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Conference Paper: The effects of chronic illness on costs of care for older persons receiving long-term care

TitleThe effects of chronic illness on costs of care for older persons receiving long-term care
Authors
KeywordsGerontology and geriatrics
Issue Date2011
PublisherOxford University Press. The Journal's web site is located at http://gerontologist.gerontologyjournals.org
Citation
The 64th Annual Scientific Meeting of the Gerontological Society of America (GSA 2011), Boston, MA., 18-22 November 2011. In The Gerontologist, 2011, v. 51 suppl. 2, p. 591 How to Cite?
AbstractBACKGROUND: Using Medicaid and Medicaid claims data in 2005, we examined the effects of chronic diseases on the Medicaid and Medicare expenditures associated with persons receiving long-term care (LTC) in seven states. METHODS: Participants were elderly beneficiaries in seven states receiving Medicaid paid long term care services. We created our chronic disease variables from the ICD9 codes in the Medicare and Medicaid claims data using on algorithms similar to the CMS Chronic Condition Data Warehouse - Chronic Condition Categories. We classified beneficiaries into community or institution group using state provided enrollment data. We calculated per-person month health care expenditures based on actual Medicare and Medicaid claims for 2005. RESULTS: Medicaid medical care expenditures were low across all chronic illnesses in both community and institution groups and were higher for the community group. The Medicare medical care expenditures were also higher for community care recipients, but were substantial for both groups. Prescription drug expenditures were higher for beneficiaries in institutions. The Medicare medical care, Medicare LTC, and Medicaid medical care and prescription drug expenditures increased substantially as the number of chronic illnesses increased, while there was a very small increase in Medicaid LTC expenditures. CONCLUSION: Medicare expenditures for both medical care, LTC, and prescription drug were more sensitive to chronic disease than were Medicaid expenditures. The level and extent of Medicaid paid LTC services were more sensitive to functional needs than to medical ones. Once chronic disease was controlled for, older age and being White were associated with lower expenditures.
DescriptionConference Theme: Lifestyle→Lifespan
Session 2225 (Paper): Issues in chronic care - Risk Factors and Outcomes
This journal suppl. contain abstracts of the GSA 64th Annual Scientific Meeting
Persistent Identifierhttp://hdl.handle.net/10722/146056
ISSN
2015 Impact Factor: 3.168
2015 SCImago Journal Rankings: 1.584

 

DC FieldValueLanguage
dc.contributor.authorLum, TYSen_US
dc.contributor.authorParashuram, Sen_US
dc.contributor.authorKane, Ren_US
dc.contributor.authorHomyak, Pen_US
dc.contributor.authorWysocki, Aen_US
dc.date.accessioned2012-03-27T09:08:57Z-
dc.date.available2012-03-27T09:08:57Z-
dc.date.issued2011en_US
dc.identifier.citationThe 64th Annual Scientific Meeting of the Gerontological Society of America (GSA 2011), Boston, MA., 18-22 November 2011. In The Gerontologist, 2011, v. 51 suppl. 2, p. 591en_US
dc.identifier.issn0016-9013-
dc.identifier.urihttp://hdl.handle.net/10722/146056-
dc.descriptionConference Theme: Lifestyle→Lifespan-
dc.descriptionSession 2225 (Paper): Issues in chronic care - Risk Factors and Outcomes-
dc.descriptionThis journal suppl. contain abstracts of the GSA 64th Annual Scientific Meeting-
dc.description.abstractBACKGROUND: Using Medicaid and Medicaid claims data in 2005, we examined the effects of chronic diseases on the Medicaid and Medicare expenditures associated with persons receiving long-term care (LTC) in seven states. METHODS: Participants were elderly beneficiaries in seven states receiving Medicaid paid long term care services. We created our chronic disease variables from the ICD9 codes in the Medicare and Medicaid claims data using on algorithms similar to the CMS Chronic Condition Data Warehouse - Chronic Condition Categories. We classified beneficiaries into community or institution group using state provided enrollment data. We calculated per-person month health care expenditures based on actual Medicare and Medicaid claims for 2005. RESULTS: Medicaid medical care expenditures were low across all chronic illnesses in both community and institution groups and were higher for the community group. The Medicare medical care expenditures were also higher for community care recipients, but were substantial for both groups. Prescription drug expenditures were higher for beneficiaries in institutions. The Medicare medical care, Medicare LTC, and Medicaid medical care and prescription drug expenditures increased substantially as the number of chronic illnesses increased, while there was a very small increase in Medicaid LTC expenditures. CONCLUSION: Medicare expenditures for both medical care, LTC, and prescription drug were more sensitive to chronic disease than were Medicaid expenditures. The level and extent of Medicaid paid LTC services were more sensitive to functional needs than to medical ones. Once chronic disease was controlled for, older age and being White were associated with lower expenditures.-
dc.languageengen_US
dc.publisherOxford University Press. The Journal's web site is located at http://gerontologist.gerontologyjournals.orgen_US
dc.relation.ispartofThe Gerontologisten_US
dc.subjectGerontology and geriatrics-
dc.titleThe effects of chronic illness on costs of care for older persons receiving long-term careen_US
dc.typeConference_Paperen_US
dc.identifier.emailLum, TYS: tlum@hku.hken_US
dc.identifier.authorityLum, TYS=rp01513en_US
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1093/geront/gns068-
dc.identifier.hkuros198942en_US
dc.identifier.volume51-
dc.identifier.issuesuppl. 2-
dc.identifier.spage591-
dc.identifier.epage591-
dc.publisher.placeUnited States-
dc.description.otherThe 64th Annual Scientific Meeting of the Gerontological Society of America (GSA 2011), Boston, MA., 18-22 November 2011. In The Gerontologist, 2011, v. 51 suppl. 2, p. 591-

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