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Table 2 Description of Other Variables Used in the Analysis

From: Spatial analysis of elderly access to primary care services

Variable

Description

Source and level

Facilities and Utilization Data

BEDREHAB

Number of beds in a PPS exempt rehabilitation unit of a hospital

CMS Provider of Service (POS), ZIP code

VISITS

Medicare Part B and outpatient primary care visits or ambulatory care visits, per Medicare Part B and outpatient beneficiary resident in the PCSA, plus number of primary care visits to rural health clinics or federally qualified health clinics per Medicare outpatient beneficiary resident in the PCSA

CMS CECS DENOM & Part B & Outpatient, PCSA

Practitioner Data

TOTDOCS

Count of clinically active specialists and primary care physicians per 1,000 population

AMA/AOA Masterfiles, PCSA

ALT_DOC

Ratio of the count of nonphysician clinicians to physicians, by state, 1995

Cooper et al, 1998b; state

IMG_RATIO

Ratio of the count of international medical graduate physicians to clinically active specialists and primary care physicians

AMA/AOA Masterfiles, PCSA

Market Conditions Data

MCPENE00

MMC PENETRATION of Medicare beneficiaries in 2000

CMS Geographic Service Area File, county

CINCREASE

Binary indicator of an increase in competition among the MMC plans available, between 1998–2000, from inverse Herfindahl index

CMS Geographic Service Area File, county

XHMO00

Penetration of state population by commercial HMOs, 2000

InterStudy, state

XHMODIF

Change in penetration of state population by commercial HMOs, 1994 – 2000

InterStudy, state

XPPO00

Penetration of state population by commercial PPOs, 2000

InterStudy, state

XPPODIF

Change in penetration of state population by commercial PPOs, 1994 – 2000

InterStudy, state

SHRLARG3(%)

Percent market share of the largest three commercial group market insurers in 1997–2001

Academy for Health Services Research and Health Policy, state

ECOV97_9(%)

Percent of elderly who have employer-sponsored health insurance

American Association of Retired Persons (AARP), state

PRICE00A($)

Annual premium for AARP's MediGap Plan A, 2000

RTI analysis of AARP MediGap premiums, state