Abstract #302074

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JSM 2003 Abstract #302074
Activity Number: 72
Type: Invited
Date/Time: Monday, August 4, 2003 : 8:30 AM to 10:20 AM
Sponsor: Section on Health Policy Statistics
Abstract - #302074
Title: Expenditures and Service Mix for Persons with High Cost Conditions
Author(s): Joel W. Cohen*+
Companies: Agency for Healthcare Research & Quality
Address: 2101 E. Jefferson St., # G, Rockville, MD, 20852-4908,
Keywords: medical expenditures ; health care surveys ; medical conditions ; health statistics
Abstract:

This paper uses data from the Medical Expenditure Panel Survey (MEPS) to define a set of priority conditions and then examine the treatment patterns for those conditions in terms of the frequency and types of services used, and the levels and of sources of payment for the care provided. Conditions are defined according to the medical conditions reported by MEPS household respondents as the reason for visiting a medical provider or purchasing a prescribed medicine. Reported conditions are then aggregated into clinically meaningful categories using the Clinical Classification Software system, and for each of these categories, total expenditures are computed. Expenditures are also calculated for each of the following service categories: physician visits; inpatient hospital stays; emergency room visits; prescription medications; dental visits; and home health care. The results indicate that the most expensive conditions are chronic diseases such as heart disease, cancer and diabetes. Co-morbidities are also associated with increased expenses. Type of service and source of payment distributions varied considerably across this set of conditions.


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