Table 12.
Large Metropolitan | Metropolitan | Micropolitan and Rural | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Miles | 15 | 30 | 60 | 120 | 240 | 15 | 30 | 60 | 120 | 240 | 15 | 30 | 60 | 120 | 240 | |
HMO | ||||||||||||||||
50th percentile | MA | 17.68 | 44.66 | 71.7 | 86.38 | 91.97 | 4.16 | 12.69 | 41.63 | 85.51 | 101.72 | 0.30 | 0.33 | 5.21 | 9.18 | 13.08 |
TM | 94.46 | 232.92 | 376.84 | 493.67 | 567.67 | 18.33 | 50.61 | 176.55 | 417.81 | 561.95 | 2.85 | 16.02 | 62.8 | 256.34 | 574.4 | |
% | 18.72 | 19.17 | 19.03 | 17.50 | 16.20 | 22.70 | 25.07 | 23.58 | 20.47 | 18.10 | 10.53 | 2.06 | 8.30 | 3.58 | 2.28 | |
4 stars | MA | 10.15 | 25.65 | 42.74 | 53.14 | 56.86 | 2.98 | 8.86 | 26.8 | 52.72 | 62.48 | 0.00 | 0.01 | 3.20 | 5.16 | 7.82 |
TM | 53.78 | 133.97 | 224.33 | 300.63 | 344.47 | 12.63 | 34.61 | 112.62 | 257.47 | 340.19 | 1.39 | 8.84 | 36.08 | 152.46 | 336.11 | |
% | 18.87 | 19.15 | 19.05 | 17.68 | 16.51 | 23.59 | 25.60 | 23.80 | 20.48 | 18.37 | 0.00 | 0.11 | 8.87 | 3.38 | 2.33 | |
90th percentile | MA | 6.14 | 15.42 | 25.44 | 30.06 | 31.83 | 1.23 | 4.42 | 14.94 | 29.2 | 34.35 | 0.00 | 0.01 | 1.90 | 3.28 | 4.77 |
TM | 26.58 | 66.97 | 110.66 | 142.44 | 162.6 | 5.08 | 16.48 | 55.95 | 124.4 | 160.54 | 0.52 | 3.97 | 16.66 | 70.18 | 152.41 | |
% | 23.10 | 23.03 | 22.99 | 21.10 | 19.58 | 24.21 | 26.82 | 26.70 | 23.47 | 21.40 | 0.00 | 0.25 | 11.40 | 4.67 | 3.13 | |
PPO | ||||||||||||||||
50th percentile | MA | 8.11 | 23.79 | 52.81 | 65.95 | 74.46 | 1.36 | 6.70 | 28.78 | 60.38 | 70.8 | |||||
TM | 99.11 | 246.72 | 395.29 | 509.9 | 581.75 | 21.18 | 55.19 | 178.29 | 445.58 | 550.37 | ||||||
% | 8.18 | 9.64 | 13.36 | 12.93 | 12.80 | 6.42 | 12.14 | 16.14 | 13.55 | 12.86 | ||||||
4 stars | MA | 4.48 | 13.29 | 31.74 | 42.17 | 45.83 | 1.23 | 5.02 | 19.55 | 38.32 | 44.61 | |||||
TM | 56.34 | 141.78 | 235.06 | 310.72 | 353.73 | 14.77 | 38.47 | 115.64 | 277.38 | 335.47 | ||||||
% | 7.95 | 9.37 | 13.50 | 13.57 | 12.96 | 8.33 | 13.05 | 16.91 | 13.81 | 13.30 | ||||||
90th percentile | MA | 2.56 | 8.00 | 18.16 | 22.75 | 24.91 | 0.34 | 2.60 | 11.11 | 21.52 | 24.28 | |||||
TM | 27.98 | 71.35 | 116.4 | 147.57 | 167.5 | 5.66 | 17.91 | 57.73 | 135.77 | 159.54 | ||||||
% | 9.15 | 11.21 | 15.60 | 15.42 | 14.87 | 6.01 | 14.52 | 19.24 | 15.85 | 15.22 |
Abbreviations: MA, Medicare Advantage; TM, traditional Medicare.
aAll differences between TM and MA are significant at P < .001.