A longitudinal perspective on patterns of Medicare payments

To provide insight into the stream of Medicare payments over time, a sixteen-year longitudinal study examines three age cohorts of beneficiaries, looking separately at beneficiaries who died during the study period and those who survived. The common wisdom that a small minority of the population acc...

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Bibliographic Details
Published in:Health Affairs 1993, Vol.12 (2), p.140-150
Main Authors: Gornick, M, McMillan, A, Lubitz, J
Format: Article
Language:English
Subjects:
Age
Age groups
Aged
Aged, 80 and over
Beneficiaries
Cancer
Cohort Studies
Correlation analysis
Death & dying
Expenditures
Female
Health care
Health Care Costs - legislation & jurisprudence
Health care expenditures
Health care policy
Health Expenditures - statistics & numerical data
Health maintenance organizations
Health services
Health Services Misuse - economics
HMOs
Hospitals
Humans
Longitudinal Studies
Male
Medicare
Medicare - statistics & numerical data
Payments
Per capita
Population
Ratios
Terminal Care - economics
Trends
Trust funds
United States
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Summary:To provide insight into the stream of Medicare payments over time, a sixteen-year longitudinal study examines three age cohorts of beneficiaries, looking separately at beneficiaries who died during the study period and those who survived. The common wisdom that a small minority of the population accounts for a large majority of health care expenditures is tempered when health care use is examined over an extended period of time. By putting high average costs in the final years of life in the context of a cohort's total lifetime experience, the study shows a leveling of spending over time, resulting in a lower concentration of health care resources on a small fraction of the population.
ISSN:0278-2715
1544-5208
DOI:10.1377/hlthaff.12.2.140