Despite Much Greater Health Care Spending, High-Need Adults Reported More Unmet Needs and Mixed Care Experiences Total adult population Three or more chronic.

Slides:



Advertisements
Similar presentations
Multinational Comparisons of Health Systems Data, 2007 Bianca K. Frogner, Meghan Bishop, and Gerard F. Anderson, Ph.D. Johns Hopkins University November.
Advertisements

THE COMMONWEALTH FUND Multinational Comparisons of Health Systems Data, 2008 Gerard F. Anderson, Ph.D., and Patricia Markovich Johns Hopkins University.
TABLE OF CONTENTS CHAPTER 7.0: Community Health Indicators Chart 7.1: U.S. Population Trends and Projections by Age, 1980 – 2050 Chart 7.2: U.S. Population.
THE COMMONWEALTH FUND Source: McCarthy and Leatherman, Performance Snapshots, Percentage of Community-Dwelling Adults Ages.
Agency for Healthcare Research and Quality Booth #60.
Medical Expenditure Panel Survey (MEPS), Health Care Expenditures for the Elderly with Chronic Conditions in 2012 Jeffrey Rhoades.
Percentage Who Received Urgent Care for an Illness or Injury as Soon as They Wanted in the Past Year: Community-Dwelling Individuals by Age Group, 2002.
Total adult population
Percent of Medicare population
Percent with unmet medical need
Among People with High Financial Burdens, Prescription Drug Expenses Compose the Largest Share of Out-of-Pocket Costs for Those with Chronic Conditions.
The Impact of a Behavioral Health Condition on the High-Need Patient
Ratio of percentile groups
Exhibit 1 Adults with High Needs Have Higher Health Care Spending and Out-of-Pocket Costs Average annual out-of-pocket spending Average annual health.
Community Health Indicators
Chronic Disease Under Control: Diabetes and Hypertension
Exhibit 1 Despite Much Greater Health Care Spending, High-Need Adults Reported More Unmet Needs and Mixed Care Experiences Total adult population Three.
Of Adults with High Costs, Most Have Multiple Chronic Diseases, With or Without Functional Limitations Percent with high needs: Three or more chronic diseases,
Total adult population
How do health expenditures vary across the population?
Community Health Indicators
Has individual components of medical home care
Using Data to Drive Better Health Care for High-Need Patients
Percent of Total Health Care Spending
Multinational Comparisons of Health Systems Data, 2010
Adults with High Needs Have Unique Demographic Characteristics
Adults ages 19– Uninsured now 15%
Receipt of Recommended Screening and Preventive Care for Adults
Total adult population
Percent with good patient–provider communication
Health Care Spending Was Higher at Every Level for Adults with High Needs Than for Adults with Multiple Chronic Diseases Only Total adult population Three.
Receipt of Recommended Screening and Preventive Care for Adults, by Family Income and Insurance Status, 2002 Percent of adults (ages 18+) who received.
Health Status by Income
Average annual out-of-pocket spending
Insurance Complexity and Restrictions Create Concerns for Patients and Doctors Adults, 2013 Insurance did not cover as expected/spent a lot of time on.
Percent of adults ages 19– In the past 12 months:
Community Health Indicators
Average number of medical office visits per year
Community Health Indicators
Women in Switzerland and the U.S. Report Very High Out-of-Pocket Costs
One-Quarter of Women in the U. S
High-Need Adults Are More Likely to Be Socially Isolated
Two of Five Insured Adults with Incomes Below the Federal Poverty Level Spent 5 Percent or More of Their Income on Medical Out-of-Pocket Costs Percent.
Racial and ethnic differences in getting needed medical care are minimal for adults with medical homes; disparities decline substantially compared with.
Most people think all Americans should have the right to affordable health care. Do you think all Americans should have the right to affordable health.
Estimated Annual Premiums Under Different Scenarios, 2010
How do health expenditures vary across the population?
2008 Survey Profile of Sicker Adults with Any Chronic Condition
Multinational Comparisons of Health Systems Data, 2008
16 Million Adults Under Age 65 Were Underinsured in 2005
Current national average Impact on number of people
Selected a private plan through marketplace Enrolled in Medicaid**
Adults with Health Problems Who Have an Excellent Patient Experience Report Greater Support to Help Manage Their Health Condition Percent of adults 18–64.
Medical Bill Problems or Medical Debt
Total Population = 299 million Under-65 Population = 260 million
Multinational Comparisons of Health Systems Data, 2008
Minorities with medical homes are just as likely as whites to receive reminders for preventive care visits. Percentage of adults ages 18 to 64 receiving.
Problems with Medical Bills or Accrued Medical Debt Increased, 2005–2007 Percent of adults ages 19–64 with medical bill problems or accrued medical debt.
Among those with Internet access, percent reporting ability to:
Uninsured during the year
Total current marketplace and Medicaid enrollees* ages 19–64
Adults with Health Problems Who Have an Excellent Patient Experience Are Most Likely to Be Well-Informed About Their Prescription Medications Percent of.
The Share of Women Spending 10 Percent or More of Their Income on Health Care Climbed over the Past Decade, Especially for Women with Low Incomes Percent.
Patient Engagement in Care Management for Chronic Condition, by Medical Home Percent reporting positive patient engagement in managing chronic condition*
Chronic Disease Under Control: Managed Care Plan Distribution, 2006
EQUITY: EFFECTIVE CARE
Distribution of Survey Respondents with High Needs
The Number of Adults Reporting Not Getting Needed Care Because of Cost Declined in 2014 for the First Time Since 2003 Percent of adults ages 19–
Acute and Chronic Seizures in Patients Older Than 60 Years
Age-standardized* prevalence and number of cases of diagnosed diabetes among individuals aged 1 year and older, Canada, 1998/99 to 2008/09. *Age-standardized.
Presentation transcript:

Despite Much Greater Health Care Spending, High-Need Adults Reported More Unmet Needs and Mixed Care Experiences Total adult population Three or more chronic conditions, no functional limitations Three or more chronic conditions, with functional limitations (high need) Average annual total health care expenditures Unmet medical need Good patient–provider communication Note: Noninstitutionalized civilian population age 18 and older. Data: 2009–2011 Medical Expenditure Panel Survey (MEPS). Analysis by C. A. Salzberg, Johns Hopkins University. Source: C. A. Salzberg, S. L. Hayes, D. McCarthy, D. C. Radley, M. K. Abrams, T. Shah, and G. F. Anderson, Health System Performance for the High-Need Patient: A Look at Access to Care and Patient Care Experiences, The Commonwealth Fund, August 2016.