Limits...
End of life Medicare and Medicaid expenditures for dually eligible beneficiaries.

Liu K, Wiener JM, Niefeld MR - Health Care Financ Rev (2006)

Bottom Line: Beneficiaries under age 65, Black persons, and individuals who died in a hospital had higher than average expenditures.The vast majority (86 percent) received some form of supportive services (nursing home, home care, hospice services).It is critical that policy deliberations consider both acute and LTC use concurrently because of their extensive use by dually eligible beneficiaries, as well as the interaction of the two funding sources (Medicare and Medicaid) that cover them.

View Article: PubMed Central - PubMed

Affiliation: Health Policy Center, The Urban Institute, Washington, DC 20037, USA. kliu@ui.urban.org

ABSTRACT
In 1995, combined Medicare and Medicaid spending in the last year of life for dually eligible beneficiaries was more than $40,000 per beneficiary. Medicaid's share, primarily for long-term care (LTC), constituted about 40 percent of the total. Beneficiaries under age 65, Black persons, and individuals who died in a hospital had higher than average expenditures. The vast majority (86 percent) received some form of supportive services (nursing home, home care, hospice services). It is critical that policy deliberations consider both acute and LTC use concurrently because of their extensive use by dually eligible beneficiaries, as well as the interaction of the two funding sources (Medicare and Medicaid) that cover them.

Show MeSH
Last Year of Life Monthly Costs of Medicare and Medicaid Acute and Supportive Services for Dually Eligible Beneficiaries: 1994-1995
© Copyright Policy
Related In: Results  -  Collection


getmorefigures.php?uid=PMC4194964&req=5

f1-hcfr-27-4-095: Last Year of Life Monthly Costs of Medicare and Medicaid Acute and Supportive Services for Dually Eligible Beneficiaries: 1994-1995

Mentions: Average monthly costs of Medicare and Medicaid acute and supportive services are shown in Figure 1. The most striking observation is the dramatic rise in monthly Medicare acute care costs in the last quarter of the year, and particularly in the last month of life. The trajectory of hospital costs (not shown) is the major cause behind the rising Medicare acute care cost pattern. Much less striking, the trajectory of Medicaid acute care costs also rises in the last quarter, largely because Medicaid covers the coinsurance for Medicare-financed services and, therefore, reflects Medicare's trend for acute care.


End of life Medicare and Medicaid expenditures for dually eligible beneficiaries.

Liu K, Wiener JM, Niefeld MR - Health Care Financ Rev (2006)

Last Year of Life Monthly Costs of Medicare and Medicaid Acute and Supportive Services for Dually Eligible Beneficiaries: 1994-1995
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4194964&req=5

f1-hcfr-27-4-095: Last Year of Life Monthly Costs of Medicare and Medicaid Acute and Supportive Services for Dually Eligible Beneficiaries: 1994-1995
Mentions: Average monthly costs of Medicare and Medicaid acute and supportive services are shown in Figure 1. The most striking observation is the dramatic rise in monthly Medicare acute care costs in the last quarter of the year, and particularly in the last month of life. The trajectory of hospital costs (not shown) is the major cause behind the rising Medicare acute care cost pattern. Much less striking, the trajectory of Medicaid acute care costs also rises in the last quarter, largely because Medicaid covers the coinsurance for Medicare-financed services and, therefore, reflects Medicare's trend for acute care.

Bottom Line: Beneficiaries under age 65, Black persons, and individuals who died in a hospital had higher than average expenditures.The vast majority (86 percent) received some form of supportive services (nursing home, home care, hospice services).It is critical that policy deliberations consider both acute and LTC use concurrently because of their extensive use by dually eligible beneficiaries, as well as the interaction of the two funding sources (Medicare and Medicaid) that cover them.

View Article: PubMed Central - PubMed

Affiliation: Health Policy Center, The Urban Institute, Washington, DC 20037, USA. kliu@ui.urban.org

ABSTRACT
In 1995, combined Medicare and Medicaid spending in the last year of life for dually eligible beneficiaries was more than $40,000 per beneficiary. Medicaid's share, primarily for long-term care (LTC), constituted about 40 percent of the total. Beneficiaries under age 65, Black persons, and individuals who died in a hospital had higher than average expenditures. The vast majority (86 percent) received some form of supportive services (nursing home, home care, hospice services). It is critical that policy deliberations consider both acute and LTC use concurrently because of their extensive use by dually eligible beneficiaries, as well as the interaction of the two funding sources (Medicare and Medicaid) that cover them.

Show MeSH