Medicare Blog

who is the target population for medicare

by Miss Vickie Berge PhD Published 2 years ago Updated 1 year ago
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Medicare covers a population with a diverse profile in terms of demographics and health status. A majority of beneficiaries are white, female, between the ages of 65 and 84, and report their health status as good or better. While many Medicare beneficiaries enjoy good health, others have significant health needs and limitations.

Medicare is the federal health insurance program created in 1965 for people ages 65 and over, regardless of income, medical history, or health status. The program was expanded in 1972 to cover certain people under age 65 who have a long-term disability.Feb 13, 2019

Full Answer

How many people are expected to be enrolled in Medicare?

By the end of 2020, almost 63 million people are expected to be enrolled in Medicare. This text provides general information. Statista assumes no liability for the information given being complete or correct.

How do public health agencies define target populations?

And third, governmental public health agencies often must define target populations within geopolitical boundaries and constituent groups prescribed by a legislative mandate. Nongovernmental public health agencies often have more flexibility in defining target populations that cut across the boundaries of governmental mandates.

What is the target population in selective screening?

In selective screening, the target population is refined to include only those persons who meet a predetermined set of eligibility criteria. Such eligibility criteria may include age, sex, race, ethnicity, comorbid conditions, or a combination of risk factors.

What are some interesting facts about Medicare?

Medicare - Statistics & Facts. 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 2017, 17.2 percent of all people in the United States were covered by Medicare. Unlike Medicaid, Medicare is not bound to lower incomes or a certain state of poverty.

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What population is Medicare intended for?

Medicare is the federal health insurance program for: People who are 65 or older. Certain younger people with disabilities. People with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD)

Who uses Medicare the most?

The U.S. states with the highest percentage of Medicare beneficiaries among their populations were Maine and West Virginia, where 24 and more percent of the population was enrolled. With over 6.2 million, California was the state with the highest number of Medicare beneficiaries.

Who is primary to Medicare?

If you're not currently employed, Medicare pays first, and your group health plan coverage pays second. I'm under 65, disabled, retired and I have group health coverage from my family member's current employer.

What is the goal of Medicare?

Medicare's purpose is to provide national health coverage to the following: Older adults, age 65 and over. This has been a traditional retirement age, when health insurance coverage through an employer might typically end.

Who gets Medicare?

age 65 or olderGenerally, Medicare is available for people age 65 or older, younger people with disabilities and people with End Stage Renal Disease (permanent kidney failure requiring dialysis or transplant). Medicare has two parts, Part A (Hospital Insurance) and Part B (Medicare Insurance).

How many Americans qualify for Medicare?

How many Americans are covered by Medicare? Nearly 64 million Americans are currently covered by Medicare, and funding for the program accounted for more than 4% of the U.S. gross domestic product in 2020.

Is Medicare primary for groups over 20?

Medicare is primary when your employer has less than 20 employees. Medicare will pay first and then your group insurance will pay second. If this is your situation, it's important to enroll in both parts of Original Medicare when you are first eligible for coverage at age 65.

Is Medicare always the primary payer?

Medicare is always primary if it's your only form of coverage. When you introduce another form of coverage into the picture, there's predetermined coordination of benefits. The coordination of benefits will determine what form of coverage is primary and what form of coverage is secondary.

Is group coverage primary to Medicare?

Medicare pays first and your group health plan (retiree) coverage pays second . If the employer has 100 or more employees, then the large group health plan pays first, and Medicare pays second .

What are the cons of Medicare?

Cons of Medicare AdvantageRestrictive plans can limit covered services and medical providers.May have higher copays, deductibles and other out-of-pocket costs.Beneficiaries required to pay the Part B deductible.Costs of health care are not always apparent up front.Type of plan availability varies by region.More items...•

Who would be a good candidate for a high deductible health plan?

An HDHP is best for younger, healthier people who don't expect to need health care coverage except in the face of a serious health emergency. Wealthy individuals and families who can afford to pay the high deductible out of pocket and want the benefits of an HSA may benefit from HDHPs.

Why is Medicare important to the elderly?

Medicare coverage is especially important to low-income elderly people because they are in poorer health than higher income elderly people and have few financial assets to draw on when faced with high medical costs.

Do most people use Medicare Advantage?

In 2021, more than 26 million people are enrolled in a Medicare Advantage plan, accounting for 42 percent of the total Medicare population, and $343 billion (or 46%) of total federal Medicare spending (net of premiums).

What percent of seniors choose Medicare Advantage?

[+] More than 28.5 million patients are now enrolled in Medicare Advantage plans, according to new federal data. That's up nearly 9% compared with the same time last year. More than 40% of the more than 63 million people enrolled in Medicare are now in an MA plan.

What state has the most Medicare recipients?

CaliforniaIn 2020, California reported some 6.41 million Medicare beneficiaries and therefore was the U.S. state with the highest number of beneficiaries....Top 10 U.S. states based on number of Medicare beneficiaries in 2020.CharacteristicNumber of Medicare beneficiariesCalifornia6,411,106Florida4,680,1378 more rows•Feb 4, 2022

How many elderly people in the US are covered by Medicare?

Medicare covers 55 million Americans, about 17 percent of the U.S. population. Its beneficiaries are the nation's oldest, sickest, and most disabled citizens. Three-quarters of them have one or more chronic conditions, and one-quarter rate their health as fair or poor.

What percentage of Medicaid beneficiaries are obese?

38% of Medicaid and CHIP beneficiaries were obese (BMI 30 or higher), compared with 48% on Medicare, 29% on private insurance and 32% who were uninsured. 28% of Medicaid and CHIP beneficiaries were current smokers compared with 30% on Medicare, 11% on private insurance and 25% who were uninsured.

What percentage of births were covered by Medicaid in 2018?

Other key facts. Medicaid Covered Births: Medicaid was the source of payment for 42.3% of all 2018 births.[12] Long term support services: Medicaid is the primary payer for long-term services and supports.

What is the federal Medicaid share?

The Federal share of all Medicaid expenditures is estimated to have been 63 percent in 2018. State Medicaid expenditures are estimated to have decreased 0.1 percent to $229.6 billion. From 2018 to 2027, expenditures are projected to increase at an average annual rate of 5.3 percent and to reach $1,007.9 billion by 2027.

Which type of agency has the greatest flexibility in defining target populations?

Nongovernmental public health agencies often have more flexibility in defining target populations that cut across the boundaries of governmental mandates. Thus, coalitions between governmental and nongovernmental agencies offer the greatest flexibility in ensuring that a successful screening program reaches the widest possible target population ...

What are settings in health promotion?

Settings. Mullen and Evans reviewed the importance of settings in health promotion and disease prevention (Mullen et al. 1995). They defined settings as major social structures or institutions that provide channels and mechanisms of influence for reaching defined populations. These institutions are characterized by patterns of formal and informal membership and communication and involve frequent and sustained interaction among members. Potential settings for screening programs include community units (e.g., neighborhoods, counties), workplaces, schools, places of worship, and health care settings. Settings often vary in their capacity to reach populations differentiated by age, gender, socioeconomic status, race, ethnicity, or combinations of such characteristics.

What is the high risk strategy of screening for hypertension to prevent stroke?

The high-risk strategy of screening for hypertension to prevent stroke would entail the early detection and treatment of black or elderly residents of state X with diastolic blood pressure of >90 mmHg or systolic pressure >140 mmHg. Black or elderly residents would be targeted for screening because hypertension and stroke are more common in these groups than in their counterparts (USPSTF 1996).

Why should screening programs be developed and implemented?

In practice, however, screening programs are developed and implemented in response to the availability of an effective screening test for a particular health condition.

Is selective screening more effective than mass screening?

Selective screening and care usually are more cost effective than mass screening (Rose 1992). Opportunities for the application of cost-effective mass screening are likely to be confined to special conditions (e.g., neonatal screening) or in selected settings. For example, screening by chest radiography to rule out or detect active tuberculosis (TB) in jails with high turnover, some homeless shelters, and among immigrants and refugees recently arrived from countries with a high incidence or prevalence of TB might be considered an application of mass screening in selected settings (CDC 1995b). This latter example illustrates that the distinction between mass and selective screening is sometimes blurred.

How many people on Medicare live at home?

Most Medicare beneficiaries live at home; however, five percent live in a long-term care setting, such as a nursing home or assisted living facility. Women account for nearly two-thirds of beneficiaries living in long-term care settings along with a disproportionate share of beneficiaries ages 85 and older ...

What was the poverty level for Medicare in 2013?

2 This equates to roughly 200 percent of the federal poverty level ($11,173 for a single person and $14,095 for a married couple age 65 and older in 2013). 3 Income declines with age among seniors and is lower among women than men and among blacks and Hispanics compared to whites, and higher among married beneficiaries and those with higher education levels. A larger share of beneficiaries under age 65 have relatively low incomes compared to those ages 65 and older.

What are the disproportionate share of Medicare beneficiaries with low incomes and assets?

A disproportionate share of beneficiaries with low incomes and assets are women, racial and ethnic minorities, and under age 65.

What percentage of Medicare beneficiaries are white?

More than three-quarters (77%) of beneficiaries are white, while 10 percent are black and 9 percent are Hispanic. 1. In terms of health status, a majority of beneficiaries report being in good or better health, but one in four Medicare beneficiaries report (26%) being in fair or poor health (Figure 2). Close to half (45%) of beneficiaries live ...

How old are Medicare beneficiaries?

While most beneficiaries (71%) are between the ages of 65 and 84, 16 percent are under age 65 and permanently disabled, while another 13 percent are ages 85 and older (Figure 1). More than half of beneficiaries (55%) are female, ...

What age do beneficiaries report poorer health status?

A larger share of beneficiaries at both ends of the age spectrum report poorer health status and having more chronic conditions and functional limitations than beneficiaries between the ages of 65 and 74.

What are the characteristics of Medicare?

What are the characteristics of people with Medicare? Medicare covers a population with a diverse profile in terms of demographics and health status. A majority of beneficiaries are white, female, between the ages of 65 and 84, and report their health status as good or better.

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