Long-Term Trends in Medicare Payments in the Last Year of Life

被引：337

作者：

Riley, Gerald F. ^{[1
,2
]}

Lubitz, James D.

机构：

[1] Ctr Medicare Serv, Off Res Dev & Informat, Baltimore, MD 21244 USA

[2] Ctr Medicaid Serv, Off Res Dev & Informat, Baltimore, MD 21244 USA

来源：

HEALTH SERVICES RESEARCH | 2010年 / 45卷 / 02期

关键词：

End-of-life care; Medicare; health care costs; elderly; CARE; END; BENEFICIARIES; COSTS; EXPENDITURES; VISITS;

D O I：

10.1111/j.1475-6773.2010.01082.x

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：

Objective To update research on Medicare payments in the last year of life. Data Sources Continuous Medicare History Sample, containing annual summaries of claims data on a 5 percent sample from 1978 to 2006. Study Design Analyses were based on elderly beneficiaries in fee for service. For each year, Medicare payments were assigned either to decedents (persons in their last year) or to survivors (all others). Results The share of Medicare payments going to persons in their last year of life declined slightly from 28.3 percent in 1978 to 25.1 percent in 2006. After adjustment for age, sex, and death rates, there was no significant trend. Conclusions Despite changes in the delivery of medical care over the last generation, the share of Medicare expenditures going to beneficiaries in their last year has not changed substantially.

引用

页码：565 / 576

页数：12

共 33 条

[31] The rise in spending among Medicare beneficiaries: The role of chronic disease prevalence and changes in treatment intensity [J].