Table 2.

shows health care service use per 1000 MA-HMO and TM decedents in the calendar year of death, 2003-2009. Because death rates were fairly consistent by month, these figures represent, on average, utilization in the last six months of life.

		2003	2004	2005	2006	2007	2008	2009
INPATIENT
Total Admissions	TM	1336	1324	1328	1285	1344	1359	1347
	MA	1185	1143	1161	1194	1271	1198	1171
	Difference	-11.3%	-13.7%	-12.6%	-7.1%	-5.4%	-11.8%	-13.1%
Total Days	TM	11369	11320	11495	10835	11221	11233	10609
	MA	8355	8077	8139	8899	8975	8886	8384
	Difference	-26.5%	-28.6%	-29.2%	-17.9%	-20.0%	-20.9%	-21.0%
Medical Admissions	TM	1082	1072	1076	1041	1096	1115	1113
	MA	928	900	897	915	973	905	905
	Difference	-14.2%	-16.0%	-16.6%	-12.1%	-11.2%	-18.8%	-18.7%
Medical Days	TM	7796	7767	7930	7401	7796	7876	7561
	MA	5282	5240	5180	5532	5690	5459	5327
	Difference	-32.2%	-32.5%	-34.7%	-25.3%	-27.0%	-30.7%	-29.5%
Surgical Admissions	TM	254	254	251	244	247	242	234
	MA	248	239	256	275	283	262	259
	Difference	-2.4%	-5.9%	2.0%	12.7%	14.6%	8.3%	10.7%
Surgical Days	TM	3566	3546	3582	3443	3411	3333	3062
	MA	2986	2819	2867	3254	3109	3137	2997
	Difference	-16.3%	-20.5%	-20.0%	-5.5%	-8.9%	-5.9%	-2.1%*
AMBULATORY
Outpatient Visits	TM	6997	6688	6620	5757	6025	6945	7315
	MA	6424	6259	6601	5626	6054	7283	7573
	Difference	-8.2%	-6.4%	-0.3%*	-2.3%	0.5%*	4.9%	3.5%
Emergency Department Visits	TM	1278	1291	1306	1269	1336	1363	1387
	MA	748	728	710	717	699	723	632
	Difference	-41.5%	-43.6%	-45.6%	-43.5%	-47.7%	-47.0%	-54.4%
Surgical Procedures	TM	292	283	275	290	295	312	319
	MA	208	204	204	214	230	287	318
	Difference	-28.8%	-27.9%	-25.8%	-26.2%	-22.0%	-8.0%	-0.3%*

TM is traditional Medicare. MA is Medicare Advantage. MA significantly different from TM (p<0.05) except where noted with bold italics and an asterisk.