2014-15 Medicare summary data report for the Vision & Eye Health Surveillance System

Details

• Corporate Authors:
  NORC (Organization)‏ ; National Center for Chronic Disease Prevention and Health Promotion (U.S.). Division of Diabetes Translation.
• Description:
  We included beneficiaries who were fully enrolled in Medicare Part B Fee-for-Service (FFS) for the duration of 2014 and 2015 in the analysis of Medicare claims for the Vision and Eye Health Surveillance System (VEHSS). This included approximately 30 million individuals annually. Medicare data included a number of analytic files containing FFS claims organized into files by type of care, such as carrier files (also known as the Physician/Supplier Part B claims files), outpatient files, as well as denominator files (with information on eligibility and enrollment).
  
  Data from patients enrolled in Medicare managed care plans were not included as these claims do not include individualized claims for services. In 2018, 2.2 million Americans were enrolled in Medicare advantage plans, and a further 17.6 million had drug plans.
  
  Medicare covers ophthalmologic services for nearly the entire US population aged 65 and older, for those younger than 65 who have received social security benefits as a result of disability for 24 months; for those who have end stage renal disease and receive dialysis or a kidney transplant; and for those who have amyotropic lateral sclerosis (ALS). Like others with a disability, persons with U.S. defined blindness (a best corrected acuity of 20/200 or worse in the better-seeing eye) become eligible for Medicare after 24 months of social security enrollment. In 2015, approximately 42.5 million out of 47.8 million Americans aged 65 and older (88.9%) were enrolled in Medicare Part B (which covers outpatient services). Due to this high coverage rate, those enrolled are roughly representative of the overall population aged 65 and older. In contrast, only 9.0 million out of 273.6 million Americans ages 0 to 64 (3.3%) were enrolled in Medicare, and because these individuals are primarily eligible via disability, they are disproportionately sicker and poorer than other Americans in this age group. Additionally, Medicare does not cover all services. Routine eye exams and optometry services are not covered by Medicare except in rare circumstances.
  
  MedicareDataSummaryReportVEHSS.pdf
  
  
• Subjects:
  Datasets As Topic Eye Diseases Health Services Research Insurance, Health Insurance Claim Review Medicare Public Health Surveillance Vision Disorders/diagnosis Vision Screening
• Document Type:
  Report
• Name as Subject:
  Vision & Eye Health Surveillance System ; VSP Global
• Pages in Document:
  45 numbered pages
• Collection(s):
  Stephen B. Thacker CDC Library
• Main Document Checksum:
  urn:sha256:484401c56bcbae0e4cf655189bcb68afba6bd9303cfae32d637e6cb11ac30da2
• Download URL:
  https://stacks.cdc.gov/view/cdc/118515/cdc_118515_DS1.pdf
• File Type:
  [PDF - 1.48 MB ]