STATISTICAL BRIEF 327July 2011Top Five Most Costly Conditions among th - PDF document

1 STATISTICAL BRIEF #327July 2011Top Five
STATISTICAL BRIEF #327July 2011Top Five Most Costly Conditions among the Elderly, Age 65 and Older, 2008: Estimates for the U.S. Civilian Anita Soni, PhD and Marc Roemer, MSIntroductionHealth care expenditures for the treatment of conditions among the expenditures associated with the five most costly conditions for the age 65 and older in 2008. The five most costly conditions among elderly (heart conditions, cancer, arthritis, hypertension, and trauma) Highlights For those over 65 years of age, heart conditions, The highest total expense ($48.4 billion) was on The highest average per person expense ($4,028) Medicare paid between 55 and 78 percent of the total Findings In 2008, almost one-third ($368.1 billion) of total health care expenditures was spent on care and total of $48.4 billion was spent to treat heart conditions among those age 65 and above. Treatment of least one of the five most costly conditions in 2008. Hypertension (23.8 million) was the most widely disorders with 13.4 million elderly incurring expenses for treatment. Expenses for treatment of heart highest for cancer ($4,028) (figure 3). The average expenditure for heart conditions was $3,820 per Medicare. Medicare paid more than three-quarters (78.2 percent) of the cost of treating trauma and the highest share paid among the top five most expensive conditions (figure 4). 1 for hypertension

2 (16.7 percent) amounted to the highest s
(16.7 percent) amounted to the highest share of expenses among the top five most costly conditions followed by osteoarthritis at 10.7 percent, cancer at 6.0 percent and heart disease at 5.8 Data SourceThe estimates shown in this Statistical Brief are based on data from the MEPS 2008 Full Year Consolidated File (HC-121), Medical Conditions File (HC-120), Office-Based Medical Provider Visits File (HC-118G), patient Stays File (HC-118D), Home Health File s File (HC-118E), and Prescribed Medicines File (HC-118A). DefinitionsCondition data were collected from household respondents during each round as verbatim text and coded Expenditures in MEPS are defined as payments from all sources for hospital inpatient care, ambulatory s home (home health) and the purchase of prescribed medications. was cited as being related to the specific condition. Expenditures may be associated with more than one Private insurance: This category includes payments made by insurance plans covering hospital and other medical care (excluding payments from Medicare, Medicaid, and other public sources), Medigap plans, and TRICARE (Armed Forces-related coverage). Medicare: Medicare is a federally financed health insurance plan for the elderly, persons receiving Social Security disability payments, and persons with end-stage renal disease. Medicare Part A, which Medicaid/CHIP: This category includes payme

3 nts made by the Medicaid and CHIP progra
nts made by the Medicaid and CHIP programs which are means-tested government programs financed jointly by federal and state funds that provide health Out of pocket: This category includes expenses paid by the user or other family member. Other sources: This category includes payments from other federal sources such as Indian Health Service, military treatment facilities, and other care provided by the federal government; various s, or other liability insurance, and other miscellaneous or unknown sources); Medicaid/CHIP payments reported for persons who were not reported as enrolled in the Medicaid or CHIP 2 About MEPS-HCMEPS-HC is a nationally representative longitudinal survey that collects detailed information on health care utilization and expenditures, health insurance, and health status, as well as a wide variety of social, ReferencesFor a detailed description of the MEPS-HC survey design, sample design and methods used to minimize Design and Methods of the Medical Expenditure Panel Survey Household Component. MEPS Methodology Report No. 1. AHCPR Pub. No. 97-0026. Rockville, MD: Agency for Health Care Policy and http://www.meps.ahrq.gov/mepsweb/data_files/publications/mr1/mr1.pdf Cohen, S. Sample Design of the 1996 Medical Expenditure Panel Survey Household Component. MEPS Methodology Report No. 2. AHCPR Pub. No. 97-0027. Rockville, MD: Agency for Health Care Policy and

4 http://www.meps.ahrq.gov/mepsweb/data_
http://www.meps.ahrq.gov/mepsweb/data_files/publications/mr2/mr2.pdf Cohen, S. Design Strategies and Innovations in the Medical Expenditure Panel Survey. Medical Care, July 2003: 41(7) Supplement: III-5III-12. Spending and Service Use among People with the Fifteen Most Costly Medical Conditions, 1997. Health Affairs; 22(2):129138, 2003. Suggested CitationSoni, A., Roemer, M. Top Five Most Costly Conditions among the Elderly, Age 65 and Older, 2008: Estimates for the U.S. Civilian Noninstitutionalized Adult Population. Statistical Brief #327. July 2011. http://www.meps.ahrq.gov/mepsweb/ data_files/publications/st327/stat327.pdf * * * AHRQ welcomes questions and comments from readers of this publication who are interested in obtaining more information about access, cost, use, financing, and quality of health care in the United States. We MEPSPD@ahrq.hhs.gov Steven B. Cohen, PhD, Director Center for Financing, Access, and Cost Trends 3 Statistical Brief #327: Top Five Most Costly Conditions among the Elderly, Age 65 and Older, 2008: Estimates for the U.ult Population 4 Source: Center for Financing, Access, and Cost Trends, AHRQ, Household Component of the Medical Expenditure Panel Survey 2008 $48.4$23.8$20.5$24.8$32.2Heart diseaseCancerOsteoarthritisHypertensionTrauma-relateddisorders 2008Medical expenditures (in dollars, billions)Figure 1. Expenditures for the five most costly

5 conditions in the elderly, age 65 and ol
conditions in the elderly, age 65 and older, 2008 Source: Center for Financing, Access, and Cost Trends, AHRQ, Household Component of the Medical Expenditure Panel Survey 2008 12.78.013.423.85.5Heart diseaseCancerOsteoarthritisHypertensionTrauma-relateddisorders Number of elderlyNumber of elderly (in millions)Figure 2. Number of elderly with expenses for the top five most costly conditions, 2008 Statistical Brief #327: Top Five Most Costly Conditions among the Elderly, Age 65 and Older, 2008: Estimates for the U.ult Population 5 Source: Center for Financing, Access, and Cost Trends, AHRQ, Household Component of the Medical Expenditure Panel Survey 2008 $4,028$1,856$1,002$3,7421,0001,5002,0002,5003,0003,5004,0004,5005,000Heart diseaseCancerOsteoarthritisHypertensionTrauma-relateddisorders Average expenditures per personDollarsFigure 3. Average expenditures per personwith expenses for the top five most costly conditions, age 65 and older, 2008 Source: Center for Financing, Access, and Cost Trends, AHRQ, Household Component of the Medical Expenditure Panel Survey 2008 Figure 4. Percentage distribution of annual expenditures for five most costly conditions in adults age 65 and older, by source of payment, 2008 10.760.07.610.810.9 78.26.210.2 6.063.521.77.41.4 5.867.54.56.615.5 Private Out-of-pocket Medicare Medicaid OtherCancerHeart disease 16.755.2TraumaOsteoarthritisHypertension