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National Health Care Expenditures Associated With Disability.

Olga A Khavjou1, Wayne L Anderson1, Amanda A Honeycutt1

  • 1Social Policy, Health, and Economics Research Unit, RTI International, Research Triangle Park, NC.

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|August 23, 2020
PubMed
Summary
This summary is machine-generated.

National disability-associated health care expenditures (DAHE) nearly doubled from 2003 to 2015, reaching $868 billion. This highlights the growing financial burden of disability on the US healthcare system.

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Area of Science:

  • Health Economics
  • Public Health Policy
  • Disability Studies

Background:

  • National disability-associated health care expenditures (DAHE) were estimated at $398 billion in 2003.
  • Updated estimates are crucial for understanding current DAHE and its impact.

Purpose of the Study:

  • To estimate national DAHE for US adults.
  • To analyze spending by insurance and service categories.
  • To assess changes in DAHE over the past decade.

Main Methods:

  • Utilized data from the 2013-2015 Medical Expenditure Panel Survey for noninstitutionalized adults.
  • Reconciled estimates with National Health Expenditure Accounts (NHEA) data.
  • Adjusted expenditures to 2017 medical prices and included data for institutionalized adults.

Main Results:

  • DAHE reached $868 billion in 2015, representing 36% of total national health care spending, a significant increase from 27% in 2003.
  • DAHE per person with a disability rose to $17,431 in 2015, while spending for those without a disability remained constant.
  • Public insurers covered 69% of DAHE, with Medicare and Medicaid paying the largest portions.

Conclusions:

  • The proportion of healthcare spending linked to disability has significantly increased.
  • Public insurers play a major role in funding DAHE, underscoring the importance of public programs for individuals with disabilities.
  • There is a critical need to evaluate existing programs and health services for this population.