Medicare Claims Paid by the Federal Black Lung Benefits Program: US Medicare Beneficiaries, 1999 to 2016

Kurth, Laura; Casey, Megan; Schleiff, Patricia; Halldin, Cara; Mazurek, Jacek; Blackley, David

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Medicare Claims Paid by the Federal Black Lung Benefits Program: US Medicare Beneficiaries, 1999 to 2016

Supporting Files

December 2019
By Kurth, Laura ; Casey, Megan ; Schleiff, Patricia ; ...

File Language:

English

Details

Alternative Title:

J Occup Environ Med
Personal Author:

Kurth, Laura ; Casey, Megan ; Schleiff, Patricia ; Halldin, Cara ; Mazurek, Jacek ; Blackley, David
Description:

Objective

To establish the burden of totally disabling respiratory impairment among coal miners, we identified the healthcare utilization and cost for Medicare claims where the Federal Black Lung Program (FBLP) was the primary payer.

Methods

We extracted FBLP claims fromn 1999 to 2016 institutional Medicare data along with beneficiary, comorbidity, and claim cost information. Healthcare utilization was evaluated and compared to the 2016 Medicare population.

Results

The FBLP was the primary payer on 75,690 claims from 19,700 beneficiaries and paid an increasing percentage of the total paid to providers annually. Claims decreased from 1999 to 2016 but cost per claim increased. Beneficiaries were hospitalized and visited the ER for respiratory and cardiovascular conditions.

Conclusions

Medicare beneficiaries with FBLP primary payer claims have higher healthcare utilization and comorbidities compared with Medicare enrollees, indicative of increased financial and healthcare burden.
Subjects:

Adolescent Adult Aged Aged, 80 And Over Anthracosis Article Comorbidity Female Health Care Costs Humans Insurance Claim Review Male Medicare Middle Aged Pneumoconiosis Young Adult
Source:

J Occup Environ Med. 61(12):e510-e515
Pubmed ID:

31651595
Pubmed Central ID:

PMC7685175
Document Type:

Journal Article
Funding:

CC999999/ImCDC/Intramural CDC HHS/United States
Place as Subject:

United States
Volume:

61
Issue:

12
Collection(s):

CDC Public Access
Main Document Checksum:

urn:sha256:ea0e720e5148366dbc36fcf0d7f4d89c7a64ff78e801ac073f505e157ba91752
Download URL:

https://stacks.cdc.gov/view/cdc/97663/cdc_97663_DS1.pdf
File Type:

[PDF - 392.56 KB ]

File Language:

English

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