Refining the malpractice geographic practice cost index

30 Pages·1991·1.7 MB·English

by  Zuckerman, Stephen

3839-03-02 Febrxjary1991
REFININGIHEMALPRACTICE
GEOGRAPHIC PRACTICE COST INDEX: Computer Diskette
March 1991 Paper Copy
Stephen Zuckerman*
StephenNorton**
Federal Project Officer: Sherry Terrell
(^^ Ho yj)7 Oq^p.
Senior ResearchAssociate, The Urban Institute
**Research Assistant, The Urban Institute
Support for this research was provided by the Health Care Financing
Adnunistration to The Urban Institute through Cooperative Agreement
No. 17-C-99222/3-01. This Cooperative Agreement supported a number of
troetsaelarcbhudgpertojefcotrsalrleloaftedthetsoetpherojGeecotgsrawpahsic$3P3r8a,c8t3i1ceanCodstreIpnrdeesxe.ntsThtehe !J
sole source of funding.
The authors would like to thank PeteWelch>^o provided manyuseful
comments on earlier drafts of this report. Any opinions expressed are
those of the authors and do not reflect the opinions of the Health Care
FinancingAdministration, The Urban Institute, or its sponsors.
sz.3839:03-02title
12
TABI£3
CJiangeinModelFeeScheduleMalpi.acticeGPCTDuetoTechnicalMappingCorrection
andPCFAdjustmentbyState(DescoidingOrderofChange)
Renapped
State PCFAdjusted
State Name MFSMLW2 MFSMGPCi Qiange
20 KANSAS 0.851 1.134 0.283
55 WISCONSIN 0.639 0.762 0.123
42 PEI^SYLVANIA 1.206 1.268 0.062
48 TEXAS 0.521 0.530 0.009
19 ICWA 0.660 0.666 0.006
13 GEKTTA 0.747 0.752 0.005
28 MISSISSIPPI 0.647 0.650 0.003
39 OHIO 0.918 0.920 0.002
40 OKLAHOMA 0.515 0.516 0.001
51 VIRGINIA 0.631 0.632 0.001
37 NUKiHCAROLINA 0.378 0.378 0.000
47 TErwF.s,snh; 0.408 0.407 -.001
1 ALABAMA 0.825 0.824 -.001
10 DRIAVARE 0.665 0.664 -.001
27 MH^ESCriA 0.749 0.748 -.001
33 NEWHAMPSHIRE 0.603 0.602 -.001
43 PUEKIURIOO 0.467 0.466 -.001
46 SOUTHDAKCriA 0.689 0.688 -.001
50 VERMONT 0.534 0.533 -.001
56 WYOMING 0.642 0.641 -.001
11 DISI. OFCOLUMBIA 0.924 0.922 -.002
35 NEWMEHOO 0.769 0.767 -.002
8 OOLCRADO 0.685 0.683 -.002
16 IDAHO 0.891 0.889 -.002
23 MAINE 0.718 0.716 -.002
25 MASSACHUSETTS 0.857 0.855 -.002
30 MONIANA 0.720 0.718 -.002
38 NORTHDAKDIA 0.690 0.688 -.002
41 CRBGON 0.953 0.951 -.002
44 RHCXEISUM) 0.736 0.734 -.002
49 UTAH 0.741 0.739 -.002
4 ARIZONA 1.258 1.255 -.003
2 ALASCA 1.045 1.042 -.003
12 FLORIDA^ 1.261 1.258 -.003
15 HAWAn 1.028 1.025 -.003
32 ^EVADA 1.147 1.144 -.003
53 WASHINU'lW 1.067 1.064 -.003
31 NEBRAaCA 0.439 0.435 -.004
6 CALitOKNIA 1.374 1.370 -.004
9 ootuBcnon' 1.108 1.102 -.006
5 ARKANSAS 0.309 0.302 -.007
45 SOUTHCAROLINA 0.457 0.448 -.009
18 INDIANA 0.541 0.529 -.012
22 LDUISIANA 0.925 0.913 -.012
54 WESTVHONIA 0.700 0.6R8 -.012
21 KINTUCXY 0.681 0.667 -.014
24 MARYLAND 0.936 0.921 -.015
29 MISSOURI 1.267 1.247 -.020
17 TTJ.TNOIS 1.483 1.458 -.025
36 NEWYORK 1.573 1.547 -.026
26 hdOHGAN 1.481 1.447 -.034
34 NEWJTOSEY 1.232 1.153 -.079
cPjS
/
U
TABLE3A
ChangeinModelFeeScheduleMalpracticeGPCIDuetoTechnicalMappingCorrecticHi
andPCFAdjustmentbyState
Remapped
State PCFAdiusted
State Name MFSMGPa MFSMGPQ Change
1 ALABAMA 0.825 0.824 -.001
2 ALASKA 1.045 1.042 -.003
4 ARIZONA 1.258 1.255 -.003
5 ARKANSAS 0.309 0.302 -.007
6 CALTPCRNIA 1.374 1.370 -.004
8 COWRPSX) 0.685 0.683 -.002
9 OON^llCUT 1.108 1.102 -.006
10 DELAWARE 0.665 0.664 -.001
11 DlSr. OFOOLUMBIA 0.924 0.922 -.002
12 FLORTTVi 1.261 1.258 -.003
"13 GBORfTrA 0.747 0.752 0.005
15 HAVAH 1.028 1.025 -.003
16 mAHO 0.891 0.889 -.002
17 TTJ.TTCIS 1.483 1.458 -.025
18 DCIANA 0.541 •,- 0.529 -.012
19 ICWA 0.660 0.666 0.006
20 KANSAS 0.851 1.134 0.283
21 KINIUOCf 0.681 0.667 -.014
22 LOUISIANA 0.925 0.913 -.012
23 MAINE 0.718 0.716 -.002
24 MARYLAND 0.936 0.921 -.015
25 MASSACHUSLTi'S 0.857 0.855 -.002
26 MICHIGAN 1.481 1.447 -.034
27 MK^^SOIA 0.749 0.748 -.001
28 MISSISSlPi'l 0.647 0.650 0.003
29 MISSOURI 1.267 1.247 -.020
30 MCNTANA 0.720 0.718 -.002
31 NEBRASKA 0.439 0.435 -.004
32 NEVADA 1.147 1.144 -.003
33 NEWHAMPSHIEE 0.603 0.602 -.001
34 NEVJERSEY 1.232 1.153 -.079
35 NEWMEXICO 0.769 0.767 -.002
36 NEWYORK 1.573 1.547 -.026
37 NUKIHCAROLINA 0.378 .0.378 0.000
38 NCKraQftKOTA 0.690 O.fiRR -.002
39 OECO 0.918 0.920 0.002
40 OKLAHOMA 0.515 0.516 0.001
41 CRtlUCW 0.953 0.951 -.002
42 PENNSYLVANIA 1.206 1.268 0.062
43 PUfcKlDRICO 0.467 0.466 -.001
44 RHODEISLAND 0.736 0.734 -.002
45 SOOraCAROLINA 0.457 0.448 -.00?
46 SOUfflDAKOTA 0.689 0.688 -.001
47 TmWSFFF. 0.408 0.407 -.001
48 TEXAS 0.521 0.530 0.009
49 UTAH 0.741 0.739 -.002
50 VERMONT 0.534 0.533 -.001
51 VHONIA 0.631 0.632 0.001
53 WASHDOON 1.067 1.064 -.003
54 WESTVIRGINIA 0.700 0.6RR -.012
55 WISCONSIN 0.639 0.762 0.123
56 WYOMING 0.642 0.641 -.001
6
5^
Chang* inModal PaaSchadula NalpractiTcAaBLEGPC4I DuatoTachnicalMappingCorraction
and PCFAdjustnantby Locality (DascandingOcdarofChanga)
Raaappad
Locality PCFAd]ustad Changa
Carriac Locality Naaa tVSMGPCI MrsMGPCI Changa Ralatadto
0000662510 0014 RROECSKTOIFSLAKNADN,SASIL 783725 11..113347 .335095 MPSCFAACdrjo.ssianngdMStSaAtaCroBsosridnargsStata Bordars
00621 12 EASTST. LOUIS, IL 360 1.579 .219 Hultipla InsurancaAraasWithinStata
0000995511 0143 MCIELNWTARUAKLEEv,rlSvCnONSIN 663377 00..776622 ..112255 PpCeFrAAddjj.. aannddRRaannoorranaalliizzaattiioonn
00951 14 SOUTHWESTWISCONSIN 637 0.762 .125 PCFAdj. andRanoraalization
00951 IS MADISON, vn (DANECOUNTY) 637 0.762 .125 PCFAdj. andRanoraaliiation
00951 36 WAUSAU, vn (N-CENTRAL) 637 0.762 .125 PCFAdj. andRanoraalization
00951 40 GREENBAY, Vn (NORTHEAST) 637 0.762 .125 PCFAdj. andRanoraalization
00951 46 MILWAUKEESUBURBS, WI (SE) 637 0.762 .125 PCFAdj. andRanoraalization
00951 54 JANESVILLE, WI (S-CENTRAL) 637 762 .125 PCFAdj. andRanoraalization
00951 60 OSHKOSH, WI (E-CENTRAL) 0.637 762 .125 PCFAdj. andRanoraalization
00951 19 LACROSSE, WI (W-CENTRAL) 0.651 762 0.111 PCFAdj. andMSACrossingStata Bordars
00951 12 NORTHWESTWISCONSIN 0.652 762 0.110 PCFAdj. andMSACrossingStata Bordars
0080] 01 POUGHKPSIE/N.RYCSUBURBS 1.225 325 0.100 MultiplaInsurancaAraasWithinStata
00865 01 PHILLY/PITTMEDSCHS/HOSPS 1.467 1.552 ,085 PCFAdj. andRanoraalization
16360 IS SOUTHEAST (OHIOVALLEY) OH .848 0.920 .072 MSACrossingStata Bordars
00865 02 LG. PENNSYLVANIACITIES .362 1.433 .071 PCFAdj. andRanoraalization
0000990000 0249 WAEBISLTEENREN,RTUXRALTEXAS ..444427 00..550044 ..005627 IInnppuutt EErrrroorr iinnOOrriiggiinnaall DDaattaa
00865 04 RESTOF PENNSYLVANIA .932 0.986 .054 PCFAdj. andRanoraalization
00640 07 SOUTHVfESTIOWA .616 0.666 .050 MSACrossingStata Bordars
00900 02 NORTHEASTRURALTEXAS .465 0.504 0.039 Input Error inOriginal Data
00865 03 SMALLPENNSYLVANIACITIES .949 0.986 0.037 PCFAdj. andMultipla InsurancaAraas
01040 03 SMALLGACITIES03 0.719 0.752 0.033 MSACrossingStata Bordars
00580 01 D.C. MD/VASUBURBS 0.924 0.947 0.023 MSACrossingStata Bordars
00900 03 SOUTHEASTRURALTEXAS .494 0.504 0.010 Input Error inOriginal Data
00510 03 SOUTHEASTAL .819 0.824 0.005 MSACrossingStata Bordars
10250 01 RESTOFMISSISSIPPI .645 0.650 0.005 MSACrossingStataBordars
10490 04 RESTOFVIRGINIA .518 0.522 .004 MSACrossingStataBordars
01370 99 RESTOFOKLAHOMA .513 0.516 .003 MSACrossingStata Bordars
00720 02 NORTHERNMINNESOTA .747 0.748 .001 MSACrossingStataBordars
00860 01 NORTHERNNEWJERSEY .152 1.153 .001 MSACrossingStataBordars
01040 04 RESTOFGEORGIA .751 0.752 .001 MSACrossingStata Bordars
05535 94 URBAN (CITYLIMITS) HC .378 0.378 0.000 NoChanga
05535 9S RESTOFNORTHCAROLINA .378 378 0.000 HoChanga
10490 02 TIDEWATER4N. VACOUNTIES .703 703 0.000 NoChanga
00900 06 TEMPLE, TX 0.505 504 -.001 Ranoraalization
00900 07 SANANTONIO, TX 0.505 504 -.001 Ranoraalization
00900 08 TEXARKANA, TX .505 504 -.001 Ranoraalization
00900 09 BRAZORIA, TX .505 504 -.001 Ranoraalization
00900 10 BROWNSVILLE, TX .505 504 -.001 Ranoraalization
00900 11 DALLAS, TX .505 504 -.001 Ranoraalization
.0. 00900 12 DENTON, TX .505 0.504 -.001 Ranoraalization
00900 13 ODESSA, TX 0.505 0.504 -.001 Ranoraalization
00900 14 ELPASO, TX 0.505 504 -.001 Ranoraalization
<X1 00900 IS GALVESTON, TX 0.505 504 -.001 Ranoraalization
00900 16 GRAYSON, TX 0.505 504 -.001 Ranoraalization
00900 17 LONGVIEW, TX 0.505 504 -.001 Ranoraalization
00900 19 MCALLEN, TX 0.505 504 -.001 Ranoraalization
00900 20 BEAUMONT, TX 0.505 0.504 -.001 Ranoraalization
A )
TABLE 4 (cont.
Chang* inNodal F«« Schadul*HalpracticaGPCI Dua toTachnical HappingCocraction
and PCFAdjustnant byLocality (DascandingOrdar of Changa)
Raaappad
Loca1ity PCFAdjusted Changa
Carriar Locality Ifaaa MPSMGPCI MPSMGPCI Chang Ralatadto
0000990000 WLAUCBOB,OCKTX, TX 00..550055 00..550044 --..000011 RRaannoorrmaaalliizzaattiioonn
00900 MIDLAND, TX 0.505 0.504 -.001 Ranocaalization
00900 CORPUSCHRISTI, TX 0.505 0.504 -.001 Ranoraalization
0000990000 OAMRAARNIGLEL,O,TXTX 00..550055 00..550044 --..000011 RRaannoocrBaaalliizzaattiioonn
00900 TYLER, TX 0.505 0.504 -.001 Ranocaalization
00900 roRTWORTH, TX 0.505 0.504 -.001 Ranoraalization
00900 SANANGELO, TX 0.505 0.504 -.001 Ranoraalization
00900 AUSTIN, TX 0.505 0.504 -.001 Ranoraalization
00900 VICTORIA, TX 0.505 0.504 -.001 Ranoraalisation
00900 LAREDO, TX 0.505 0.504 -.001 Ranoraalization
00900 WICHITAPALLS, TX 0.505 0.504 -.001 Ranoraalization
01040 ATLANTA, GA 0.753 0.752 -.001 Ranoraalization
01040 SHALLGACITIES02 0.753 0.752 -.001 Ranoraalization
0S440 TENNESSEE 0.408 0.407 -.001 Ranoraalization
00973 PUERTORICO 0.467 0.466 -.001 Ranoraalization
00570 DELAWARE 0.665 0.664 -.001 Ranoraalization
00640 SE IOWA (EXCLIOWACITY) 0.667 0.666 -.001 Ranoraalization
00640 NORTHEAST IOWA 0.667 0.666 -.001 Ranoraalization
00640 NORTHCENTRALIOWA 0.667 0.666 -.001 Ranoraalization
00640 S.CEN. IA(EXCLDESMOINES) 0.667 0.666 -.001 Ranoraalization
0000664400 NDEOSRTHMWOEISNTESI(OPWOALK/WARREN),I 00..666677 00..666666 --..000011 RRaannoorraaaalliizzaattiioonn
00640 IOWACITY (CITYLIMITS) 0.667 0.666 -.001 Ranoraalization
00655 OMAHA+ LINCOLN, NE 0.436 0.435 -.001 Ranoraalization
00655 URBAN (CNTY POP>25000) NE 0.436 0.435 -.001 Ranoraalization
0000676200 SLOEUXTIHNEGRTNONMItNNLEOSUIOSTVAILLE, KY 00..676489 00..764687 --..000011 ^RRaannoorraaaalliizzaattiioonn
007SO NEWHAMPSHIRE 0.603 0.602 -.001 Ranoraalization
007S0 VERMONT 0.534 0.533 -.001 Ranoraalization
00820 SOUTH DAKOTA 0.689 0.6B8 -.001 Ranoraalization
00900 HOUSTON, TX 0.657 0.656 -.001 Ranoraalization
01370 OKCITY, ETAL (CITIES),OK 0.517 0.516 -.001 Ranoraalization
01370 TULSA, ETAL (CITIES), OK 0.517 0.516 -.001 Ranoraalization
01370 SH. CITIES (SOUTHERN), OK 0.517 0.516 -.001 Ranoraalization
01370 SH. CITIES (NORTHERN), OK 0.517 0.516 -.001 Ranoraalization
05530 WYOMING 0.642 0.641 -.001 Ranoraalization
0110326400 ESTW. MPEAXUIL-CHOINNEAPOLIS, MN 00..774699 00..774687 --..000012 RRaannoorraaaalliizzaattiioonn
00510 NORTHWESTAL 0.S26 0.824 -.002 Ranoraalization
00510 NORTHCENTRALAL 0.826 0.824 -.002 Ranoraalization
00510 MOBILE, AL 0.826 0.824 -.002 Ranoraalization
.< 00510 BIRMINGHAM, AL 0.826 0.824 -.002 Ranoraalization
00510 RESTOPAL 0.826 0.824 -.002 Ranoraalization
0052S HEWORLEANS, LA 1.187 1.185 -.002 Ranoraalization
00528 SHREVEPORT, LA 0.810 0.808 -.002 Ranoraalization
00528 BATONROUGE, LA 0.810 0.808 -.002 Ranoraalization
00528 LAKE CHARLES, LA 0.810 0.808 -.002 Ranoraalization
000O5S2288 06 MLOANFRAOYEET,TEL,ALA 00..881100 00..880088 --..000022 RRaannoorraaaalliizzaattiioonn
, )
Chanq.InHoadn.dlPCrF,.AdSjcuhs.tdaueln.tMabylprL.occtailTciA,tByLEGP(CD4Ies(cDcueoenntdit.nogT.OcrdhenricaolfMChaapnpgien)gCorrection
Carrier Locality NLaoaceality MFSMGPCI PMCFFRSeAadMaGjpPupCsaItded Change CRhealnagteedto
000000000000000000000222101001100001100000°00000000000000000000101100111111*8*80*8580051616611610660066000006660000000000002225050<5012201323223'28322987222777727755335533332000111191135313818118»18111571114444100990025210000000000000000000001000000000080 .000001101100O0O90000000002401113214091310100*090760000003S10a9000070512321106922193221193116132121127 NRSRSBCDQSNPKRNDlTPFSPOSNC.RCSUNRSESSOOUOEEHUMRUPPONNREEMKAMSOENACRUURLHOHEOOHIOROOSEAWCU.UCFUITOHARORO.TOAUNRAS/BMLOCEAOUINRUAUBCRLUTSGHATCF.ANROCMTRMISNRRKTNTSSAELKSSEOTOTTTRTAEHTTTET.OEHCHATEADSTHINPTAAHCKTSAXOOCNSHRHHLHNMHHMNRUOYLLS.LEENAHEGAAKL.WLJAAORNOITEAEE,E.(EORRF,,AOTO,RTFAEICNBEOCFNSAXoTFA(RLSRCR,,NIMNFC/ENR.IIIKSG,ASNDSJIHDrUTDLFNITNNSV(DDESRACN,DEDTNETEWASARUBIOAIIPOTOMC,E>(U/NOLALAlET-,EPKLICILLSUILYRRNFI(AMIMRVCC(RSTHDRHTWUTH(LEAOLKACIRE)IIL,ILCTIAAIACHRU(OR,OEIRA,CCTNLTSO,,BTLDZYLOINITILICA.VRAGIEBLIAYDAUOST)AOALRTYENLNIARRWLTOTASOLANN/S,MIYNY)IAEETELLL.VYINNR(LTCROL(),/AZYDYCALOEAKCCINU,CPC(),AUIEATSO,ILETRCI,CLO(RTYZTA,NITSYNATIAUCIB,A2ENWMy,STILTTINEIAZAS.VIYE(NITTTLSN,ZVWTSSYEIELYMCLSV,)SEI)NOI,)),)SM,YT,)INIV,TYOEMMASROOSOO)RR) 000011111111111111011100000..0..001.00000.0...011..110.01..1.............9.9..9.9........1.1111..1..111.1..2.21.227.6.242766766869966918794464449741441847451461S8151551895161956699655699505030500940800802805808818S811858880840201133033316010111700507 00001111111111111110110000000..00..00100.00.0..00....011..011....001.1..........99.9..9....1..1.11..1111..11...1.222...2.72277666466618696899939377336373331133181358155618515511888653385833855575733778717777777777505505580565566888208199111194889999858538 ------------------------------.-...--.---..-..--.-..--..-.--..--..--.--..........00.00.0.0...0.00..0.00..00.0..00..00..0..0000000000000000000000000000000000000000000000000000000000030030330303003003300303303030300330033003003222222222222222222222222222222 RRRRRRRRRRRRRRRRRRRRRRRRRRRRReRReeRaRReRRReaRReReRReeReeReRReeReeRReRReeeeaaeeeenneeneneeneaenneeneneennenneneannenaaneennnnnnnnnnononnononnnonnoonnononnoonoononnnooonnonnoooooooooooroororoooroorroororroorrorrorooorrrooroorrrrrrrrrrrarrararrrarraaarrararraaraararrraaarrarraaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaanaaaaaaaaaaalaalalaalalaallaalalaallallalaaallalalaalllllllllllilliililllilililliiliilliillillliilililliiiiiiiiiiiziziziziiizizizizizizziizziiziiizziiziizzzzzzzzzzzazazzazazzzazazazazazaazzaazzazzzaazzazzaaaaaaaaaataataatataaatatatattaattaattaataaattaaaatttttttttttttittititttitititiiittiittiittitttiittttiiiiiiiiiiiiioiioioiiiooioioiooiiooiiooiioiiiooiiiioooooooooooonooononnooononononnoonnoonnoonooonnoooonnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn o»
, ) )
Chanqa inMod«l F«e SchadulaMalpractiTcAeBLEGPC4l(Dcuo«ntt.oTechnical HappinqCorraction
andperAdjustaant byLocality (DascandinqOtdarof Changa
Raaappad
Locality perAd]ustad Changa
Carrlar Locality Naaa HFSMGPCl MrsMGPCI Changa Ralatadto
0000000000111111111111001110000000000000000000000000000111111066666666666006660000000000000000022222229999012222233333333333S33S35S5555555555555570000000333322999936666666666666464444444444444449915S55SS50000000000000000000000002022222222222222200000000O0 000000000900000000O0110100001100O0111111002011111234122112239122346S57911022434356S9710234134756781902 WASSHERLSAERCCCMDNSTWMEYSNHMSOSSSNSMFKBSRMFVDSLLLLLLAEEPA..K.WLOEILA.APOOAEOCAAAAAETAOIAIAIREOEOAOOOONSWAAO>RCKLSNENYRLRURIRNNCKRONANNVKNENRTSSSNSSOATOKSEOUTTCVSIECTNIOICRLCCCRMTCETEGTSRTT,INTANKOMSVIEFNDOGHOTNEAEAIEUOAKUMRRSONFEABAAAAA,ILEN+NABNLIEGOSONWNkON/,NMNDRAARSIS/TRORELNNNNNEN,EUAAEOFFTENETHTEDT/AASTIFTA/OCERGGGAGBGE+WSTNLATIOOEESRREAVN-,S,+LTDIUNMNL(YHEEEUEFAER,IDADSEWHLNTCOO(APATBUEAELLCAA/A/LLLDLRLLI,,,W.LNYAH,EKTLLAOE,RLLUIASDRCSDEEEESEB(EMCC,ADELIVILO//(RRCDSURAEAUSSSI(SRLAIASAH,TNAECHOOESSRA.K,CE,OR(L,,,CNRA,CRD(NCLG,YDXHHUROUSOHE,AICO(NKO(ARAASTAN,CA.ATLR,MLI,HETECO//,LTACCCDC.CCCCLLCAATREXYHIEWEEANCA(AAAAA)(NIN.CSYT.OU,OCTPCCACCCTCESLC,OI,BOHYNLANHACASYIE((E(((I,EODSTATCUEF)512TA4SITSHN,YI)YNICCN)LTSTNRTI)IPVNSS,TA,CAT,HHTDD,TE,EOLS,YARC.LSSKW))NSOAAC,OOOOO)E)AA,,VN,HCLAFFPFF),NVOAEWNHOOCC)AVHHAA 111111110011100000000000011111111111111111111111111...............................,...................00000011992119999999999993333333333333333333376333366664243422442222222222227777777777777777S77747477777775B747337733333333344333444444444444440444044544 111111111100100000000000011111111111111111111111111...................................................000000111129999999999999933333333333333333637333333666644442342222222222222277777777777777747377777777444424441540000000000000000000000000010006600000000 ---------------------------------------------------...................................................000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000333333333333333333333333344444444444444444444444444 RRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRaeaeaeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeaeeeennnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnooooooooooooooooooooooooooooooooooooooooooooooooooorrrrrrrrrrrrrcrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrraanaaaaaBaaanaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaallllllllllllllllllllll1lllllllllllllllllllllllllllliiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiizzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaatttttttttttt1ttttttttttttttttttttttttttttttttttttttiiiiiiiiiiiiii1iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiioooooooooooobooooooooooooooooooooooooooooooooooooooinnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn
)
Chang*inModel FaaSchadul*MalpractiTcA*BLEGPC4l(Dcuo«nt.toTechnical MappingCorrection
and perAdjustaent byLocality (DescendingOrder of Change)
Reaapped
Carrier Locality NLaosceality MPSMGPCI PMCFFSAdMGjPuCsIted Change CRhealnagteedto
0000222200005S550000 22224635 ALLLNOOOSSSAHEAAANNNIGGGMEEE-LLLSEEEASSSN,,,TACCCAAAANA(((,867TTTHHHCAOOOFFF 888))) 1111....333377774444 333377770000 ----....000000004444 RRRReeeennnnoooorrrraaaaaaaalllliiiizzzzaaaattttiiiioooonnnn
0124035300 0248 QSUAENENDSI,EGONY/IMPEHIAL, CA 11..387645 836710 --..000044 RReennoorraaaalliizzaattiioonn
000000001000000010011011000011000000100060000000100610000000686887277556686662256286656624226061621449906936316316322539110300080000030000000000010500 0000I0000001000005001001113212S2214571322208213113646333 SWMMBSMSWNSBSKUSRSEREAMRSRCNSRMOOHAIUITEYMAUAEOARMEAEOEREHEW..CEUNDBC.CNSBLSUSSBSSUSIKSTKEHTHDUSTUTTTTTCTTATCTTARAFLAIHLRARHIEEEIAEHSNNLONTOITGEEBSBMR.RTGRUOSOOOOPDOORNTARAAOONINCFNFBAUFFF-OWCIfDGANNNN,RENICISULNNAN,,N,ESIETSVMR.MCEILNDR/KI,N/TC.W/AIKABOOTOECIOEINIYSHEWLLNNEAISRAUABNLELND(,UIWGVLNNLNOJS/YSNICTNIRNIDRC..EYSTE+LLHISUANAATUARYARJJOTAOKICNASRSIG.,SSYESNERNDKAAKAETNOERGFE.EDYNALRD,YSFTWCCACLIIE.RINVHIIAIACYTCOTMTDILNO.YINYLIINA,,TSTTENVSSY.NA,),,YKMSMOOMKYO 00011010000000111.................747191833923256158453450887370738618876055937975125430458573611791115629713163867698936870 01000000011...........196116111614568911653450885037534328753936842412273361034627347789376477839408669661725753 ------------------------------..............................322112000000000000000000000000252421564434423222111200000000304428104705780274375098997575 MMHMMMMMMMMMMMPMMMMPMMMMMMMMRRuSuSuuuSCuuSSCuSuuuSSuSSuSSSeelAlAlllFAFllAAlAlllAAlAAlAAAnntttttttttttttooiiiiiCiiCiAACiiiCiCCiCCCCrCCrCppppprpddprprppprprrprrrrrraarllllljjollolollloloolooooooaao..**eeeseeseseeesessesssssslslssssssssssssisiiiiiiiIIIaaIIiiiiiiIIizzIIIIIInnnnnnnnnnnnnnnnnnnnnnaannnnnngggdgggsdssssggggggssgtssstsssuuuuuuuiuuuuiuurrrSSrrMMSrrSSoSrrrroSrSSrSSSSaaattaaStaSatttaaanatanttattttnannannAanAanaannnnanaanaaaactcctcctctcttcccctcttctttt*****eee*eeeeeeeCeeeCeeeeeeerrAAAoAABoBAABABAAAABBABBBBBBBrrrrrososrrororrrroorooooooo***eersreesrereeeerrerrrrrrraaaaaddaiadiadaaaaddadddddddsssssesesensnesssseeseeeeeeerrrgrgrrrrrrrrrsssWWWWsWssWWsssssssWWWWWWiiiiiiiSSiiiiiittttttttttttttthhhhhhaahhhhhhhiiiiittiiiiiiiinnnnneennnnnnnnSSSSSSBBSSSSSSStttttoottttttttaaaaarraaaaaaaatttttddtttttttt****eeee*e*ee**rrss 00
TABLE 4A
Chang* inModal Fa* Schadul*Malpractic*GPCI Du* toT*chnicalHappingCorrection
andPCFAdjustnantby Locality
Raaappad
Locality PCFAd}ustad Changa
Carriar Locality Naaa MPSMGPCI MFSMGPCI Changa Ralatadto
OOSIO 05 BIRMINGHAM, AL 0.826 0.824 -.002 Renoraalization
OOSIO 04 MOBILE, AL 0.826 0.824 -.002 Renoraalization
OOSIO 02 NORTHCENTRALAL 0.826 0.824 -.002 Renoraalization
00510 01 NORTHWESTAL 0.826 0.824 -.002 Ranomalization
00510 06 RESTOFAL 0.826 0.824 -.002 Ranoraalization
0001501200 0013 ASLOAUSTKHAEASTAL 01..80149S 01..802442 0-..000035 MRSaAnorCaraolsisiznagtioSntataBorders
01030 05 FLAGSTAFF (CITY), AZ 1.258 1.255 -.003 Renoraalization
01030 01 PHOENIX (CITY), AZ 1.258 1.255 -.003 Ranoraalization
01030 07 PRESCOTT (CITY), AZ 1.258 1.255 -.003 Ranoraalization
01030 99 RESTOFARIZONA 1.258 1.255 -.003 Renoraalization
01030 02 TUCSON (CITY), AZ 1.258 1.255 -.003 Ranoraalization
01030 08 YUMA (CITY), AZ 1.258 1.255 -.003 Ranoraalization
00520 13 ARKANSAS 0.309 0.302 -.007 MSACrossingStata Borders
02050 26 ANAHEIM-SANTAANA, CA 1.374 1.370 -.004 Ranoraalization
00542 14 BAKERSFIELD, CA 1.374 1.370 -.004 Renoraalization
00542 11 FRESNO/MAOERA, CA 1.374 1.370 -.004 Renoraalization
00542 13 KINGS/TULARE, CA 1.374 1.370 -.004 Renomalization
02050 18 LOSANGELES, CA (1STOF 1.374 1.370 -.004 Renoraalization
02050 19 LOSANGELES, CA (2NDOF 1.374 1.370 -.004 Renoraalization
02050 20 LOSANGELES, CA (3RDOF 1.374 1.370 -.004 Ranoraalization
000222000555000 222123 LLLOOOSSSAAANNNGGGEEELLLEEESSS,,, CCCAAA (((4S6TTTHHHOOOFFF 111...333777444 111...333777000 ---...000000444 RRReeennnooorrraaaaaallliiizzzaaatttiiiooonnn
000202050545020 022345 MLLAOOSSRINAA/NNNGGAEELLPEEASS/,,SOLCCAAANO((,87TTHHCAOOFF 111...333777444 111...333777000 ---...000000444 RRReeennnooorrraaaaaallliiizzzaaatttiiiooonnn «o
0000554422 1102 MMOERNCTEEDR/ESYU/RSRA.NTACNTCYRSUZ,,CACA 11..337744 11..337700 --..000044 RReennoorraaaalliizzaattiioonn
00542 01 H. COASTALCNTYS, CA 1.374 1.370 -.004 Renoraaliiation
00542 02 HERURALCA 1.374 1.370 -.004 Renoraalization
00542 07 OAKLAND-BERKELEY, CA 1.374 1.370 -.004 Renoraalization
00542 27 RIVERSIDE, CA 1.374 1.370 -.004 Renoraalization
0000S54422 0145 SSAAMCRABMEERNNTAOOI/NSOU/RER..CCEHNTTYRSA,LCCAA 11..337744 11..337700 --..000044 RReennoorraaaalliizzaattiioonn
02050 28 SANDIEGO/IMPERIAL, CA 1.374 1.370 -.004 Renoraalization
00542 OS SANFRANCISCO, CA 1.374 1.370 -.004 Renoraalization
00542 06 SANMATEO, CA 1.374 1.370 -.004 Renoraalization
02050 16 SANTABARBARA, CA 1.374 1.370 -.004 Renoraalization
00542 09 SANTACLARA, CA 1.374 1.370 -.004 Renoraalization
00542 08 STOCKTON/SURR. CNTYS, CA 1.374 1.370 -.004 Renoraalization
02050 17 VENTURA, CA 1.374 1.370 -.004 Renoraalization
00550 01 COLORADO 0.685 0.683 -.002 Renoraalization
vvS^<>Vv 111000222333000 000143 ENSOAWUSTTAHENRDNCEN.NCOTCNRENAN.LTRACOLNNC.ONN. 111...001539600 111...010382685 ---...000020205 MRRueelnntooirrpaalaaelliizzIaanttsiiuoornnanceAreasWithinStat*
- 10230 02 SWCONNECTICUT 1.234 1.231 -.003 Renoraalization
00570 01 DELAWARE 0.665 0.664 -.001 Renoraalization
oosao 01 D.C. MD/VASUBURBS 0.924 0.947 0.023 HSACrossingStateBorders
00590 03 FORTLAUDERDALE, FL 1.380 1.376 -.004 Renoraalization
00590 04 MIAMI, FL 1.645 1.641 -.004 Renoraalization
TABLE Ah (cont.»
Chang* inModal F««Schadul*Malpcactic*GPCI Oua toTachnical HappingCorraction
andPCFAdjustaant byLocality
Raaappad
Locality perAdjustad Chanqa
Carriar Locality Naaa MFSMGPCl NFSMGPCI Chanqa Ralatadto
00590 02 H/NCFLORIDACITIES 1.110 108 -.002 Ranoraalization
00590 01 RESTOFFLORIDA 1.110 108 -.002 Ranoraalization
01040 01 ATLANTA, GA 0.753 752 -.001 Ranoraalization
01040 04 RESTOFGEORGIA 0.751 752 0.001 HSACrossingStata Bocdars
01040 02 SHALLGACITIES 02 0.753 752 -.001 Ranoraalization
01040 03 SHALLGACITIES 3 0.719 752 0.033 HSACrossingStata Bordars
01120 01 HAWAII 1.028 025 -.003 Ranoraalization
05130 12 NORTH IDAHO 0.891 889 -.002 Ranoraalization
05130 11 SOUTH IDAHO 0.891 889 -.002 Ranoraalization
00621 10 CHAHPAIGN-URBANA, IL .140 137 -.003 Ranoraalization
00621 16 CHICAGO, IL .778 773 -.005 Ranoraalization
00621 03 DEKALB, IL .140 137 -.003 Ranoraalization
00621 11 DECATUR, IL .140 137 -.003 Ranoraalization
00621 12 EASTST. LOUIS, IL .360 579 0.219 Nultipla InsurancaAraasWithinStata
00621 06 KANKAKEE, IL .140 137 -.003 Ranoraalization
00621 08 NORMAL, IL .140 137 —.003 Ranoraalization
00621 01 NORTHVfEST, IL .140 137 -.003 Ranoraalization
00621 05 PEORIA, IL .140 137 -.003 Ranoraalization
00621 07 QUIMCY, IL .140 137 -.003 Ranoraalization
0000662211 0042 . RROOCCKKFOIRSDL,ANDI,LIL ..386312 113377 -0..232045 MMuSlAtiCprloassiInngsurSatnactaaABroaradsarsWithinStata
00621 13 SOUTHEASTIL .140 137 -.003 Ranoraalization
00621 14 SOUTHERNIL .140 137 -.003 Ranoraalization
00621 09 SPRINGFIELD, IL .140 137 -.003 Ranoraalization
00621 15 SUBURBANCHICAGO, IL .387 1.137 -.250 Multipla InsurancaAraaaWithinStata o
00630 01 HETROPOLITANINDIANA 556 0.547 -.009 Multipla InsurancaAraasWithinStata
00630 03 BESTOF INDIANA 529 0.516 -.013 MSACrossingStataBordars
00630 02 URBANINDIANA 531 0.516 -.015 MSACrossingStataBordars
0000664400 0085 DIEOSWAKOCIINTEYS((PCOITLYK/WLAIRMRIETNS)),IA 666677 00..666666 --..000011 RRaannoorraaaalliizzaattiioonn
00640 03 NORTHCENTRALIOWA 667 0.666 -.001 Ranoraalization
00640 02 NORTHEASTIOWA 667 0.666 -.001 Ranoraalization
00640 06 NORTHWESTIOWA 667 0.666 -.001 Ranoraalization
00640 04 S.CEN. IA(BXCLDESMOINES) 667 0.666 -.001 Ranoraalization
00640 01 SE IOWA (EXCLIOWACITY) 0.667 0.666 -.001 Ranoraalization
00640 07 SOUTHWEST IOWA 0.616 0.666 0.050 MSACrossingStata Bordars
00740 05 KANSASCITY, KS 1.181 134 -.047 PCFAdj. andMSACrossingStataBordars
00650 01 BESTOFKANSAS 0.775 134 0.359 PCFAdj. andHSACrossingStataBordars
00740 04 SUBURBANKANSASCITT, KS 1.181 134 -.047 PCFAdj. andHSACrossingStataBordars
00660 01 LEXINGTON( LOUISVILLE, KY 0.668 667 -.001 Ranoraalization
00660 03 BESTOFKENTUCKY 0.676 667 -.009 HSACrossingStataBordars
00660 02 SNCITIES (CITYLIMITS) KY 0.711 0.667 -.044 HSACrossingStataBordars
0052a 07 ALEXANDRIA, LA 810 0.808 -.002 Ranoraalization
0052t 03 BATONROUGE, LA 810 808 -.002 Ranoraalization
Nj~--O000521 06 LAFAYETTE, LA 810 aoa -.002 Ranoraalization
ty^^ 00005522S8 0045 MLOANKREOEC,HABLLAES, LA 881100 880088 --..000022 RRaannoorraaaalliizzaattiioonn
0052a 01 NEWORLEANS, LA 1.187 185 -.002 Ranoraalization
0052a 50 RESTor LOUISIANA 0.851 824 -.027 Hultipla InsurancaAraasWithinStata
0052a 02 SHREVEPORT, LA 0.810 808 -.002 Ranoraalization
21200 02 CENTRALMAINE 0.718 716 -.002 Ranoraalization