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Trends in out-of-pocket medical care expenditures for Medicare-age adults with arthritis between 1998 and 2004.
Lurie, Ithai Z; Dunlop, Dorothy D; Manheim, Larry M.
Affiliation
  • Lurie IZ; US Department of the Treasury, Washington, DC, USA.
Arthritis Rheum ; 58(8): 2236-40, 2008 Aug.
Article in En | MEDLINE | ID: mdl-18668577
ABSTRACT

OBJECTIVE:

To provide estimates of the growth in out-of-pocket (OOP) medical expenditures for persons with arthritis.

METHODS:

OOP medical expenditures were estimated for 1998-2004 based on 7 panels of the Medical Expenditures Panel Survey, which provide nationally representative data. A simple simulation then extrapolated the data through 2006, for which the potential effects of Medicare Part D drug coverage were computed.

RESULTS:

Median total OOP expenditures for persons with arthritis showed an increase of 52.4% between 1998 and 2004 (7.3% annually beyond inflation). Median OOP expenditures for prescription medication showed larger growth, at 72.0%. Medicare Part D was predicted to lower both total and prescription OOP expenditures and return them close to 2003 levels. Simulation limitations included exclusive use of the standard Medicare Part D benefit structure and the assumption of stable prescribing trends during this period.

CONCLUSION:

High prescription drug expenditures are likely to continue to be an issue, both for individuals faced with increasing OOP burden and for policy makers faced with increasing budgetary shortfalls to fund increasing Medicare expenses.
Subject(s)

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Arthritis / Cost Sharing / Health Expenditures / Medicare Part D / Financing, Personal Type of study: Health_economic_evaluation / Prognostic_studies / Qualitative_research Limits: Aged / Aged80 / Female / Humans / Male Country/Region as subject: America do norte Language: En Journal: Arthritis Rheum Year: 2008 Document type: Article Affiliation country: United States Publication country: EEUU / ESTADOS UNIDOS / ESTADOS UNIDOS DA AMERICA / EUA / UNITED STATES / UNITED STATES OF AMERICA / US / USA

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Arthritis / Cost Sharing / Health Expenditures / Medicare Part D / Financing, Personal Type of study: Health_economic_evaluation / Prognostic_studies / Qualitative_research Limits: Aged / Aged80 / Female / Humans / Male Country/Region as subject: America do norte Language: En Journal: Arthritis Rheum Year: 2008 Document type: Article Affiliation country: United States Publication country: EEUU / ESTADOS UNIDOS / ESTADOS UNIDOS DA AMERICA / EUA / UNITED STATES / UNITED STATES OF AMERICA / US / USA