Medicare Blog

out-of-pocket health spending among medicare beneficiaries: which chronic diseases are most costly?

by Rogelio Schumm Published 2 years ago Updated 1 year ago
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For Medicare beneficiaries, cardiovascular disease is the most expensive, leading to an excess out-of-pocket spending of $317 per year. This was followed by diabetes ($237), hypertension ($150), and cancer ($144). For CVD, diabetes and hypertension, most of the additional expense went to prescription drugs.

For Medicare beneficiaries, cardiovascular disease is associated with an excess out-of-pocket spending of $317 per year, followed by diabetes ($237), hypertension ($150), and cancer ($144).Sep 20, 2019

Full Answer

What are the most costly chronic diseases?

Based on the latest data from the CDC and presented in descending order, here are the top 10 most expensive chronic diseases for healthcare payers to treat.Heart diseases and stroke. ... Diabetes. ... Arthritis. ... Alcohol-related health issues. ... Cancer. ... Obesity. ... Alzheimer's disease. ... Smoking-related health issues.More items...•

Which chronic disease is associated with the costliest health care?

Heart Disease and Stroke More than 877,500 Americans die of heart disease or stroke every year—that's one-third of all deaths. These diseases take an economic toll, as well, costing our health care system $216 billion per year and causing $147 billion in lost productivity on the job.

What disease is highest in terms of cost for treatment?

Five Most Expensive DiseasesHeart Disease - $193 Billion. Nearly everyone knows someone who has been affected by heart disease. ... Diabetes - $176 Billion. ... Dementia - $159 Billion. ... Cancer - $157 Billion. ... Obesity - $147 Billion.

What percentage of beneficiary spending was spent on individuals with two or more chronic conditions?

Of all non-dual-eligible Medicare beneficiaries in 2017, 66 percent were living with two or more chronic conditions. Individuals with multiple chronic conditions are at an even higher risk for experiencing severe illness from COVID-19 while living with the burden of managing multiple chronic illnesses at once.

What are the top 5 chronic diseases?

More than two thirds of all deaths are caused by one or more of these five chronic diseases: heart disease, cancer, stroke, chronic obstructive pulmonary disease, and diabetes.

What are the big 5 chronic diseases?

The aim of this research is to investigate the extent, range, and nature of these research activities and identify research gaps in the evidence base of health studies regarding the “big 5” chronic diseases: diabetes mellitus, cardiovascular disease, chronic respiratory disease, cancer, and stroke.

What are the 10 most common chronic diseases?

In 2010, the 10 most common chronic conditions among persons living in residential care facilities were high blood pressure (57% of the residents), Alzheimer's disease or other dementias (42%), heart disease (34%), depression (28%), arthritis (27%), osteoporosis (21%), diabetes (17%), COPD and allied conditions (15%), ...

How much do Medicare beneficiaries spend out of pocket on health care?

Medicare Beneficiaries' Spending for Health Care People covered by traditional Medicare paid an average of $6,168 for health care in 2018. They spent almost half of that money (47 percent) on Medicare or supplemental insurance premiums.

What is the cap on out of pocket spending for Medicare beneficiaries?

Key Findings. A $2,000 cap on prescription drug out-of-pocket costs for Medicare Part D enrollees who do not qualify for cost-sharing protections would save more than 860,000 enrollees an average of $900 annually.

What is the most common chronic condition among those 65 years or older?

DATA HIGHLIGHTS: The most common chronic conditions among Medicare beneficiaries were: High blood pressure (58%), • High cholesterol (45%), • Heart disease (31%), • Arthritis (29%) and • Diabetes (28%).

How much does Medicare pay for cardiovascular disease?

For Medicare beneficiaries, cardiovascular disease is associated with an excess out-of-pocket spending of $317 per year, followed by diabetes ($237), hypertension ($150), and cancer ($144).

What are the leading causes of death and disability in the United States?

Four main disease groups have been identified by the World Health Organization (WHO) and other international health organizations as the leading causes of death and disability in the United States and elsewhere: CVD, cancer, diabetes, and chronic obstructive pulmonary disease.

What percentage of older adults do not have NCDs?

Among older adults who do have such NCDs, the majority (60%) have only one out of four conditions.

How many elderly people have two or more children?

The majority (81%) have two or more living children and 71% live with others in the household. Not surprisingly, chronic conditions are quite prevalent among this elderly group: 37% have CVD, 21% have cancer, 26% have diabetes, 69% have hypertension, and 70% have arthritis.

Do older people have more chronic diseases than younger people?

Older adults have higher prevalence of chronic diseases than younger adults. According to nationwide statistics from the American Heart Association (2017), about 85% of Americans aged 65+ have cardiovascular diseases (CVD) as compared to 50% for those aged 45–64.

Do all disease types have positive effects on spending?

Almost all the disease types evaluated have significant positive effects on spending and the magnitudes are relatively large compared to other determinants of spending (e.g. gender). Disaggregating the disease types provided further insights into the heterogeneous impact of various diseases.

How does Medicare help people?

Medicare helps pay for the health care needs of 59 million people ages 65 and over and younger people living with permanent disabilities. Yet, people with Medicare can face significant health-related out-of-pocket costs, including premiums, deductibles, cost sharing for Medicare-covered services, and costs for services Medicare does not cover, such as long-term services and supports and dental services. With half of all Medicare beneficiaries living on annual per capita income of less than $26,200, out-of-pocket health care costs can pose a challenge, particularly for beneficiaries with modest incomes and those with significant medical needs.

What is the Medicare spending burden for 2030?

For beneficiaries ages 85 and over, the median spending burden is projected increase from 22 percent to 26 percent, meaning that half of traditional Medicare beneficiaries ages 85 and over are projected to spend more than one-quarter of their income on health care costs in 2030.

Does out of pocket spending increase with income?

Income: Average out-of-pocket spending rises with income as higher-income beneficiaries are more likely to purchase supplemental health insurance and are less likely to be covered by Medicaid than lower-income beneficiaries. Higher-income beneficiaries can also afford more expensive forms of health care.

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