The occupational mix data on hospitals was obtained from the BLS OES:

Bureau of Labor Statistics. Occupational employment statistics: May 2009 national industry-specific occupational employment and wage estimates, NAICS 622000 - Hospitals. http://www.bls.gov/oes/current/naics3_622000.htm.

Data on national hourly wage by health sector was obtained from the BLS OES:

Bureau of Labor Statistics. Occupational employment statistics: May 2009 national industry-specific occupational employment and wage estimates, Sector 62 - Health care and Social Assistance.

http://www.bls.gov/oes/current/naics2_62.htm#29-0000.

GEOGRAPHIC PRACTICE COST INDEX DATA SOURCES

The 2010 current locality GAFs incorporating congressionally mandated floors for the work and practice expense GPCIs were obtained from Addendum D (pages 40643-5) of the Proposed Rule:

Centers for Medicare and Medicaid Services. Addendum D: Proposed FY 2011 Geographic Adjustment Factors (GAFs). Federal Register 75(133):40643-40645.

http://frwebgate1.access.gpo.gov/cgi-bin/PDFgate.cgi?WAISdocID=uidDw6/0/2/0&WAISaction=retrieve.

The 2012 current locality GAFs incorporating congressionally mandated floors for the frontier states were obtained from CMS:

Centers for Medicare and Medicaid Services. Addendum E: Final CY 2011 Geographic Practice Cost Indices (GPCIs) by State and Medicare Locality. Federal Register 75(228):73817-73819. http://frwebgate1.access.gpo.gov/cgi-bin/PDFgate.cgi?WAISdocID=PmHLJ6/5/2/0&WAISaction=retrieve.

The county-level, locality-level, and MSA actual GAFs were derived from county-level 2012 fully transitioned GPCIs that were calculated by CMS and Acumen:

Centers for Medicare and Medicaid Services. Physician Fee Schedule: Federal Regulation Notices, 6th GPCI Update County Data File.

http://www.cms.gov/PhysicianFeeSched/PFSFRN/itemdetail.asp?itemID=CMS1240932.

O’Brien-Strain, Margaret, West Addison, Nick Theobald. Preliminary Report on the Sixth Update of the Geographic Practice Cost Index for the Medicare Physician Fee Schedule. June 2010.

http://www.cms.gov/PhysicianFeeSched/downloads/GPCI_Report.pdf.



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