Disability and Medicare Costs of Elderly Persons

Liu, Korbin; Wall, Susan D.; Wissoker, Douglas

doi:10.1111/1468-0009.00066

Cited by 28 publications

(23 citation statements)

References 5 publications

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“…However, the impact on Medicare spending for these two groups was far from equal. The additional cost associated with transitioning to more severe disability significantly outweighed any savings from transitioning to less severe disability, a result consistent with prior research (Hoffman et al, 2010;Liu et al, 1997). The one exception to this relationship was recovering from severe disability, which generated significant savings in excess of the costs of transitioning into a severe disability state.…”

Section: Discussionsupporting

confidence: 76%

Quantifying the Cost of Disability Transitions in Medicare

et al. 2016

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Section: Discussionsupporting

confidence: 76%

Quantifying the Cost of Disability Transitions in Medicare

et al. 2016

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“…[1][2][3] Physical therapists are one group of providers who primarily focus on improving, maintaining, or limiting decline in the physical function of the older person. Physical therapy may be provided in inpatient, outpatient, or home settings.…”

mentioning

confidence: 99%

Physical Therapy Use by Community-Based Older People

Freburger

Holmes²

2005

Physical Therapy

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Background and Purpose. Little information is available on factors associated with physical therapy use. Identifying the characteristics of people who use physical therapy and some of the factors associated with its use is a useful first step in determining whether disparities exist in physical therapy use. The purpose of this study was to identify factors associated with physical therapy use by community-based older people. Subjects. The subjects were community-based people 65 years of age or older who participated in the Medicare Current Beneficiary Survey and had at least one physician encounter (Nϭ38,312 person-years across 20,227 individuals). Methods. Logit and ordinary least squares regression analyses were conducted to identify factors associated with physical therapy use. Results. Several measures of health and function were associated with physical therapy use. Several demographic, insurance, and geographic characteristics also were associated with physical therapy use. Income, education, having supplemental private insurance, participating in a managed care plan, and physical therapist supply were positively associated with physical therapy use. Age was negatively associated with physical therapy use. For people who saw a physical therapist, amount of physical therapy received was positively associated with income, having supplemental private insurance, living in a metropolitan area, physical therapist supply, and being African American. Amount of physical therapy received was negatively associated with being in a managed care plan. Discussion and Conclusions. Variation in physical therapy use, explained by factors other than need, suggests potential underuse or overuse of physical therapy by community-based older people. [Freburger JK, Holmes GM. Physical therapy use by community-based older people. Phys Ther. 2005;85:19 -33.]

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“…Women report fewer physician visits and are less likely to receive hospital care than men (Wolinsky & Johnson, 1991). In addition, health care utilization increases with age (Liu, Wall, & Wissoker, 1997), and some use of health services differ by marital status (Crystal, Johnson, Harman, Sambamoorthi, & Kumar, 2000;Mutran & Ferraro, 1988). Therefore, potential gender and ethnicity/race utilization differences, controlling for other predisposing factors, are investigated.…”

mentioning

confidence: 99%

“…This is an important question from a policy perspective, because it addresses inequities in health care utilization among people with similar burdens of health problems. Health needs, including functional limitations and chronic conditions, increase health care utilization (Liu et al, 1997). At the same time, health needs differ by gender and ethnicity.…”

mentioning

confidence: 99%

Gender and Ethnic/Racial Disparities in Health Care Utilization Among Older Adults

Dunlop¹,

Manheim²,

Song³

et al. 2002

The Journals of Gerontology Series B: Psychological Sciences an

219

162

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Objective. We examine the role of economic access in gender and ethnic/racial disparities in the use of health services among older adults. Methods.Data from the 1993-1995 study on the Asset of Health Dynamics Among the Oldest Old (AHEAD) were used to investigate differences in the 2-year use of health services by gender and among non-Hispanic White versus minority (Hispanic and African American) ethnic/racial groups. Analyses account for predisposing factors, health needs, and economic access.Results. African American men had fewer physician contacts; minority and non-Hispanic White women used fewer hospital or outpatient surgery services; minority men used less outpatient surgery; and Hispanic women were less likely to use nursing home care, compared with non-Hispanic White men, controlling for predisposing factors and measures of need. Although economic access was related to some medical utilization, it had little effect on gender/ethnic disparities for services covered by Medicare. However, economic access accounted for minority disparities in dental care, which is not covered by Medicare.Discussion. Medicare plays a significant role in providing older women and minorities access to medical services. Significant gender and ethnic/racial disparities in use of medical services covered by Medicare were not accounted for by economic access among older adults with similar levels of health needs. Other cultural and attitudinal factors merit investigation to explain these gender/ethnic disparities.

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Disability and Medicare Costs of Elderly Persons

Cited by 28 publications

References 5 publications

Quantifying the Cost of Disability Transitions in Medicare

Quantifying the Cost of Disability Transitions in Medicare

Physical Therapy Use by Community-Based Older People

Gender and Ethnic/Racial Disparities in Health Care Utilization Among Older Adults

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