학술논문
County-Level Concentration of Selected Chronic Conditions Among Medicare Fee-for-Service Beneficiaries and Its Association with Medicare Spending in the United States, 2017.
Document Type
Article
Source
Subject
*ECONOMIC impact
*MEDICARE
*FEE for service (Medical fees)
*HYPERTENSION
*CHRONIC diseases
*MEDICAL care costs
*REGRESSION analysis
*SEVERITY of illness index
*MAPS
*DISEASE prevalence
*DESCRIPTIVE statistics
*STATISTICAL correlation
*INSURANCE
*ECONOMICS
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Language
ISSN
1942-7891
Abstract
Multiple chronic conditions (MCC) reduce quality of life and are associated with high per capita health care spending. One potential way to reduce Medicare spending for MCC is to identify counties whose populations have high levels of spending compared to level of disease burden. Using a nationally representative sample of Medicare Fee-for-Service beneficiaries, this paper presents a method to measure the collective burden of several chronic conditions in a population, which the authors have termed the concentration of chronic conditions (CCC). The authors observed a significantly positive linear relationship between the CCC measure and county-level per capita Medicare spending. This area-level measure can be operationalized to identify counties that might benefit from targeted efforts designed to optimally manage and prevent chronic illness. [ABSTRACT FROM AUTHOR]