Long-term trends in the concentration of medicare spending

Health Affairs

Volumn 26, Issue 3, 2007, Pages 808-816

  Riley, Gerald F ^a  

^a CENTERS FOR MEDICARE AND MEDICAID SERVICES   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGE DISTRIBUTION; ARTICLE; CHRONIC DISEASE; ECONOMICS; EPIDEMIOLOGY; HOSPITAL CHARGE; HUMAN; LONGITUDINAL STUDY; MEDICARE; MORTALITY; RACE; STATISTICS; UNITED STATES;

AGE DISTRIBUTION; CHRONIC DISEASE; CONTINENTAL POPULATION GROUPS; HEALTH CARE SURVEYS; HOSPITAL CHARGES; HUMANS; LONGITUDINAL STUDIES; MEDICARE; MORTALITY; UNITED STATES;

EID: 34248560893     PISSN: 02782715     EISSN: 02782715     Source Type: Journal    
DOI: 10.1377/hlthaff.26.3.808     Document Type: Article

References (31)

1. Medicare Payment Advisory Commission, "The Medicare Modernization Act and Chronic Care Improvement," chap. 2 in Report to the Congress: New Approaches to Medicare (Washington: MedPAC, June 2004);
2. S.M. Lieberman et al., "Reducing the Growth of Medicare Spending: Geographic versus Patient-Based Strategies," Health Affairs 22 (2003): w603-w613 (published online 10 December 2003; 10.1377/hlthaff.W3.603);
3. and G. Riley et al., "Changes in Distribution of Medicare Expenditures among Aged Enrollees, 1969-82," Health Care Financing Review 7, no. 3 (1986): 53-63.
4. Congressional Budget Office, "High-Cost Medicare Beneficiaries" (Washington: CBO, May 2005).
5. Ibid.;
6. A.C. Monheit, "Persistence in Health Expenditures in the Short Run: Prevalences and Consequences," Medical Care 41, no. 7 Supp. (2003): III53-III64;
7. and A.M. Garber, T.E. MaCurdy, and M.C. McClellan, "Persistence of Medicare Expenditures among Elderly Beneficiaries," NBER Working Paper no. 6249 (Cambridge, Mass.: National Bureau of Economic Research, October 1997).
8. See, for example, S.B. Cohen, T. Ezzati-Rice, and W. Yu, "The Utility of Extended Longitudinal Profiles in Predicting Future Health Care Expenditures," Medical Care 44, no. 5 Supp. (2006): I45-I53;
9. M.L. Berk and A.C. Monheit, "The Concentration of Health Care Expenditures, Revisited," Health Affairs 20, no. 2 (2001): 9-18;
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15. and CMS, 2005 CMS Statistics, Pub. no. 03455 (Baltimore: CMS, September 2005).
16. Those dropping out of the sample and leaving the file varied from 0.01 percent to 0.03 percent per year.
17. Within the years of the study, health maintenance organization (HMO) enrollment varied from 0.1 percent in 1975 to 17.5 percent in 2001.
18. F.J. Hellinger and H.S. Wong, "Selection Bias in HMOs: A Review of the Evidence," Medical Care Research and Review 57, no. 4 (2000): 405-439.
19. Federal Interagency Forum on Aging-Related Statistics, "Older Americans Update 2006: Key Indicators of Well-Being" (Washington: U.S. Government Printing Office, May 2006).
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24. G.F. Riley, "Risk Adjustment for Health Plans Disproportionately Enrolling Frail Medicare Beneficiaries," Health Care Financing Review 21, no. 3 (2000): 135-148.
25. M.E. Chernew et al., "Disability and Health Care Spending among Medicare Beneficiaries," Health Affairs 24 (2005): W5-R42-W5-R52 (published online 26 September 2005; 10.1377/hlthaff.W5 .R42).
26. V.A. Freedman, L.G. Martin, and R.F. Schoeni, "Recent Trends in Disability and Functioning among Older Adults in the United States: A Systematic Review," Journal of the American Medical Association 288, no. 24 (2002): 3137-3146.
27. J.R. Lunney, J. Lynn, and C. Hogan, "Profiles of Older Medicare Decedents," Journal of the American Geriatrics Society 50, no. 6 (2002): 1108-1112.
28. K.E. Thorpe and D.H. Howard, "The Rise in Spending among Medicare Beneficiaries: The Role of Chronic Disease Prevalence and Changes in Treatment Intensity," Health Affairs 25 (2006): w378-w388 (published online 22 August 2006; 10.1377/hlthaff.25.w378).
29. MedPAC, "The Medicare Modernization Act and Chronic Care Improvement."
30. S.H. Zuvekas and J.W. Cohen, "Prescription Drugs and the Changing Concentration of Health Care Expenditures," Health Affairs 26, no. 1 (2007): 249-257.
31. L.C. Baker, "Association of Managed Care Market Share and Health Expenditures for Fee-for-Service Medicare Patients," Journal of the American Medical Association 281, no. 5 (1999): 432-437.