Medicare Blog

how many people have chronic illness medicare us

by Dr. Destin Hand I Published 3 years ago Updated 2 years ago
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Two out of every three Medicare members have two or more chronic conditions. One out of three has four or more. 1 Medicare recognizes 21 conditions as chronic.

Full Answer

What percentage of Medicare patients have multiple chronic diseases?

Prevalence and Medicare utilization and spending are presented for the 21 chronic conditions listed below. Information is presented for (1) U.S. counties, (2) U.S. states, including Washington, DC, Puerto Rico, and the U.S. Virgin Islands, and is available for the years 2007-2018. The data are available as Excel files. Alcohol Abuse.

How many people in the US have multiple chronic conditions?

Dec 01, 2021 · Several resources are available to researchers, policymakers, and other users who are interested in learning more about chronic conditions among Medicare beneficiaries, including tabular geographic data reports (data years 2007-2018) as well as interactive dashboards and atlas (data year 2018).

What does Medicare pay for chronic conditions?

4 IN 10. Adults in the US. have two or more. THE LEADING CAUSES OF DEATH AND DISABILITY. and Leading Drivers of the Nation’s $4.1 Trillion in Annual Health Care Costs. THE KEY LIFESTYLE RISKS FOR CHRONIC DISEASE. TOBACCO.

How common are chronic illnesses among older Americans?

Apr 28, 2022 · Almost 30 million Americans are living with five or more chronic diseases. [4] The risk and prevalence of chronic disease grows as individuals age. Approximately 27 percent of children in the United States suffer from a chronic condition, while about 6 percent of children have more than one chronic condition. [5]

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What percentage of Medicare patients have chronic conditions?

Chronic conditions are common among the Medicare population, with a significant share living with at least one chronic disease (Exhibit 1). Of all non-dual-eligible Medicare beneficiaries in 2017, 66 percent were living with two or more chronic conditions.Mar 18, 2021

How many people in the US have a chronic medical condition?

Results. In 2018, 51.8% (129 million) of civilian, noninstitutionalized adults had been diagnosed with at least 1 of 10 selected chronic conditions. More specifically, 24.6% (61 million) of adults had 1 chronic condition, and 27.2% (68 million) had ≥2 chronic conditions (Table).Sep 17, 2020

What percentage of the US population has a comorbidity?

Overall 45.4% (95% CI 45.1-45.7) of adults reported any of the 6 comorbidities, increasing from 19.8% (19.1-20.4) for ages 18-29 years to 80.7% (79.5-81.8) for ages 80+ years.Apr 2, 2020

What percentage of US healthcare spending is going to patients with one or more chronic conditions?

35% of healthcare spending is for the 8.7% of people with five or more chronic conditions. Compared to those without any chronic conditions: Spending is almost 2.5 times more for those with one chronic condition. Spending is almost 6 times more for those with three chronic conditions.

How many Americans have one or more chronic conditions?

Chronic diseases are among the most prevalent and costly health conditions in the United States. Nearly half (approximately 45%, or 133 million) of all Americans suffer from at least one chronic disease [3,4,5], and the number is growing.Mar 1, 2018

What is the number 1 health problem in America?

Chronic Disease

According to the Centers for Disease Control and Prevention (CDC) It's estimated that 6 out of 10 Americans suffer from a chronic disease, and 4 of those 10 suffer from two or more.

What is the most common chronic disease in the US?

1) Heart Disease

Besides being one of the most common chronic diseases, heart disease is one of the leading causes of death in the United States. You can lower the risks of developing heart disease by exercising regularly and paying attention to your weight.
May 7, 2021

What are the top 3 chronic diseases?

Chronic diseases such as heart disease, cancer, and diabetes are the leading causes of death and disability in the United States. They are also leading drivers of the nation's $4.1 trillion in annual health care costs.

What percent of US population is high risk for Covid?

Key Findings. About four in ten adults (37.6%) ages 18 and older in the U.S. (92.6 million people) have a higher risk of developing serious illness if they become infected with coronavirus, due to their older age (65 and older) or health condition (Figure 1; Table 1).Apr 23, 2020

Why are chronic illnesses increasing?

Chronic diseases and conditions are on the rise worldwide. An ageing population and changes in societal behaviour are contributing to a steady increase in these common and costly long-term health problems. The middle class is growing; and with urbanisation accelerating, people are adopting a more sedentary lifestyle.

What are the top 5 chronic diseases in the United States?

Chronic diseases - such as heart disease, cancer, diabetes, stroke, and arthritis - are the leading causes of disability and death in New York State and throughout the United States.

What percentage of chronic disease is preventable?

The U.S. Centers for Disease Control and Prevention (CDC)16 estimates that eliminating three risk factors – poor diet, inactivity, and smoking – would prevent: 80% of heart disease and stroke; 80% of type 2 diabetes; and, 40% of cancer.

How many people have chronic disease?

A disease is considered chronic when it persists for at least a year and requires ongoing medical attention or limits daily activities. [2] Approximately 47 percent of the U.S. population, 150 million Americans, suffered from at least one chronic disease, as of 2014. [3] Almost 30 million Americans are living with five or more chronic diseases. [4] The risk and prevalence of chronic disease grows as individuals age. Approximately 27 percent of children in the United States suffer from a chronic condition, while about 6 percent of children have more than one chronic condition. [5] In contrast, around 60 percent of adults suffer from at least one chronic condition, while 42 percent suffer from multiple conditions. [6] Among those 60 or older, at least 80 percent have one chronic illness and 50 percent have two. [7] These ailments account for 70 percent of all deaths in America, killing more than 1.7 million people each year. [8]

What percentage of health care costs are attributed to chronic disease?

The share of health care costs borne by those with chronic disease are disproportionate to the number of people affected. An estimated 84 percent of health care costs are attributed to the treatment of chronic disease. [9] The rates are even higher for beneficiaries in public health insurance programs: 99 percent of Medicare and 80 percent of Medicaid spending went toward the treatment of chronic diseases, as of 2010. [10] Given the correlation between chronic disease and age, this health and cost burden is only expected to grow: It’s estimated that by 2060, the U.S. population aged 65 years and older will more than double, from 46 million today to 98 million. [11]

What are the direct and indirect costs of chronic disease?

Those with chronic disease and their families face both direct and indirect costs: Direct costs primarily stem from longer and more frequent hospital visits and greater prescription drug use, while indirect costs arise from lost education and job opportunities. When including indirect costs associated with lost economic productivity, ...

What is the greatest risk factor for chronic disease?

Obesity —the greatest single risk factor for chronic disease—is responsible for nearly 44 percent of direct health care costs. [24] Hospitalizations. More frequent and longer lengths of stay are the drivers of higher hospitalization costs for individuals with chronic disease. [25] .

How does chronic disease affect the labor force?

In more severe cases, chronic disease can prevent people from entering the labor force in the first place . One study conducted in Australia using data from the Australian National Health Survey found that labor force participation dropped by 3.9 percent for diabetic young men (aged 18-49) and 11.4 percent for diabetic older men (aged 50-64) when compared to their counterparts with no chronic disease. [48] This effect became more pronounced as subjects aged and suffered from more chronic diseases. For example, older men with four chronic diseases were employed at a rate of just 27.8 percent, whereas those without a chronic disease participated at a rate of 81.3 percent. [49]

What percentage of children had chronic disease in 1960?

Children have similarly suffered from increasing rates of chronic disease. Less than 2 percent of children in 1960 had a health condition severe enough to interfere with activities of daily life; 50 years later, more than 8 percent of children had such a condition. [15] .

How much does chronic disease cost?

The Milken Institute estimates costs associated directly with chronic disease totaled $1.1 trillion in 2016, with cardiovascular conditions accounting for 26.7 percent of costs, followed by diabetes with 17.2 percent of costs, Alzheimer’s accounting for 16.9 percent, and Arthritis and back pain accounting for 16.5 percent of costs. [23] Obesity—the greatest single risk factor for chronic disease—is responsible for nearly 44 percent of direct health care costs. [24]

What percentage of Medicare patients live with chronic diseases?

In each of the three areas, between 15.75 percent and 16.75 percent of Medicare patients live with six or more chronic diseases. On the other end of the spectrum in the Pacific Northwest, only 9.16 percent of Medicare beneficiaries experience such a high chronic disease count.

How many chronic conditions does Medicare cover?

While just seventeen percent of Medicare patients live with more than six chronic conditions, they account for half of all spending on beneficiaries with chronic disease. In contrast, the 35 percent of Medicare patients with a very low burden of chronic disease – no chronic conditions or just one long-term health concern – are responsible ...

What is Medicare Chronic Conditions Dashboard?

The Medicare Chronic Conditions Dashboard is just one of several online interfaces designed to allow healthcare stakeholders to access actionable insights about spending rates, disease prevalence, and the impact of multiple chronic diseases on patients.

What is the most common task for primary care providers?

June 10, 2016 - Helping patients improve their chronic disease management skills is one of the most common tasks for primary care providers, and also one of the most costly.

Why is CMS releasing data?

Over the past few years, in conjunction with wider efforts to modernize the healthcare industry through the adoption and use of electronic health records and population health management tools, CMS has been releasing various datasets to increase transparency and equip providers with the tools they need to deliver quality care.

Which state has the highest burden of chronic disease?

Patients who live in the Deep South and parts of the Southwest, including Texas, are among the most likely to experience the greatest burdens of chronic disease. Due to the population density of urban areas including New York City, there are a high number of patients in New York and New Jersey who also suffer from a number of complex conditions.

Which state has the highest prevalence of diabetes?

These states include Florida and Texas, which are both named multiple times on the list of counties with the highest prevalence of diabetes, hypertension, and hyperlipidemia. Ethnic and racial disparities are also apparently when it comes to key chronic disease management indicators, such as blood sugar control.

What age group is most likely to have chronic health problems?

The RAND study showed that people 65 and older are by far the most likely to have chronic health problems, but it found something else as well. Around half of people in their mid-40s to mid-60s are living with multiple health conditions, too.

What is the CHRONIC CARE Act?

Committee members called it the CHRONIC Care Act of 2017, for “Creating High-Quality Results and Outcomes Necessary to Improve Chronic Care.” It has not yet made it to the Senate floor for a vote.

How many prescriptions does Jenni Grover need?

Jenni Grover needs nine prescriptions a day for her many chronic health conditions. For her, “multiple chronic conditions” means nine prescriptions a day, for fibromyalgia as well as asthma, anxiety, a thyroid disorder, and irritable bowel syndrome.

What is a chronic condition?

In just two words, the term “chronic condition” captures a huge swath of what ails America. As used in the RAND study, it includes any physical or mental health condition that lasts more than one year and either limits ability or requires ongoing treatment.

What is the one issue that brought together a small alliance of congressional Democrats and Republicans in recent years?

One issue—one health care issue, no less—has brought together a small alliance of congressional Democrats and Republicans in recent years: the need to better help people with chronic health conditions.

What percentage of the population will be 65 by 2060?

They project that people 65 and older will make up nearly a quarter of the U.S. population by 2060, up from around 15 percent now. A separate study calculated that, as early as 2030, roughly two of every five people in that age bracket will be living with three chronic conditions or more.

Why are women more likely to have multiple diagnoses than men?

The researchers found that women are more likely to have multiple diagnosed conditions than men, but that might be because women tend to see their doctors more often. Likewise, white people were more likely to report having chronic conditions than black or Hispanic people, but that could be because they have more access to insurance and health services.

How much does chronic disease cost the US economy?

economy more than $1 trillion dollars annually. Furthermore, compared with other developed nations, the U.S. has ranked poorly on cost and outcomes. This is predominantly because of our inability to effectively manage chronic disease. And yet the same Milken analysis estimates that modest reductions in unhealthy behaviors could prevent or delay 40 million cases of chronic illness per year [ 11 ]. If we learn how to effectively manage chronic conditions, thus avoiding hospitalizations and serious complications, the healthcare system can improve quality of life for patients and greatly reduce the ballooning cost burden we all share [ 10 ].

What are the demographic variables of chronic diseases?

This study has analyzed chronic conditions in conjunction with several demographic variables, including gender and race . There are widespread variations in the prevalence of diverse chronic diseases, the number of hospitalizations for specific diseases, and the diagnosis and mortality rates for different states. For some chronic diseases—such as diabetes, arthritis, and obstructive pulmonary —the prevalence in the east is higher than in other regions, while, there is higher prevalence for other conditions, such as asthma, in the northeast. The south and midwest also show their own prevalence of chronic diseases. Likewise, there are variations for hospitalization and mortality rates. In addition, there are gender differences related to chronic conditions. For example, women tend to have higher cases per 100,000 for asthma-related hospitalizations. Men, on the other hand, appear to have higher mortality rates for chronic obstructive pulmonary disease, diabetes, chronic kidney, and others. Also, when we examined chronic conditions by race, we noticed that American Indian or Alaska Natives had higher mortality rates for chronic obstructive pulmonary disease, diabetes, chronic kidney, and so on, followed by Black and non-Hispanic groups.

Why is chronic disease analysis important?

At the patient level, analysis of chronic conditions and related behavioral factors allows patients to be proactive in managing their conditions as well as modifying behavioral health. In this day and age, patients are eager to assimilate health information from various sources [ 37, 38 ]. Being informed allows patients to self-monitor and seek appropriate and timely medical care [ 39, 40 ], contributing to an ultimate care model that is increasingly personalized.

What is chronic disease?

A chronic condition “is a physical or mental health condition that lasts more than one year and causes functional restrictions or requires ongoing monitoring or treatment” [ 1, 2 ]. Chronic diseases are among the most prevalent and costly health conditions in the United States. Nearly half (approximately 45%, or 133 million) of all Americans suffer from at least one chronic disease [ 3, 4, 5 ], and the number is growing. Chronic diseases—including, cancer, diabetes, hypertension, stroke, heart disease, respiratory diseases, arthritis, obesity, and oral diseases—can lead to hospitalization, long-term disability, reduced quality of life, and death [ 6, 7 ]. In fact, persistent conditions are the nation’s leading cause of death and disability [ 6 ].

How does information help physicians?

To physicians, information on chronic conditions and more importantly, associations between multiple conditions and between categories of healthcare, enable developing personalized treatment plans based on patient-specific profiles that integrate various symptoms with environmental and other health data [ 42 ]. Additionally, the array of information increases their ability to guide patients in towards lifestyle medicine (making lifestyle changes in healthy diet, exercise etc.) in the management of chronic diseases [ 43 ]. The road from sickness to wellness requires integrated efforts from physicians and patients—physicians can coach and guide the patients but the ultimate cross-over to wellness lies in the patients’ hands.

What are the top 10 health problems in America?

Currently, the top ten health problems in America (not all of them chronic) are heart disease, cancer, stroke, respiratory disease, injuries, diabetes, Alzheimer’s disease, influenza and pneumonia, kidney disease, and septicemia [ 14, 15, 16, 17, 18 ]. The nation’s aging population, coupled with existing risk factors (tobacco use, poor nutrition, lack of physical activity) and medical advances that extend longevity (if not also improve overall health), have led to the conclusion that these problems are only going to magnify if not effectively addressed now [ 19 ].

Which state has the highest prevalence of diabetes?

Figure 1 models the average prevalence of diagnosed diabetes among adults aged ≥18 years in the period 2012 to 2014. Puerto Rico leads the pack, followed by Mississippi.

How many people are on Medicare in 2019?

In 2019, over 61 million people were enrolled in the Medicare program. Nearly 53 million of them were beneficiaries for reasons of age, while the rest were beneficiaries due to various disabilities.

Which state has the most Medicare beneficiaries?

With over 6.1 million, California was the state with the highest number of Medicare beneficiaries . The United States spent nearly 800 billion U.S. dollars on the Medicare program in 2019. Since Medicare is divided into several parts, Medicare Part A and Part B combined were responsible for the largest share of spending.

What is Medicare 2020?

Research expert covering health, pharma & medtech. Get in touch with us now. , May 15, 2020. Medicare is a federal social insurance program and was introduced in 1965. Its aim is to provide health insurance to older and disabled people. In 2018, 17.8 percent of all people in the United States were covered by Medicare.

What is Medicare inpatient?

Hospital inpatient services – as included in Part A - are the service type which makes up the largest single part of total Medicare spending. Medicare, however, has also significant income, which amounted also to some 800 billion U.S. dollars in 2019.

What is chronic care management?

Chronic care management offers additional help managing chronic conditions like arthritis and diabetes. This includes a comprehensive care plan that lists your health problems and goals, other providers, medications, community services you have and need, and other information about your health. It also explains the care you need ...

What is deductible in Medicare?

deductible. The amount you must pay for health care or prescriptions before Original Medicare, your prescription drug plan, or your other insurance begins to pay. and. coinsurance. An amount you may be required to pay as your share of the cost for services after you pay any deductibles.

Does Medicare pay for chronic care?

Chronic care management services. Medicare may pay for a health care provider’s help to manage chronic conditions if you have 2 or more serious chronic conditions that are expected to last at least a year.

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