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In case you haven’t noticed, here in the US there is a great diversity among the government agencies that we call states. Some of this diversity is pretty obvious, such as climate, population, terrain, and size. We also have tremendous diversity in political philosophy and governance policies. So it should come as no surprise that our United States does not have a homogeneous attitude towards older adults. In fact, our states differ greatly in their generosity towards their senior members in the provision of health care services.
Medicare plays a vital role in the health care of Americans wherever they live in the country, but the nearly 62 million adults enrolled in Medicare in 2020 have very different experiences depending on where you live. Recently, MedicareGuide, a network of Medicare experts whose mission is to help people understand their health insurance options so they can make good decisions, researched health care systems in all 50 states and the District of Columbia to assess which offers the best (and worst) health care for adults over 65.
The study assessed health care based on three main factors: 1) cost, 2) access, and 3) quality. To do this, the analysts used specific, relevant metrics for each variable, rated them on a 100-point scale, and then determined a weighted average across all relevant metrics for that scale. They then calculated a total score for each factor and a total score for each state, and used these to rank the states. Your results, published in June this year, are astounding.
What follows is a breakdown of the winners and losers in each of the factors, broken down by the metrics used in the study:
costs
Per capita prescription drug prices
Best of all: North Dakota
Worst of all: Tennessee
Average Deductible for Part D PDP Plan
Best of all: Missouri
Worst of all: Illinois
Average Medicare Supplement Premium
Best of all: New Mexico
Worst of all: Connecticut
Nursing home / assisted living per capita
Best of all: Wisconsin
Worst of all: Vermont
MedicareAdvantage Max Out-of-Pocket Average Amount
Best of all: California
Worst of all: Wyoming
Medicare Advantage Average Premium
Best of all: South Carolina
Worst of all: North Carolina
Medical expenses out of pocket
Best of all: Utah
Worst of all: Washington, DC
Average monthly insurance premium
Best of all: Minnesota
Worst of all: Wyoming
quality
Average life expectancy at birth
Best of all: Hawaii
Worst of all: Mississippi
Fall deaths per 100,000
Best of all: Alabama
Worst of all: Wisconsin
Percentage of adults with type 2 diabetes
Best of all: Colorado
Worst of all: Alabama
Mortality from heart disease
Best of all: Minnesota
Worst of all: Oklahoma
Cancer mortality
Best of all: Utah
Worst of all: Mississippi
Stroke mortality
Best of all: New York
Worst of all: Mississippi
Alzheimer’s mortality
Best of all: New York
Worst of all: Mississippi
access
Number of PDP plans
Best of all: California
Worst of all: Alaska
Geriatricians per capita
Best of all: Hawaii
Worst of all: Idaho
Doctors per capita
Best of all: Washington, DC
Worst of all: Mississippi
Nurses per capita
Best of all: Connecticut
Worst of all: Hawaii
Home health aids per capita
Best of all: New York
Worst of all: Florida
Qualified care facilities per capita
Best of all: Vermont
Worst of all: New York
Medicare Rural Health Clinics Per Capita Cap
Best of all: Nebraska
Worst of all: Maryland
Proportion of physicians who opt out of Medicare
Best of all: North Dakota
Worst of all: California
Quality of the public hospital system
Best of all: Hawaii
Worst of all: Louisana
If you prefer your information in graphical form, this table developed by MedicareGuide presents the information above:
Where states rank in the three dimensions of health care
MedicareGuide
For some people, this information can provide an added incentive to move … or to stay in place. Regardless of which camp you fall into, the more information we have about what type of health care is offered where, the better educated we will be.
source https://dailyhealthynews.ca/the-states-are-not-united-when-it-comes-to-healthcare-for-seniors/
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