County-Level Concentration of Selected Chronic Conditions Among Medicare Fee-for-Service Beneficiaries and Its Association with Medicare Spending in the United States, 2017

Details

• Alternative Title:
  Popul Health Manag
• Personal Author:
  Matthews, Kevin A. ; Gaglioti, Anne H. ; Holt, James B. ; McGuire, Lisa C. ; Greenlund, Kurt J.
• Description:
  Multiple chronic conditions (MCC) reduce quality of life and are associated with high per capita health care spending. One potential way to reduce Medicare spending for MCC is to identify counties whose populations have high levels of spending compared to level of disease burden. Using a nationally representative sample of Medicare Fee-for-Service beneficiaries, this paper presents a method to measure the collective burden of several chronic conditions in a population, which the authors have termed the concentration of chronic conditions (CCC). The authors observed a significantly positive linear relationship between the CCC measure and county-level per capita Medicare spending. This area-level measure can be operationalized to identify counties that might benefit from targeted efforts designed to optimally manage and prevent chronic illness.
• Subjects:
  Aged Article Chronic Disease Fee-for-Service Plans GIS Health Care Spending Health Expenditures Humans Medicare Multimorbidity Multiple Chronic Conditions Quality Of Life United States

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• Source:
  Popul Health Manag. 24(2):214-221
• Pubmed ID:
  32233970
• Pubmed Central ID:
  PMC8488905
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Place as Subject:
  United States
• Volume:
  24
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:d0db6f5f70b1b166bbbaa4037dd615a667ce1ab266dd3e1f93733e1e14c39384
• Download URL:
  https://stacks.cdc.gov/view/cdc/110381/cdc_110381_DS1.pdf
• File Type:
  [PDF - 1.02 MB ]