Medicare Illinois
Looking at Medicare data, especially pertaining to the state of Illinois beneficiaries. I Will be reviewing, learning, and sharing.
IL Medicare Beneficiaries July 2022 Summary: 2,315,238 Total. 1,431,396 Original Medicare. 883,842 MedicareAdvantage. 38% of Total in MA Plans
Source: Medicare Monthly Enrollment https://data.cms.gov/summary-statistics-on-beneficiary-enrollment/medicare-and-medicaid-reports/medicare-monthly-enrollment
2.26M IL Residents enrolled in Medicare, with 70% in Original Medicare vs 30% Medicare Advantage
Source: https://data.cms.gov/summary-statistics-on-beneficiary-enrollment/medicare-and-medicaid-reports/cms-program-statistics-medicare-total-enrollment
There are 21 chronic conditions identified using 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. Beneficiaries may have more than one of the chronic conditions listed.
Medicare standardized spending includes total Medicare payments for all covered services in Parts A and B and is presented per beneficiary (i.e. per capita). Standardized payments are presented to allow for comparisons across geographic areas in health care use among beneficiaries.
Source: https://data.cms.gov/medicare-chronic-conditions/specific-chronic-conditions
The top 10 Rx Medications by volume(30 day fills) for Medicare beneficiaries in ILLINOIS for calendar year 2020, and the average monthly cost/patient for each.
High cholesterol, high blood pressure, hypothyroidism, diabetes, mellitus, gastric ulcers
Curious about #11, and #12? Simvastatin, and Gabapentin.
The top 10 Prescription Medications by Total Drug Cost 2020 for IL Medicare Beneficiaries.
1) Eliquis: Anticoagulant. 2) Revlimid: Cancer drug for myeloma and blood disorders. 3) Xarelto: Anticoagulant. 4) Januvia: Type 2 diabetes. 5) Imbruvica: Cancer drug for Mantle Cell Lymphoma and Chronic Lymphocytic Leukemia, etal. 6) Lantus Solostar: Long-Acting Insulin for diabetes mellitus. 7) Symbicort: Combination inhaler for asthma and COPD. 8) Ibrance: Cancer drug for metastatic breast cancer. 9) Trulicity: Type 2 diabetes mellitus. 10) Jardiance: Type 2 diabetes
Eliquis and Xarelto market share are below the national average, with Warfarin market share approximately 8% higher in IL. Source: https://data.cms.gov/provider-summary-by-type-of-service/medicare-part-d-prescribers/medicare-part-d-prescribers-by-geography-and-drug
Source: https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-geographic-comparisons/medicare-geographic-variation-by-national-state-county
Per capita Medicare payment, adjusted for geographic differences in payment rates
Percent of Medicare Fee-for-Service beneficiaries who are eligible for Medicaid for at least one month in the year
Source: https://data.cms.gov/provider-summary-by-type-of-service/medicare-part-d-prescribers/medicare-part-d-prescribers-by-geography-and-drug
Top 10 Medications ranked by total drug cost per month per beneficiary in IL Medicare 2020. The Table also includes the predominant use of the medication.