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Related Experiment Videos

Preventive services for the elderly: would coverage affect utilization and costs under Medicare?

L C Burton1, D M Steinwachs, P S German

  • 1Health Services Research and Development Center, Johns Hopkins University, School of Hygiene and Public Health, Baltimore, MD 21205.

American Journal of Public Health
|March 1, 1995
PubMed
Summary

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Adding preventive services to Medicare for older adults showed a modest health benefit with no negative cost impact. This supports expanding Medicare benefits for primary care preventive visits.

Area of Science:

  • Gerontology
  • Health Services Research
  • Preventive Medicine

Background:

  • Older Medicare beneficiaries often have complex health needs.
  • Preventive services are crucial for maintaining health in aging populations.
  • Current Medicare benefits may not fully cover comprehensive preventive care.

Purpose of the Study:

  • To evaluate the impact of adding a preventive services benefit for older Medicare beneficiaries.
  • To assess changes in service utilization and healthcare costs associated with preventive care expansion.
  • To determine the cost-effectiveness of enhanced preventive services under Medicare.

Main Methods:

  • Experimental design with 4195 community-dwelling Medicare recipients.
  • Comparison of Medicare claims data (Part A and Part B) for intervention and control groups.

Related Experiment Videos

  • Analysis of monthly allowable charges, hospital discharges, and ambulatory visits over two years.

    • Main Results:

    • No significant differences in Medicare charges between intervention and control groups.
    • Total charges were slightly lower in the intervention group, even accounting for intervention costs.
    • A modest health benefit was observed in the intervention group (detailed in a companion paper).

    Conclusions:

    • The addition of preventive services yielded a modest health benefit without adverse cost implications.
    • Findings provide an early quantitative basis for considering general preventive visits within Medicare.
    • Supports the expansion of Medicare benefits to include primary care preventive services.