State-Level Health Care Expenditures Associated With Disability. (17th December 2021)

• Record Type: Journal Article
• Authors: Anderson, Wayne; Khavjou, Olga; Honeycutt, Amanda; Bates, Laurel; Hollis, NaTasha; Grosse, Scott; Razzaghi, Hilda
• Is Part Of: Innovation in aging. Volume 5(2021)Supplement 1
• Page Start: 156
• Page End: 156
• Publication Date: 2021-12-17
• Subjects: Aging -- Periodicals; Gerontology -- Periodicals; 612.67
• DOI: 10.1093/geroni/igab046.600
• Languages: English
• ISSNs: 2399-5300

Abstract

Abstract: This study updated prior (2003) state-level estimates of disability-associated health care expenditures (DAHE). We combined 2013-2015 data from three national data sets to estimate using multivariate regression all state-level DAHE for US adults in total, by payer, and per adult and per (adult) person with disability (PWD). In 2015, DAHE were $868 billion nationally (State range, $1.4 billion to $102.8 billion) accounting for 36% of total health care expenditures (range, 29%-41%). From over a decade ago, total DAHE increased by 65% (range, 35%-125%). DAHE per PWD was $17, 431 (range $12, 603 to $27, 839). From over a decade ago, per-PWD DAHE increased by 13% (range, –20% to 61%). In 2015, Medicare DAHE per PWD ranged from $10, 067 to $18, 768. Medicaid DAHE per PWD ranged from $9, 825 to $43, 365. DAHE are substantial and vary by state and payer. Stakeholders can use these results to develop public health programs to support people with disabilities.