• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Chronic Disease

Better supporting the care needs of older adults with disabilities could reduce Medicare spending

byCaitlyn HuiandDeepti Shroff Karhade
June 6, 2019
in Chronic Disease, Public Health
Reading Time: 2 mins read
0
Share on FacebookShare on Twitter

1. The results of this observational study using data from the National Health and Aging Trends Study, indicate that older adults living with disabilities were in worse health compared to those without disabilities.

2. Participants with a disability who reported inadequate support at home were found to have higher median Medicare spending.

Evidence Rating Level: 2 (Good)

Study Rundown: A significant proportion of older adults with disabilities are living in the community. The availability of community supports varies widely among adults and can impact adults’ quality of life and participation in activities. The authors of this study aimed to quantify whether there are differences in total Medicare spending between older adults with disabilities based on whether they experienced negative consequences due to inadequate support with household activities, mobility or self-care. From this observational study, the authors concluded that participants with disability had more than twice the Medicare spending than those without disability. Further, they recommended that based on the study results, more support for older adults living in the community could help reduce Medicare spending in the long-term. The main study limitations were that the results may not be generalizable to adults that are younger than 65 years of age and the study design precludes being able to establish causality.

Click to read the study in Annals of Internal Medicine

Relevant Reading: Health Care Expenditures After Initiating Long-term Services and Supports in the Community Versus in a Nursing Facility

In-Depth [observational study]: The authors conducted an observational study to determine differences in total Medicare spending by whether older adults experienced negative consequences due to inadequate support within the home environment. A total of 3716 community-living older adults enrolled in fee-for-service Medicare who survived 12 months after being interviewed as a part of the National Health and Aging Trends Study (NHATS). NHATS is a nationally representative of U.S. adults that are aged 65 years of age or older. Participants were excluded who lived in nursing homes, residential care facilities, those who died 12 months after being interviewed and those without Medicare Part B during the observation part of the study. The researchers found community-living older adults with disabilities were in worse health than those that did not have disability (P < 0.001 for all contrasts in all domains). Median Medicare spending was also higher for adults with disability compared to those without it. Median spending was highest among those with disability who reported negative consequences due to inadequate support in household activities ($4866 vs. $4095), mobility ($7266 vs. $4115) and self-care ($10 935 vs. $4436) compared to patients that did not report negative consequences. The most common negative consequences observed in patients that did not have help were wetting or soiling oneself when toileting (39.3%), having to stay inside (27.9%), not being able to go places inside the home (24.3%) and making mistakes in taking prescription medications (22.9%).

RELATED REPORTS

Medicaid is a long-term source of insurance coverage for low-income families

Magnesium for the prevention of cerebral palsy [Classics Series]

Primary care physicians underuse Medicare prevention and coordination codes

Image: PD

©2019 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

Tags: activities of daily living (ADLs)disabilityhealthcare expendituremedicare
Previous Post

#VisualAbstract: Frequency of Intracranial Hemorrhage With Low-Dose Aspirin in Individuals Without Symptomatic Cardiovascular Disease

Next Post

The CLL14 trial: longer progression-free survival for CLL patients with coexisting conditions treated with venetoclax

RelatedReports

Parental debt influences child socioemotional well-being
Chronic Disease

Medicaid is a long-term source of insurance coverage for low-income families

December 23, 2022
The ABCD2 score: Risk of stroke after Transient Ischemic Attack (TIA) [Classics Series]
Obstetrics and Gynecology Classics

Magnesium for the prevention of cerebral palsy [Classics Series]

September 19, 2022
Parental debt influences child socioemotional well-being
Chronic Disease

Primary care physicians underuse Medicare prevention and coordination codes

July 11, 2022
Estrogen withdrawal associated with perimenopausal depression
Oncology

Accelerated approval drugs incur significant fee-for-service Medicare costs

June 22, 2022
Next Post
The CLL14 trial: longer progression-free survival for CLL patients with coexisting conditions treated with venetoclax

The CLL14 trial: longer progression-free survival for CLL patients with coexisting conditions treated with venetoclax

Insulin costs rose exponentially, regardless of formulation or patent

The VADT-F trial: major cardiovascular events or death are not reduced in diabetics with intensive glucose control therapy

The MORDOR II trial: mass azithromycin distribution decreases childhood mortality in Niger

The MORDOR II trial: mass azithromycin distribution decreases childhood mortality in Niger

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • #VisualAbstract: Extracorporeal and conventional cardiopulmonary resuscitation have similar effects on neurologic outcome in patients with refractory out-of-hospital cardiac arrest
  • Rocatinlimab may be effective in the treatment of moderate-to-severe atopic dermatitis
  • Gender-affirming hormones improve psychosocial functioning in transgender youth
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

Want more physician-written
medical news?

Join over 10 million yearly readers and numerous companies. For healthcare professionals
and the public.

Subscribe for free today!

Subscription options