Exhibit 3.
Hospital referral regions (HRRs) with the highest and lowest annual growth rate in price- and risk-adjusted Medicare per capita spending between 2007 and 2017
| HRRs by compound annualized growth rate | Deciles of Medicare per capita spending | Compound annualized growth rate (%) | |
|---|---|---|---|
| 2007 | 2017 | ||
| TOP 10 | |||
| Idaho Falls, ID | 5 | 10 | 2.0 |
| Ventura, CA | 3 | 7 | 1.8 |
| Fort Smith, AR | 4 | 9 | 1.7 |
| Roanoke, VA | 2 | 4 | 1.7 |
| Honolulu, HI | 1 | 1 | 1.7 |
| San Jose, CA | 1 | 1 | 1.6 |
| Charlottesville, VA | 1 | 4 | 1.6 |
| Newport News, VA | 2 | 5 | 1.6 |
| Santa Rosa, CA | 1 | 2 | 1.6 |
| Wichita Falls, TX | 9 | 10 | 1.5 |
| BOTTOM 10 | |||
| McAllen, TX | 10 | 2 | −2.7 |
| Miami, FL | 10 | 8 | −1.9 |
| Harlingen, TX | 9 | 2 | −1.4 |
| New Orleans, LA | 8 | 2 | −0.8 |
| Wausau, WI | 3 | 1 | −0.6 |
| Baton Rouge, LA | 10 | 8 | −0.5 |
| Baltimore, MD | 10 | 8 | −0.3 |
| Odessa, TX | 9 | 5 | −0.3 |
| Saginaw, MI | 8 | 5 | −0.2 |
| Traverse City, MI | 6 | 3 | −0.2 |
SOURCE Authors’ analysis of data from the Medicare Geographic Variation Public Use File (Centers for Medicare and Medicaid Services) and Area Health Resources File (Health Resources and Services Administration).