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

Abstract:

: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.

journal_name

Popul Health Manag

authors

Matthews KA,Gaglioti AH,Holt JB,McGuire LC,Greenlund KJ

doi

10.1089/pop.2019.0231

subject

Has Abstract

pub_date

2020-04-01 00:00:00

eissn

1942-7891

issn

1942-7905

pub_type

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