sábado, 8 de febrero de 2014

Preventing Chronic Disease | Prevalence of Chronic Conditions Among Medicare Part A Beneficiaries in 2008 and 2010: Are Medicare Beneficiaries Getting Sicker? - CDC

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Preventing Chronic Disease | Prevalence of Chronic Conditions Among Medicare Part A Beneficiaries in 2008 and 2010: Are Medicare Beneficiaries Getting Sicker? - CDC



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Prevalence of Chronic Conditions Among Medicare Part A Beneficiaries in 2008 and 2010: Are Medicare Beneficiaries Getting Sicker?

Erkan Erdem, PhD

Suggested citation for this article: Erdem E. Prevalence of Chronic Conditions Among Medicare Part A Beneficiaries in 2008 and 2010: Are Medicare Beneficiaries Getting Sicker? Prev Chronic Dis 2014;11:130118. DOI: http://dx.doi.org/10.5888/pcd11.130118External Web Site Icon.

MEDSCAPE CME

Medscape, LLC is pleased to provide online continuing medical education (CME) for this journal article, allowing clinicians the opportunity to earn CME credit.
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Medscape, LLC and Preventing Chronic Disease. Medscape, LLC is accredited by the ACCME to provide continuing medical education for physicians.
Medscape, LLC designates this Journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
All other clinicians completing this activity will be issued a certificate of participation. To participate in this journal CME activity: (1) review the learning objectives and author disclosures; (2) study the education content; (3) take the post-test with a 75% minimum passing score and complete the evaluation at www.medscape.org/journal/pcdExternal Web Site Icon; (4) view/print certificate.
Release date: January 16, 2014; Expiration date: January 16, 2014

Learning Objectives

Upon completion of this activity, participants will be able to:
  • Evaluate previous research regarding trends in chronic medical conditions among adults
  • Distinguish the general trend of the prevalence of chronic medical conditions in the current study
  • Assess which chronic medical conditions are increasing in prevalence among older adults

 
EDITORS

Ellen Taratus, editor, Preventing Chronic Disease. Disclosure: Ellen Taratus has disclosed no relevant financial relationships.
CME AUTHOR
Charles P. Vega, MD, Associate Professor and Residency Director, Department of Family Medicine, University of California, Irvine. Disclosure: Charles P. Vega, MD, has disclosed no relevant financial relationships.
AUTHORS AND CREDENTIALS
Erkan Erdem, PhD, Senior Manager, KPMG, LLP, McLean, Virginia. Disclosure: Erkan Edem, PhD, has disclosed no relevant financial relationships.
PEER REVIEWED

Abstract

Introduction
Medicare beneficiaries who have chronic conditions are responsible for a disproportionate share of Medicare fee-for-service expenditures. The objective of this study was to analyze the change in the health of Medicare beneficiaries enrolled in Part A (hospital insurance) between 2008 and 2010 by comparing the prevalence of 11 chronic conditions.
Methods
We conducted descriptive analyses using the 2008 and 2010 Chronic Conditions Public Use Files, which are newly available from the Centers for Medicare and Medicaid Services and have administrative (claims) data on 100% of the Medicare fee-for-service population. We examined the data by age, sex, and dual eligibility (eligibility for both Medicare and Medicaid).
Results
Medicare Part A beneficiaries had more chronic conditions on average in 2010 than in 2008. The percentage increase in the average number of chronic conditions was larger for dual-eligible beneficiaries (2.8%) than for nondual-eligible beneficiaries (1.2%). The prevalence of some chronic conditions, such as congestive heart failure, ischemic heart disease, and stroke/transient ischemic attack, decreased. The deterioration of average health was due to other chronic conditions: chronic kidney disease, depression, diabetes, osteoporosis, rheumatoid arthritis/osteoarthritis. Trends in Alzheimer’s disease, cancer, and chronic obstructive pulmonary disease showed differences by sex or dual eligibility or both.
Conclusion
Analyzing the prevalence of 11 chronic conditions by using Medicare claims data provides a monitoring tool that can guide health care providers and policy makers in devising strategies to address chronic conditions and rising health care costs.


Author Information

Erkan Erdem, PhD, Senior Manager, KPMG, LLP, 1676 International Dr, Ste 1200, McLean, VA 22102. Telephone: 703-286-8188. E-mail:erkanerdem@kpmg.com.

References

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