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Article: Diagnosed prevalence and health care expenditures of mental health disorders among dual eligible older people

TitleDiagnosed prevalence and health care expenditures of mental health disorders among dual eligible older people
Authors
Issue Date2013
PublisherOxford University Press. The Journal's web site is located at http://gerontologist.gerontologyjournals.org
Citation
The Gerontologist, 2013, v. 53 n. 2, p. 334-344 How to Cite?
AbstractPURPOSE: Little is known about mental health disorders (MHDs) and their associated health care expenditures for the dual eligible elders across long-term care (LTC) settings. We estimated the 12-month diagnosed prevalence of MHDs among dual eligible older adults in LTC and non-LTC settings and calculated the average incremental effect of MHDs on medical care, LTC, and prescription drug expenditures across LTC settings. METHODS: Participants were fee-for-service dual eligible elderly beneficiaries from 7 states. We obtained their 2005 Medicare and Medicaid claims data and LTC program participation data from federal and state governments. We grouped beneficiaries into non-LTC, community LTC, and institutional LTC groups and identified enrollees with any of 5 MHDs (anxiety, bipolar, major depression, mild depression, and schizophrenia) using the International Classification of Diseases Ninth Revision codes associated with Medicare and Medicaid claims. We obtained medical care, LTC, and prescription drug expenditures from related claims. RESULTS: Thirteen percent of all dual eligible elderly beneficiaries had at least 1 MHD diagnosis in 2005. Beneficiaries in non-LTC group had the lowest 12-month prevalence rates but highest percentage increase in health care expenditures associated with MHDs. Institutional LTC residents had the highest prevalence rates but lowest percentage increase in expenditures. LTC expenditures were less affected by MHDs than medical and prescription drug expenditures. IMPLICATIONS: MHDs are prevalent among dual eligible older persons and are costly to the health care system. Policy makers need to focus on better MHD diagnosis among community-living elders and better understanding in treatment of MHDs in LTC settings.
Persistent Identifierhttp://hdl.handle.net/10722/189413
ISSN
2015 Impact Factor: 3.168
2015 SCImago Journal Rankings: 1.584
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLum, TYSen_US
dc.contributor.authorParashuram, Sen_US
dc.contributor.authorShippee, TPen_US
dc.contributor.authorWysocki, Aen_US
dc.contributor.authorShippee, NDen_US
dc.contributor.authorHomyak, Pen_US
dc.contributor.authorKane, RLen_US
dc.date.accessioned2013-09-17T14:39:42Z-
dc.date.available2013-09-17T14:39:42Z-
dc.date.issued2013en_US
dc.identifier.citationThe Gerontologist, 2013, v. 53 n. 2, p. 334-344en_US
dc.identifier.issn0016-9013en_US
dc.identifier.urihttp://hdl.handle.net/10722/189413-
dc.description.abstractPURPOSE: Little is known about mental health disorders (MHDs) and their associated health care expenditures for the dual eligible elders across long-term care (LTC) settings. We estimated the 12-month diagnosed prevalence of MHDs among dual eligible older adults in LTC and non-LTC settings and calculated the average incremental effect of MHDs on medical care, LTC, and prescription drug expenditures across LTC settings. METHODS: Participants were fee-for-service dual eligible elderly beneficiaries from 7 states. We obtained their 2005 Medicare and Medicaid claims data and LTC program participation data from federal and state governments. We grouped beneficiaries into non-LTC, community LTC, and institutional LTC groups and identified enrollees with any of 5 MHDs (anxiety, bipolar, major depression, mild depression, and schizophrenia) using the International Classification of Diseases Ninth Revision codes associated with Medicare and Medicaid claims. We obtained medical care, LTC, and prescription drug expenditures from related claims. RESULTS: Thirteen percent of all dual eligible elderly beneficiaries had at least 1 MHD diagnosis in 2005. Beneficiaries in non-LTC group had the lowest 12-month prevalence rates but highest percentage increase in health care expenditures associated with MHDs. Institutional LTC residents had the highest prevalence rates but lowest percentage increase in expenditures. LTC expenditures were less affected by MHDs than medical and prescription drug expenditures. IMPLICATIONS: MHDs are prevalent among dual eligible older persons and are costly to the health care system. Policy makers need to focus on better MHD diagnosis among community-living elders and better understanding in treatment of MHDs in LTC settings.-
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.subject.meshFee-for-Service Plans - economics - statistics and numerical data-
dc.subject.meshHealth Expenditures - statistics and numerical data-
dc.subject.meshMedicaid - economics - statistics and numerical data-
dc.subject.meshMedicare - economics - statistics and numerical data-
dc.subject.meshMental Disorders - diagnosis - economics - epidemiology-
dc.titleDiagnosed prevalence and health care expenditures of mental health disorders among dual eligible older peopleen_US
dc.typeArticleen_US
dc.identifier.emailLum, TYS: tlum@hku.hken_US
dc.identifier.authorityLum, TYS=rp01513en_US
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1093/geront/gns163-
dc.identifier.pmid23275518-
dc.identifier.pmcidPMC3888217-
dc.identifier.scopuseid_2-s2.0-84874892222-
dc.identifier.hkuros222024en_US
dc.identifier.volume53en_US
dc.identifier.issue2-
dc.identifier.spage334en_US
dc.identifier.epage344en_US
dc.identifier.isiWOS:000316148600015-
dc.publisher.placeUnited Statesen_US
dc.customcontrol.immutablesml 140117-

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