062 35,905 32,981 42,760 39,997 42,828 29,541 31,680 30,416 41,156 47,286 40,168 45,834 41,292 52,277 47,876 53,503 39,709 39,514 40,680 46,878 37,752 40,687 36,562 45,560 45,512 47,438 34,946 35,456 26,003 39,338 37,521 31,790 41,687 36,989 43,214 28,326 30,448 31,489 39,311 36,207 45,842 35,889 42,830 35,573 34,864 32,871 32,249 41,655 39,699 41,479 30,043 30,972 27,386 38,144 41,691 38,678 38,839 37,093 48,899 45,159 50,291 38,053 35,870 39,194 41,775 33,321 31,374 29,766 39,081 39,081 40,709 29,868 28,797 26,211 32,926 31,828 29,034 39,017 35,355 40,357 27,988 27,982 28,910 34,705 28,490 37,348 37,994 38,625 27,741 28,375 27,644 34,865 38,711 36,697 38,193 27,221 27,056 26,765 33,769 43,848 50,287 37,316 36,577 35,714 44,650 48,827 35,257 34,484 43,783 43,116 36,698 37,432 34,112 46,558 24,564 21,396 35,216 27,386 33,429 24,390 39,822 37,413 46,540 42,904 35,191 37,801 34,170 52,611 44,978 36,151 29,749 0.4 0.2 1.1 2.1 0.0 0.4 1.2 1.2 0.5 3.3 6.4 0.0 1.3 0.7 0.2 1.4 2.5 0.0 0.5 0.2 1.2 2.5 0.0 0.4 0.5 0.9 0.0 0.2 6.8 0.0 1.1 0.0 2.3 0.0 4.6 1.0 3.1 2.2 5.6 0.7 3.4 0.8 1.5 1.6 5.1 44,144 45,468 33,827 35,864 25,337 42,689 42,627 39,362 41,781 29,443 30,703 26,999 38,820 46,579 53,818 38,925 39,629 41,636 48,884 51,490 35,913 37,006 50,535 47,600 38,904 40,999 29,792 50,713 26,456 20,327 37,956 27,082 37,721 23,652 39,775 37,017 45,702 46,279 34,298 41,835 34,801 53,518 44,106 36,806 29,668 37,079 37,852 26,985 27,555 28,858 33,896 36,939 35,395 37,044 26,217 25,682 26,625 31,831 42,144 48,609 36,220 34,762 30,290 42,050 47,538 34,759 32,964 37,899 40,504 35,725 35,995 38,084 44,693 23,451 22,922 33,583 27,727 31,233 25,479 39,864 37,923 47,410 40,944 36,099 37,004 33,769 51,812 45,918 35,806 29,824 32,289 45,830 46,649 40,387 46,675 45,670 36,248 39,375 37,074 52,547 41,315 39,798 35,028 35,945 47,578 49,237 45,222 42,355 35,087 34,065 34,195 48,247 42,586 35,869 31,096 33,185 43,732 48,396 53,825 44,167 44,906 43,919 60,379 51,944 47,691 41,125 42,246 54,702 56,815 40,837 38,962 36,763 52,508 51,896 38,410 7.1 0.0 0.7 1.3 4.0 2.6 7.3 1.1 4.1 1.1 2.6 1.7 5.0 8.2 0.0 0.8 0.8 0.6 1.8 0.3 1.1 0.3 0.5 0.5 1.5 2.3 0.0 0.2 1.6 4.3 0.6 2.4 0.7 1.4 1.0 3.2 5.2 0.0 0.5 3.2 0.8 2.6 0.6 0.8 1.1 32,425 46,466 47,474 40,112 46,254 49,202 35,858 43,619 38,067 54,036 41,268 40,541 35,030 36,554 49,319 51,578 44,245 45,020 34,381 36,377 34,491 48,462 42,381 36,052 31,152 33,288 50,387 49,755 56,361 43,130 48,243 44,266 60,600 51,147 47,394 40,561 42,047 54,455 58,152 43,029 46,466 40,775 56,118 55,051 42,863 32,169 44,968 45,995 40,733 47,098 43,708 36,622 38,613 36,483 51,348 41,360 39,400 35,027 35,445 45,311 47,574 46,765 40,413 36,107 33,467 33,928 47,981 42,885 35,724 31,025 33,063 33,748 47,014 52,090 45,339 44,153 43,668 60,162 52,863 47,880 41,732 42,446 55,123 55,651 39,467 37,965 35,147 50,258 49,851 36,861 35,376 37,047 41,434 43,764 34,740 32,172 47,222 39,600 34,767 28,374 30,723 46,152 46,707 31,894 45,146 41,855 33,507 28,452 31,069 47,524 45,654 46,111 40,837 31,817 27,601 29,279 42,751 44,071 53,559 48,712 43,052 44,659 57,679 57,760 43,022 37,226 38,755 61,203 57,098 29,070 31,055 42,021 44,971 25,453 36,558 2.7 4.3 0.0 0.8 1.3 5.3 1.3 2.7 2.2 7.6 10.7 0.0 0.9 1.4 0.2 0.4 0.5 1.3 2.0 0.0 0.2 0.8 1.4 1.8 4.7 7.1 0.0 0.7 0.5 0.3 1.1 1.7 0.0 0.2 0.6 1.9 3.0 0.0 0.2 2.0 3.0 0.0 0.3 9.8 0.0 38,669 40,585 39,145 45,335 37,774 32,063 47,626 38,769 34,539 27,807 30,443 46,909 47,369 36,572 50,710 45,872 38,531 33,335 36,259 41,645 50,512 48,176 41,039 33,392 28,425 30,377 45,098 46,207 54,544 50,661 43,817 46,032 64,269 59,825 43,072 36,801 38,885 64,397 59,147 29,832 32,174 41,372 45,486 25,995 36,320 33,558 35,166 45,126 42,699 34,143 32,248 46,856 40,516 34,906 28,969 30,990 45,073 46,156 31,208 44,167 41,047 32,860 27,654 30,258 52,172 44,756 44,861 40,691 31,223 27,086 28,649 40,447 42,859 52,714 47,670 42,389 43,543 48,539 56,123 42,991 37,695 38,631 57,348 55,468 28,658 30,487 43,078 44,671 24,984 37,025 41,793 39,451 42,770 38,608 35,460 39,835 42,609 30,090 36,301 31,244 47,548 35,301 39,374 27,975 29,857 36,173 44,727 36,428 37,674 27,472 28,567 26,147 42,046 35,472 34,892 21,140 23,711 29,503 44,374 46,989 34,994 37,871 34,241 52,456 44,282 45,191 29,184 31,587 35,092 49,169 35,711 36,425 31,265 47,313 47,561 0.6 0.0 1.2 0.0 1.5 6.8 3.2 11.5 1.1 5.8 1.7 3.4 1.4 9.1 13.0 0.0 1.0 1.3 0.7 2.5 0.3 1.6 0.3 0.6 0.3 2.9 3.8 0.0 0.2 2.5 8.4 0.8 4.5 1.3 2.1 1.0 7.9 11.3 0.0 0.8 4.4 0.8 3.6 1.0 1.0 41,532 38,624 43,627 35,794 34,876 39,449 46,515 29,504 41,498 32,449 48,910 35,061 40,733 27,971 30,412 36,833 47,990 35,218 40,309 26,230 31,049 26,232 41,862 34,791 35,578 20,888 23,411 32,611 46,501 49,719 33,660 41,826 34,707 52,528 43,179 45,669 28,699 31,310 31,739 50,893 37,578 45,902 35,681 50,965 50,787 42,013 40,801 42,107 44,599 36,190 40,206 40,455 30,651 35,399 30,553 46,502 35,537 38,722 27,978 29,407 35,193 42,596 38,271 35,771 29,385 27,907 26,071 42,275 36,494 34,406 21,459 24,069 26,105 42,457 45,195 36,488 37,028 33,926 52,391 45,541 44,928 29,680 31,855 42,221 47,801 34,542 35,224 29,601 45,097 45,468 37,179 27,332 29,723 23,416 37,839 29,438 24,531 40,286 31,669 33,500 19,772 22,244 30,690 40,985 26,390 41,247 38,015 34,337 21,380 24,273 26,231 41,938 39,439 33,245 29,898 18,582 20,406 27,153 38,419 46,320 49,201 34,448 36,454 46,929 52,249 44,079 27,416 30,042 43,882 52,351 25,882 28,206 31,460 43,254 15,299 0.9 5.0 6.9 0.0 1.1 1.6 9.1 2.3 4.0 1.8 17.0 21.2 0.0 1.2 1.7 0.3 0.4 0.3 2.0 2.6 0.0 0.2 1.3 2.0 1.5 10.9 14.3 0.0 0.9 0.7 0.3 2.2 3.1 0.0 0.4 0.4 3.4 4.6 0.0 0.3 2.1 2.8 0.0 0.2 27.9 42,619 30,089 33,091 22,145 39,836 32,987 24,161 40,007 30,346 33,709 18,842 21,519 28,830 42,236 32,238 47,722 41,706 41,270 26,656 30,493 22,466 49,635 41,467 33,157 32,593 19,355 21,496 25,313 41,951 46,969 51,995 34,578 37,261 47,296 55,478 44,239 26,776 29,737 45,232 56,271 27,248 30,032 27,098 44,341 15,609 35,505 25,864 27,988 25,643 36,598 28,780 24,786 40,535 33,207 33,388 20,786 22,966 33,996 40,030 25,631 40,181 37,276 33,483 20,620 23,398 29,949 40,704 38,288 33,310 29,023 18,132 19,817 29,010 36,688 45,775 47,871 34,339 35,822 46,516 49,958 43,983 28,135 30,344 42,271 49,508 25,254 27,401 36,622 42,708 15,041 14,733 32,002 20,708 34,524 21,080 42,249 44,855 32,805 36,615 34,027 47,137 36,615 41,278 31,214 32,940 36,319 48,421 50,865 37,865 42,128 38,919 54,626 42,936 48,800 37,098 37,962 44,858 51,298 39,632 40,907 38,116 51,153 45,080 45,800 38,482 38,232 38,097 44,804 33,190 28,931 43,112 31,475 37,134 26,052 27,873 0.0 1.2 0.0 1.9 0.0 1.3 0.7 2.5 0.3 1.3 0.4 1.0 0.3 1.9 2.8 0.0 0.2 2.6 9.2 1.0 4.6 1.5 3.1 1.0 6.3 10.4 0.0 0.9 4.7 0.9 3.3 1.0 1.6 0.8 3.4 5.7 0.0 1.0 2.0 9.2 2.5 6.2 2.0 13.6 19.5 13,487 31,584 18,267 35,595 19,263 41,108 46,968 31,858 38,410 33,904 47,155 36,263 41,418 30,768 32,700 41,513 50,147 54,131 37,250 46,553 39,917 55,517 42,765 49,061 36,771 38,323 44,811 54,377 42,535 49,873 43,139 55,620 49,211 51,088 41,786 42,708 37,937 49,614 37,400 29,440 43,878 31,050 37,611 25,626 28,074 17,970 32,336 26,242 33,761 24,973 43,963 43,244 34,154 36,114 34,140 47,116 37,094 41,170 31,815 33,221 30,313 46,799 48,816 38,506 41,263 38,281 53,874 43,113 48,650 37,427 37,635 44,936 49,051 37,968 39,824 36,282 48,686 42,740 44,049 36,670 36,045 38,320 42,282 32,479 28,619 42,503 31,902 36,874 26,478 27,700 35,445 42,675 32,690 44,254 36,329 39,728 30,533 31,618 37,124 43,870 43,479 33,185 36,400 27,412 28,222 35,872 41,937 44,878 52,552 41,793 42,037 47,375 54,263 41,922 30,105 31,289 41,500 48,184 34,377 35,583 46,452 51,762 25,402 30,952 43,979 33,087 41,595 35,617 48,245 36,876 37,761 36,034 50,637 44,596 45,621 0.0 1.4 1.8 0.4 0.8 0.4 1.6 2.6 0.0 0.2 1.4 3.1 1.4 6.9 10.9 0.0 0.9 1.1 0.3 1.8 3.0 0.0 0.4 0.7 4.3 6.8 0.0 0.4 1.6 2.4 0.0 0.2 15.4 0.0 0.8 0.0 1.7 0.0 0.5 1.7 0.2 1.0 0.3 0.5 0.2 36,023 45,243 38,374 51,486 41,474 46,261 35,464 37,816 36,176 52,342 46,362 34,083 38,771 28,422 30,072 36,743 46,998 46,724 55,429 42,433 44,033 54,734 58,665 42,692 30,076 32,129 41,255 52,722 35,531 37,397 41,083 54,935 25,976 29,815 45,989 32,942 45,546 35,506 49,101 35,316 38,603 35,276 49,595 43,474 45,074 34,525 40,925 31,959 43,187 35,479 38,907 29,762 30,760 37,670 42,667 42,001 32,622 35,577 26,814 27,285 35,140 39,720 43,549 51,178 41,288 40,650 40,520 51,445 41,476 30,134 30,593 41,875 45,284 33,789 34,733 53,505 50,263 24,923 33,192 42,588 33,315 39,248 35,779 47,420 39,708 37,469 36,900 52,157 46,534 46,140 32,031 33,977 36,705 52,187 37,557 34,239 33,044 47,145 45,960 39,886 30,420 33,126 33,184 43,651 29,214 26,574 39,383 32,265 34,654 22,244 25,063 34,566 44,356 25,562 38,473 34,592 31,833 21,134 24,453 28,713 42,682 38,349 32,757 30,872 20,874 23,151 29,436 41,989 43,058 46,432 34,125 36,267 59,933 51,530 41,908 1.6 2.4 0.0 0.1 1.0 0.3 0.9 0.2 0.3 0.2 1.1 1.6 0.0 0.2 0.6 2.4 0.6 1.2 0.4 4.1 5.2 0.0 0.2 0.7 0.1 0.2 0.1 0.8 1.0 0.0 0.1 0.4 0.7 0.4 2.7 3.8 0.0 0.2 0.2 0.1 0.5 0.8 0.0 0.1 0.1 31,074 33,009 37,801 52,485 38,498 41,119 36,386 49,397 47,622 44,767 33,121 35,799 41,336 46,820 29,939 25,699 38,478 31,165 34,039 21,246 24,097 40,780 44,945 29,069 41,743 36,522 35,620 24,433 27,866 46,684 38,739 32,223 31,876 21,176 23,448 39,945 44,416 42,889 47,591 33,935 36,264 56,611 53,091 41,836 33,599 35,430 34,220 51,833 36,736 33,077 31,346 45,270 44,482 37,869 28,592 31,392 24,174 41,463 28,995 27,542 40,624 34,093 35,198 23,910 26,483 23,877 43,711 24,872 37,655 34,017 31,143 20,443 23,748 22,139 41,745 38,000 33,331 30,341 20,606 22,912 18,538 40,288 43,265 45,507 34,365 36,271 49,917 41,975 28,837 31,083 42,485 51,758 27,944 30,528 44,097 49,783 18,853 21,477 40,114 31,015 41,055 27,481 47,088 44,824 43,136 57,681 56,096 52,707 42,164 42,714 39,215 50,107 38,047 34,572 49,972 41,343 45,405 30,766 32,863 42,973 49,573 35,173 48,646 44,736 44,132 31,482 33,198 35,948 48,661 49,052 42,518 42,373 29,709 1.0 1.5 0.0 0.1 0.5 0.7 0.0 0.0 6.4 0.0 0.2 0.0 0.3 0.0 3.0 0.6 2.2 0.7 0.9 0.5 2.5 4.2 0.0 0.7 1.2 5.7 1.7 3.2 1.1 9.0 13.1 0.0 1.0 1.2 0.2 0.4 0.2 1.1 1.8 0.0 0.2 1.0 1.6 0.8 5.1 28,305 30,779 29,677 31,493 53,309 28,248 31,109 50,029 27,719 30,126 53,777 18,807 22,639 42,324 34,524 43,159 29,427 48,976 53,201 47,474 60,585 58,988 57,030 44,945 46,066 38,375 53,091 40,947 34,306 49,688 40,276 44,921 29,714 32,156 40,966 51,115 40,335 54,676 48,301 49,448 35,888 38,478 30,199 55,857 50,798 42,615 44,214 30,356 47,421 18,907 19,443 38,056 26,743 39,222 24,963 45,751 43,544 41,204 55,703 54,037 51,017 40,379 40,680 40,947 48,098 37,410 34,773 50,245 42,619 45,715 32,000 33,621 46,586 48,284 34,356 47,521 43,957 43,334 30,654 32,266 42,176 47,333 47,951 42,441 41,624 29,264 31,034 38,615 47,458 54,833 60,428 45,972 46,989 56,161 60,492 53,449 38,825 40,192 54,232 57,843 39,536 41,312 50,395 58,471 26,792 29,145 47,540 34,480 46,174 34,037 35,508 31,896 45,208 42,733 39,105 29,252 31,320 32,367 41,016 30,347 42,179 42,998 37,474 27,734 30,323 27,147 38,602 42,000 41,314 32,386 25,186 7.8 0.0 0.6 0.6 0.2 1.4 2.2 0.0 0.3 0.3 2.3 3.7 0.0 0.3 1.0 1.5 0.0 0.1 12.4 0.0 0.7 0.0 1.3 0.0 1.3 4.8 1.4 1.7 1.1 5.9 8.4 0.0 1.2 1.7 0.3 0.3 0.3 1.4 2.2 0.0 0.3 1.0 1.1 1.2 5.3 32,163 35,914 51,432 55,426 62,186 45,733 47,586 55,520 63,098 53,206 38,035 40,013 56,080 61,166 40,080 42,179 44,943 60,487 26,877 27,929 48,401 32,435 48,361 32,929 43,177 34,735 47,980 45,161 42,992 30,735 33,606 30,253 43,358 39,809 51,374 51,607 47,555 37,659 40,428 22,411 46,178 47,471 45,651 38,222 29,083 30,332 41,620 45,300 54,296 59,433 46,195 46,470 57,071 58,391 53,616 39,775 40,379 51,484 55,159 39,218 40,828 59,687 57,346 26,709 32,374 46,826 39,202 44,512 36,432 34,531 30,708 43,490 41,164 37,699 28,344 30,034 35,929 39,542 29,519 41,089 41,870 36,573 26,782 29,355 30,535 37,633 39,862 39,455 31,079 23,832 26,822 27,035 36,434 50,767 50,273 40,285 40,655 40,085 48,910 51,381 39,894 40,259 39,204 50,193 30,500 32,762 27,224 39,064 23,637 15,812 33,834 23,653 35,156 20,259 26,373 38,505 33,739 33,473 22,415 25,168 34,880 41,464 36,789 29,739 30,398 19,712 21,701 33,241 38,952 41,040 45,871 32,694 34,708 43,314 50,099 7.9 0.0 1.2 0.5 0.2 1.3 2.0 0.0 0.4 0.2 1.2 2.1 0.0 0.3 1.2 1.7 0.0 0.3 9.6 0.0 1.2 0.0 2.1 0.0 2.9 0.5 0.9 0.5 3.0 4.1 0.0 0.3 2.0 3.8 1.9 14.0 18.5 0.0 1.2 1.3 0.4 3.1 4.4 0.0 0.5 31,212 25,140 40,518 55,134 56,411 43,755 44,834 43,685 53,386 56,236 42,721 44,264 40,910 55,424 35,067 37,779 24,358 40,041 26,690 14,631 34,398 21,783 37,287 19,241 30,462 43,876 37,271 38,538 25,938 29,663 35,714 47,937 37,741 29,170 31,458 19,469 21,853 32,658 41,868 41,087 47,627 32,172 34,939 46,739 52,650 25,393 28,828 34,769 48,318 48,104 38,329 38,446 35,748 46,283 49,490 38,119 38,068 36,612 47,261 29,105 31,253 30,773 38,586 22,186 18,431 33,464 27,401 33,918 22,573 25,809 37,638 33,080 32,806 21,854 24,502 34,401 40,428 36,222 30,172 29,982 19,885 21,605 33,783 37,439 41,001 44,949 33,174 34,517 39,081 48,223 39,468 25,166 27,605 40,424 47,827 26,966 29,343 44,635 47,703 17,220 23,933 37,602 29,669 37,926 29,531 35,619 32,961 29,074 19,251 21,867 28,612 37,483 41,825 42,916 32,152 33,977 53,808 46,834 40,783 29,242 31,000 37,025 47,446 25,423 28,477 47,019 47,421 17,249 16,358 37,003 26,805 37,103 24,173 41,660 43,086 0.7 6.0 8.2 0.0 0.4 2.5 3.4 0.0 0.2 32.6 0.0 1.2 0.0 2.1 0.0 0.5 0.8 0.6 3.6 5.1 0.0 0.4 0.2 0.1 0.5 0.8 0.0 0.1 0.1 0.7 1.2 0.0 0.1 0.5 0.8 0.0 0.1 5.5 0.0 0.2 0.0 0.5 0.0 0.7 0.3 39,067 24,273 27,162 39,145 50,651 26,981 29,920 38,317 49,002 16,778 22,368 37,965 27,867 39,733 27,479 43,016 38,123 36,070 25,234 28,457 24,619 44,985 47,731 53,710 38,676 41,381 59,116 56,692 46,770 33,826 36,843 26,055 55,098 32,018 35,841 31,104 54,502 23,687 12,024 42,493 22,857 44,984 19,335 43,348 47,637 39,733 26,241 28,052 42,521 45,752 26,957 29,036 53,800 46,986 17,670 27,737 37,308 33,152 36,646 33,885 34,728 32,208 28,438 18,648 21,227 30,519 36,572 40,959 41,696 31,279 33,026 51,449 45,411 39,935 28,471 30,133 43,009 46,285 24,745 27,739 59,340 46,498 16,562 20,602 36,198 29,560 36,063 28,383 40,713 41,493 31,844 33,160 43,436 48,018 38,939 26,475 28,024 45,071 47,609 23,966 25,610 38,022 42,769 15,881 19,752 35,369 25,777 34,988 26,786 51,734 37,529 38,713 50,996 54,395 39,816 41,910 59,638 58,860 28,756 36,415 47,242 39,606 45,990 40,891 35,391 37,126 43,570 59,324 23,456 34,775 48,132 40,210 45,865 45,534 22,209 1.9 2.8 0.0 0.3 0.5 3.1 4.6 0.0 0.3 2.1 3.0 0.0 0.2 23.1 0.0 0.9 0.0 1.7 0.0 0.1 1.0 1.6 0.0 0.2 0.3 0.5 0.0 0.1 4.3 0.0 0.4 0.0 0.7 0.0 0.6 0.9 0.0 0.1 7.1 0.0 0.3 0.0 0.5 0.0 3.8 33,420 35,515 50,960 53,022 40,128 26,564 28,771 47,656 52,287 26,205 28,364 34,348 46,151 17,101 18,046 37,648 24,519 38,830 25,213 53,783 37,804 40,054 54,427 58,747 42,153 44,903 66,182 63,059 29,457 39,160 49,727 40,790 49,768 42,827 35,764 38,116 33,887 64,040 23,573 32,518 50,187 39,863 50,163 48,163 23,844 30,975 31,991 37,759 45,628 38,419 26,410 27,561 42,659 45,262 23,231 24,762 40,901 41,512 15,252 21,723 34,229 26,998 33,291 28,444 50,650 37,298 37,739 48,594 51,543 38,698 40,532 55,385 56,765 28,220 32,660 45,480 38,153 43,554 38,493 35,154 36,567 56,925 23,340 38,490 46,542 40,760 43,124 42,960 21,475 24,154 38,270 32,088 40,521 29,589 15,560 30,707 15,557 22,557 0.0 0.2 0.0 0.4 0.0 0.0 2.0 0.0 0.0 19,933 37,891 27,170 41,284 26,917 13,843 30,668 14,426 20,715 30,940 38,480 39,358 40,116 33,883 20,578 30,737 18,838 27,208 Prevalence (%): Males Prevalence (%): Females 1.7 1.7 2.3 2.5 0.6 0.4 1.7 1.4 1.4 1.9 2.8 2.6 0.2 1.0 1.5 2.2 0.8 0.7 0.9 0.8 0.5 0.7 1.7 1.7 3.2 3.5 0.0 0.0 0.8 0.8 3.1 3.7 0.8 0.5 2.7 2.6 1.9 2.7 4.3 4.3 0.2 1.1 2.1 3.4 1.2 1.3 1.1 1.1 0.3 0.5 3.3 3.6 5.2 6.4 0.0 0.0 1.1 1.3 0.9 0.6 3.1 3.3 2.0 3.2 5.1 5.8 0.3 1.6 2.4 4.3 1.3 1.5 1.8 2.1 0.4 0.7 2.9 3.2 5.3 7.2 0.0 0.0 Per capita Medicare spending ($):