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Why does the Dartmouth Atlas Project (DAP) focus on Medicare data? Are there similar variations in utilization and spending in the under-65 population?

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Why does the Dartmouth Atlas Project (DAP) focus on Medicare data? Are there similar variations in utilization and spending in the under-65 population?

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The Centers for Medicare and Medicaid Services (CMS), the federal agency that collects data for every person and provider using Medicare health insurance, makes available a uniform national claims database for research purposes. There is no counterpart to this database for the commercially insured population. However, similar studies we have done using state all-payer data in Pennsylvania and Virginia, and Blue Cross Blue Shield data in Michigan, have shown similar variations among the under-65 population.

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