142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

296244
Health care expenditures for the elderly with chronic conditions in 2011

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 3:30 PM - 3:45 PM

Jeffrey A. Rhoades, PhD , Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality, Rockville, MD
This presentation compares summary statistics on health care expenditures and expenditure distributions by type of health care service and source of payment for the elderly (age 65 and over) with no, one or more than one chronic condition in 2011.  Estimates are derived from data collected in the Medical Expenditure Panel Survey Household (MEPS-HC) and Medical Provider Components (MEPS-MPC) on the U.S. civilian noninstitutionalized population.  Health care expenses in MEPS represent payments to health care providers for services reported by respondents.  Chronic conditions are defined as the presence of cancer, diabetes, degenerative nervous system conditions, heart disease, cerebrovascular disease, respiratory disease including asthma, liver disease, renal disease, and dementia.  Two-thirds of the elderly were reported as having one or more chronic condition.  Those with more than one chronic condition reported were the most likely to have an inpatient stay compared to elderly individuals with one or no chronic condition, 25.5%, 16.5%, and 7.5%, respectively.  Average total annual expenditures for individuals with more than one chronic condition were $15,898, compared to $8,874 for those with one chronic condition and $4,303 with no chronic condition.  However, those with no chronic condition paid a greater proportion of their total expenditures out-of-pocket (18.9%) as compared to those with one chronic condition (13.1%) or more than one chronic condition (9.9%).  Medicare paid a greater percentage of the total payment for individuals with one or more than one chronic condition (62.0% and 65.3%, respectively) compared to those with no chronic condition (53.1%).

Learning Areas:

Biostatistics, economics
Provision of health care to the public

Learning Objectives:
Identify the health care service types that represent the major sources of health care costs for the elderly with chronic conditions. Describe the distribution of sources of payment for health care for the elderly with chronic conditions.

Keyword(s): Aging, Health Care Costs

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have over twenty years of presentation experience on a variety of topics including the Medical Expenditure Panel Survey (MEPS). I have worked on MEPS for over 20 years and have served as faculty for a number of workshops over those years as well as individual presentations (over 70 presentations) related to health care expenditures.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.