Assessing Health Care Utilization and Spending Among Older Medicare Beneficiaries With and Without HIV

被引:0
作者
Turrini, Gina [1 ,4 ,5 ]
Chan, Stephanie S. [1 ]
Klein, Pamela W. [2 ]
Cohen, Stacy M. [2 ]
Stearns, Sally C. [3 ]
Dempsey, Antigone [2 ]
Hauck, Heather [2 ]
Cheever, Laura W. [2 ]
Chappel, Andre R. [1 ]
机构
[1] US DEPT HHS, Washington, DC 20201 USA
[2] US DEPT HHS, Rockville, MD USA
[3] Univ North Carolina Chapel Hill, Chapel Hill, NC USA
[4] US DEPT HHS, Off Assistant Secretary Planning & Evaluat, Room 415F,200 Independence Ave Southwest, Washington, DC 20201 USA
[5] US DEPT HHS, Off Secretary, Room 415F,200 Independence Ave Southwest, Washington, DC 20201 USA
关键词
HIV/AIDS; aging; health care; Medicare; mortality; equity; POPULATION;
D O I
10.1177/10775587231198903
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Improvements in treatment have made HIV a manageable chronic condition, leading to increased life expectancy and a growing share of people with HIV who are older. Older people with HIV have higher rates of many chronic conditions, yet little is known about differences in health care utilization and spending. This study compared health care utilization and spending for Medicare beneficiaries with and without HIV, accounting for differential mortality. The data included demographic characteristics and claims-based information. Estimated cumulative spending for beneficiaries with HIV aged 67 to 77 years was 26% higher for Medicare Part A and 39% higher for Medicare Part B compared with beneficiaries without HIV; most of these differences would be larger if not for greater mortality risk among people with HIV (and therefore fewer years to receive care). Future research should disentangle underlying causes for this increased need and describe potential responses by policymakers and health care providers.
引用
收藏
页码:280 / 289
页数:10
相关论文
共 14 条
[1]  
[Anonymous], 2018, Report to Congress: Risk Adjustment in Medicare Advantage
[2]  
[Anonymous], 2021, HIV Surveillance Report
[3]   Survival of HIV-positive patients starting antiretroviral therapy between 1996 and 2013: a collaborative analysis of cohort studies [J].
Trickey, Adam ;
May, Margaret T. ;
Vehreschild, Jorg-Janne ;
Obel, Niels ;
Gill, M. John ;
Crane, Heidi M. ;
Boesecke, Christoph ;
Patterson, Sophie ;
Grabar, Sophie ;
Cazanave, Charles ;
Cavassini, Matthias ;
Shepherd, Leah ;
Monforte, Antonella d'Arminio ;
van Sighem, Ard ;
Saag, Michael ;
Lampe, Fiona ;
Hernando, Vicky ;
Montero, Marta ;
Zangerle, Robert ;
Justice, Amy C. ;
Sterling, Timothy ;
Miro, Jose M. ;
Ingle, Suzanne M. ;
Sterne, Jonathan A. C. ;
Boulle, Andrew ;
Stephan, Christoph ;
Miro, Jose M. ;
Cavassini, Matthias ;
Chene, Genevieve ;
Costagliola, Dominique ;
Dabis, Francois ;
del Amo, Julia ;
Van Sighem, Ard ;
Vehreschild, Jorg-Janne ;
Gill, M. John ;
Guest, Jodie ;
Haerry, David Hans-Ulrich ;
Hogg, Robert ;
Justice, Amy C. ;
Shepherd, Leah ;
Obel, Niels ;
Crane, Heidi M. ;
Smith, Colette ;
Reiss, Peter ;
Saag, Michael ;
Sterling, Timothy ;
Teira, Ramon ;
Williams, Matthew ;
Zangerle, Robert ;
Sterne, Jonathan A. C. .
LANCET HIV, 2017, 4 (08) :E349-E356
[4]   ESTIMATING LIFETIME OR EPISODE-OF-ILLNESS COSTS UNDER CENSORING [J].
Basu, Anirban ;
Manning, Willard G. .
HEALTH ECONOMICS, 2010, 19 (09) :1010-1028
[5]   Growing Older With HIV/AIDS: New Public Health Challenges [J].
Cahill, Sean ;
Valadez, Robert .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2013, 103 (03) :E7-E15
[6]  
Centers for Disease Control and Prevention, 2022, HIV TREATM
[7]   The Association Of HIV With Health Care Spending And Use Among Medicare Beneficiaries [J].
Figueroa, Jose F. ;
Katz, Ingrid T. ;
Hyle, Emily P. ;
Horneffer, Kathryn E. ;
Nambiar, Kavya ;
Phelan, Jessica ;
Orav, E. John ;
Jha, Ashish K. .
HEALTH AFFAIRS, 2022, 41 (04) :581-588
[8]  
Health Resources and Services Administration, 2022, RYAN WHIT HIV AIDS P
[9]   Projected demographic composition of the United States population of people living with diagnosed HIV [J].
Hood, Julia E. ;
Golden, Matthew R. ;
Hughes, James P. ;
Goodreau, Steven M. ;
Siddiqi, Azfar-E-Alam ;
Buskin, Susan E. ;
Hawes, Stephen E. .
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2017, 29 (12) :1543-1550
[10]   Comparison of Overall and Comorbidity-Free Life Expectancy Between Insured Adults With and Without HIV Infection, 2000-2016 [J].
Marcus, Julia L. ;
Leyden, Wendy A. ;
Alexeeff, Stacey E. ;
Anderson, Alexandra N. ;
Hechter, Rulin C. ;
Hu, Haihong ;
Lam, Jennifer O. ;
Towner, William J. ;
Yuan, Qing ;
Horberg, Michael A. ;
Silverberg, Michael J. .
JAMA NETWORK OPEN, 2020, 3 (06) :E207954