State-Level Health Care Expenditures Associated With Disability
| Autor: | NaTasha D. Hollis, Scott D. Grosse, Laurel Bates, Olga Khavjou, Wayne Anderson, Amanda Honeycutt, Hilda Razzaghi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Health (social science)
media_common.quotation_subject Distribution (economics) Medicare Health Professions (miscellaneous) 01 natural sciences 03 medical and health sciences Abstracts 0302 clinical medicine State (polity) Environmental health Health care Humans Disabled Persons 030212 general & internal medicine 0101 mathematics Life-span and Life-course Studies AcademicSubjects/SOC02600 media_common Medicaid business.industry Research 010102 general mathematics Session 2090 (Symposium) Public Health Environmental and Occupational Health United States Health Expenditures business State Government |
| Zdroj: | Innovation in Aging Public Health Rep |
| ISSN: | 2399-5300 |
| Popis: | Objective Given the growth in national disability-associated health care expenditures (DAHE) and the changes in health insurance–specific DAHE distribution, updated estimates of state-level DAHE are needed. The objective of this study was to update state-level estimates of DAHE. Methods We combined data from the 2013-2015 Medical Expenditure Panel Survey, 2013-2015 Behavioral Risk Factor Surveillance System, and 2014 National Health Expenditure Accounts to calculate state-level DAHE for US adults in total, per adult, and per (adult) person with disability (PWD). We adjusted expenditures to 2017 prices and assessed changes in DAHE from 2003 to 2015. Results In 2015, DAHE were $868 billion nationally (range, $1.4 billion in Wyoming to $102.8 billion in California) accounting for 36% of total health care expenditures (range, 29%-41%). From 2003 to 2015, total DAHE increased by 65% (range, 35%-125%). In 2015, DAHE per PWD were highest in the District of Columbia ($27 839) and lowest in Alabama ($12 603). From 2003 to 2015, per-PWD DAHE increased by 13% (range, −20% to 61%) and per-capita DAHE increased by 28% (range, 7%-84%). In 2015, Medicare DAHE per PWD ranged from $10 067 in Alaska to $18 768 in New Jersey. Medicaid DAHE per PWD ranged from $9825 in Nevada to $43 365 in the District of Columbia. Nonpublic–health insurer per-PWD DAHE ranged from $7641 in Arkansas to $18 796 in Alaska. Conclusion DAHE are substantial and vary by state. The public sector largely supports the health care costs of people with disabilities. State policy makers and other stakeholders can use these results to inform the development of public health programs that support and provide ongoing health care to people with disabilities. |
| Databáze: | OpenAIRE |
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