Study Examines Persistent High Spending Among Under-65 Population
Fewer than one-third of enrollees in a national database of people under age 65 were among the top 10 percent of health care spenders in any year between 2003 and 2008, an AHRQ-funded study found. Meanwhile, more than two-thirds of enrollees were never among the top 10 percent of health spenders in any of the years examined by researchers. To better assess the long-term spending patterns of people under age 65, a population with increased access to insurance coverage through the Affordable Care Act, researchers analyzed data of more than 8 million enrollees in the Truven Health MarketScan database during a six-year period from 2003 to 2008. Considerable persistence occurred among both the top and bottom spenders. Some comorbid conditions, including rheumatological conditions, renal disease, diabetes and AIDS, were associated with higher spending during the study period. The findings support the use of disease management, especially for patients with costly conditions that are strong predictors of high long-term costs, the authors concluded. The study, "New Evidence on the Persistence of Health Spending," and abstract were published February 19 in the journal Medical Care Research and Review.
New evidence on the persistence of health spending. - PubMed - NCBI
Med Care Res Rev. 2015 Jun;72(3):277-97. doi: 10.1177/1077558715572387. Epub 2015 Feb 19.
New evidence on the persistence of health spending.
© The Author(s) 2015.
comorbidities; economics; health care expenditures; health care reform; health insurance
- [PubMed - in process]
- [Available on 2016-06-01]