Medicare Spending For Injured Elders: Are There Opportunities For Savings?

Size: px
Start display at page:

Download "Medicare Spending For Injured Elders: Are There Opportunities For Savings?"

Transcription

1 Medicare For Injured Elders: Are There Opportunities For Savings? A properly structured and funded program to prevent injuries could save the Medicare program money and reduce pain and suffering among older Americans. by Christine E. Bishop, Daniel Gilden, Jacobus Blom, Joanna Kubisiak, Rosemarie Hakim, Angelina Lee, and Deborah W. Garnick ABSTRACT: Claims for injury care provided to aged fee-for-service (FFS) beneficiaries cost Medicare more than $8 billion in 1999, almost 6 percent of Medicare claims spending for elders. More than one-fifth of aged FFS beneficiaries had an injury that resulted in a claim. Fractures, which were experienced by one in seventeen aged beneficiaries, were responsible for 67 percent of total injury claims expenses. Medicare could realize substantial savings if these injuries could be prevented; the program should consider underwriting effective prevention activities. Injuries are a major cause of morbidity and mortality for elderly Americans. The death rate from unintentional injury almost triples with age, from around 32 per 100,000 population for adults ages to 93.3 per 100,000 population for persons age sixty-five and older. 1 Persons age seventy-five and older visited emergency departments for injury-related care at a rate of 17.5 per 100 in 2000 (the populationwide rate was 14.8 per 100). 2 Using different data sources and methods, studies of medical spending have consistently found higher spending per capita for injuries to persons age sixty-five and older than for other groups. 3 Here we present the first comprehensive analysis of Medicare spending for injuries among the elderly. 4 The cost to the Medicare program of injury-related health services claims provides an estimate of how much Medicare might save if all injuries could be prevented. Because of the potential preventability of much injury-related morbidity, this cost makes a dollars-and-cents argument for supporting injury prevention. The analysis also suggests that Medicare claims data could Christine Bishop is a professor at the Schneider Institute for Health Policy, the Heller School, Brandeis University. Daniel Gilden is president of JEN Associates Inc. Jacobus Blom is a senior physical therapist at Gentiva Health Services. Joanna Kubisiak is a programmer/analyst at JEN Associates. Rosemarie Hakim is a social science research analyst at the Centers for Medicare and Medicaid Services. Angelina Lee is a senior programmer analyst at JEN Associates. Deborah Garnick is a professor at the Schneider Institute. HEALTH AFFAIRS ~ Volume 21, Number Project HOPE The People-to-People Health Foundation, Inc.

2 DataWatch be used to identify factors associated with injury for the elderly, and further analyses could allow better targeting of prevention strategies. Study Methods We based the estimates of Medicare spending for injuries in 1999 on all paid claims from a 5 percent sample of Medicare beneficiaries who were at least age sixty-five by the end of 1999 and who had at least one month of Medicare eligibility within the year. Paid claims were obtained from Medicare s institutional claims files (inpatient, skilled nursing facility, hospice, home health, and outpatient) and professional services/supplies claims files (physician/supplier and durable medical equipment). The Barell framework, developed by the Centers for Disease Control and Prevention (CDC), uses International Classification of Diseases, Ninth Revision (ICD-9) codes to classify injuries by nature and site of injury. 5 Following a modified version of this framework, Medicare claims with ICD-9 codes in the range were used to identify beneficiaries experiencing an injury and to calculate expenditures for each category. 6 Injury claims were included in the calculations only if the identifying injury diagnosis was submitted as a principal diagnosis on an institutional claim or a line-item diagnosis on a professional services/supplies claim. 7 We computed the unduplicated count of beneficiaries contributing claims to each spending total and subtotal. This was necessary because many injured beneficiaries used multiple Medicare services as a result of the same injury, and some may have had several different types of injuries during The numerators for the population-based rates are beneficiaries with claims during the year; thus, they reflect the annual prevalence of injury claims rather than incidence of injuries, since some claims could result from continuing care for pre-1999 injuries. 9 We also computed the total 1999 fee-for-service (FFS) claims spending for beneficiaries in the 5 percent sample who were not enrolled in a health maintenance organization (HMO) in January 1999, and we estimated the number of these beneficiaries from Medicare s enrollment files. These estimates formed the denominators of our computation of injury claims expense as a proportion of total FFS spending and for our calculation of beneficiaries having an injury claim as a proportion of all FFS beneficiaries. All spending and beneficiary totals from the 5 percent sample were multiplied by 20 to estimate the total annual Medicare claims spending for injuries, by type, and beneficiaries with injury claims, by type. 10 Medicare For Injuries Of Elderly Beneficiaries and prevalence of injuries by age. Claims for injury care provided to aged FFS beneficiaries cost Medicare slightly more than $8 billion in 1999, almost 6 percent of Medicare claims spending for elders (Exhibit 1). Slightly more than one-fifth of aged FFS Medicare beneficiaries, more than six million people, had at least one injury claim in The average expenditure per beneficiary with an in- 216 November/December 2002

3 EXHIBIT 1 Medicare Injury Claims, Expenditures, And Fee-For-Service (FFS) Beneficiaries Affected, By Age And Sex, 1999 Total spending (millions) Average expenditure per beneficiary with injury claim Average injury expenditure per FFS beneficiary Beneficiaries with injury claim (thousands) Percent of total FFS Medicare population with injury claim All FFS beneficiaries $8,113 $1,272 $276 6, % Male Age Age Age 85+ Female Age Age Age 85+ 2, , ,134 1, ,219 1, ,754 1,136 2,313 2,306 1, ,413 2, ,158 1,540 1, jury claim was $1,272, and this increased with age (from $760 for males ages to $1,884 for males age 85 and older). Expenditure per injured female beneficiary increased more sharply with age. The proportion of beneficiaries with an injury claim in 1999 increased with age (Exhibit 1). Thirty-one percent of beneficiaries in the oldest age category had an injury resulting in a Medicare claim in 1999; a higher proportion of female beneficiaries than males in each age range experienced an injury. and prevalence of injuries by diagnosis class. Fractures, the injury diagnosis category most costly to Medicare, resulted in total claims of $5.5 billion, 67 percent of all injury claims spending (Exhibits 2 and 3). The second-largest diagnosis category was open wounds ($873 million), followed by internal injuries ($503 million). 11 Sprains and strains, a minor but common injury, resulted in Medicare expenditures of $323 million. The fracture diagnosis category was the most common injury class (Exhibit 4). Six percent of all aged FFS Medicare beneficiaries incurred a claim for a fracture in 1999, representing almost 1.8 million people. The second most common injury diagnosis class was contusions and superficial injuries, followed by sprains and strains. The distribution of injury claims by diagnosis class differed for men and women. More than 7.6 percent of all female Medicare FFS beneficiaries had an injury claim for a fracture in 1999, while only 3.6 percent of their male counterparts did so. The most common treated injury among men was an open wound, followed by contusions and sprains/strains. A comparison of average spending by diagnosis category for men and women reveals that women had higher average Medicare spending for fractures than men had. Although fractures were also the most costly injuries among male beneficiaries, men had higher average spending than women had for internal injuries, HEALTH AFFAIRS ~ Volume 21, Number 6 217

4 DataWatch EXHIBIT 2 Total Medicare Expenditures, Millions Of Dollars, By Injury Type, Among Aged Fee- For-Service Beneficiaries, 1999 Diagnostic class Male Female All Fracture Dislocation Sprain/strain $1, $4, $5, Internal injury Open wound Blood vessel injury Contusion/superficial Crushing injury Foreign body Burn Nerve injury Poisoning Toxic effects Other a 6 88 a Includes late effects, early complications of trauma, other, and unspecified burns, nerve injuries, and blood vessel injuries (Exhibit 5). and prevalence for fractures, by type. The higher average claims spending for women experiencing fractures ($3,192 for women versus $2,824 for men) was attributable in part to women s disproportionate number of expensive lower extremity fractures rather than to higher expenses within diagnostic categories. More than half (52 percent) of women with Medicare claims for fractures in 1999 had lower extremity fractures, while only 46 percent of their male peers had this type of fracture. The 1999 injury-related claims per beneficiary with a lower ex- EXHIBIT 3 Proportion Of Medicare For Various Major Injuries Among Aged Fee-For- Service Beneficiaries, By Injury Type, 1999 Contusions/ superficial All other injuries 3% 7% Sprains/strains 4% Internal injuries 6% Open wounds 11% Dislocations 2% Fractures 67% 218 November/December 2002

5 EXHIBIT 4 Proportion Of Aged Fee-For-Service Medicare Beneficiaries With An Injury Claim, By Diagnosis Category And Sex, 1999 Percent 7 Male Female Fracture Contusion/ superficial Sprain/strain Open wound Dislocation Internal injury Foreign body Poisoning Toxic effect Burn Nerve injury Blood vessels Crushing injury EXHIBIT 5 Average Claims Expenditures For Aged Fee-For-Service Medicare Beneficiaries With An Injury Claim, By Diagnosis Category And Sex, 1999 Dollars 3,000 Male Female 2,500 2,000 1,500 1, Fracture Internal injury Burn Open wound Poisoning Nerve injury Blood vessels Dislocation Foreign body Sprain/strain Toxic effect Crushing injury Contusion/ superficial HEALTH AFFAIRS ~ Volume 21, Number 6 219

6 DataWatch tremity fracture were costly but somewhat lower for men than for women, averaging $4,477 for men and $4,685 for women (Exhibit 6). Fractures resulting in traumatic brain injuries were also very expensive, but much more so on average for men than for women. However, this injury is rare, affecting only 6,900 men and 10,960 women in 1999 (prevalence rate, 0.06 percent of FFS beneficiaries). Fractures resulting in spinal cord injury and vertebral fractures also resulted in higher Medicare claims expense per injured male beneficiary than per injured female beneficiary. Discussion And Policy Implications Injuries, especially fractures, account for a substantial proportion of Medicare expenditures for persons age sixty-five and older. 12 Although differing in approach and amounts, the estimates presented here generally corroborate the findings of others with respect to the magnitude of claims expenses related to fractures. 13 Information on Medicare spending and prevalence for this comprehensive list of injury diagnosis categories has not been available before now. Injury surveillance has often used mortality statistics as the best available source of information on injuries. Many epidemiological studies of injuries requiring treatment but not resulting in death have relied on hospitalization rates and emergency room visits re- EXHIBIT 6 Medicare Claims Expenditures For Fractures Per Injured Aged Fee-For-Service Beneficiary, By Diagnostic Category And Sex, 1999 Dollars 4,500 Male Female 4,000 3,500 3,000 2,500 2,000 1,500 1, Lower extremity Traumatic brain injury Spinal cord Torso and pelvis Vertebral Upper extremity Unclassified fractures 220 November/December 2002

7 The Medicare claims data suggest opportunities for prevention that are obscured in mortality and hospitalization statistics. ported by participating hospitals. 14 However, elders (and others) experience injuries that do not result in hospitalization and are not necessarily treated in emergency rooms. For example, large numbers of Medicare beneficiaries receive covered treatment for contusions, sprains, and strains. The sheer volume of these injuries aggregates to a meaningful expense more than a half-billion dollars in While most of these injuries are likely minor, the Medicare claims data suggest opportunities for prevention and management that are obscured in mortality and hospitalization statistics. Medicare spending, along with the other costs related to these injuries, could be reduced through prevention activities. Although gerontologists and other practitioners have designed and demonstrated effective interventions to reduce the risk of injury in the elderly, these interventions are not widely disseminated. A barrier to diffusion is that prevention activities often use resources and strategies that are outside the purview of the personal health care sector as it is usually defined, so that they are not covered by insurance. For example, home assessment and modifications, assistive devices for tasks of daily living, gait and strength training, and protective devices can prevent or mitigate falls; special programs for older drivers can reduce injuries to pedestrians, passengers, and drivers; patient education can increase medication safety; and smoke alarms and safer nightwear can reduce burn injuries. 15 Because of the high prevalence and cost of fractures, interventions targeted to beneficiaries at high risk of fracture could have a substantial return. Medicare coverage of bone mass measurement to screen for osteoporosis was standardized in the Balanced Budget Act (BBA) of 1997, but FFS Medicare does not cover the prescription drugs, nutrition counseling, and strength training that could increase bone mass and reduce the risk of fracture. 16 The cost to Medicare of health services for injured beneficiaries reported here is only part of the total cost of injuries for the elderly. These expenditures do not include the costs of long-term disability to Medicare beneficiaries who are seriously injured. Depending on the cost of prevention, information on these insured health care expenses could assist in making a purely economic case for expanding health insurance coverage for preventive services. Estimates of Medicare injury expenditures to the exclusion of costs borne by other parties (the injured beneficiary, his or her family, other payers) focus attention on costs that are the responsibility of one entity, Medicare. These potential cost offsets provide support for considering coverage and other policies to foster injury prevention, as has been done in legislation recently introduced in the Senate. 17 In addition, information available in claims data concerning diagnoses, sex, age, season, residence location, and other factors could support targeting of injury pre- HEALTH AFFAIRS ~ Volume 21, Number 6 221

8 DataWatch vention efforts. Better coding of injury causes on claims could support further refinements, highlighting the roles of individual characteristics, medical conditions, and environmental hazards. 18 Further research could investigate factors related to injury incidence and expense using data available in Medicare claims and enrollment records. Medicare savings would be substantial if even half of spending attributable to injury could be avoided or mitigated through prevention. Support for this paper was provided by the Centers for Medicare and Medicaid Services (CMS) (Contract no /Task Order no. 4). The views expressed in this study are those of the authors and do not reflect those of the Department of Health and Human Services or the CMS. The authors appreciate useful input from consultants Gerry Berenholz, Douglas Kiel, and Robert Sege. NOTES 1. R.N. Anderson, Deaths: Leading Causes for 1999, National Vital Statistics Reports 49, no. 11 (Hyattsville, Md.: National Center for Health Statistics, 2001). 2. L.F. McCaig and N. Ly, National Ambulatory Medical Care Survey: 2000 Emergency Department Summary, Advance Data 326 (Hyattsville, Md.: NCHS, 2002). 3. D.P. Rice and E.J. MacKenzie, The Cost of Injury in the United States: A Report to Congress (San Francisco: University of California and Johns Hopkins University, 1989); and T.R. Miller and D.C. Lestina, Patterns in U.S. Medical Expenditures and Utilization for Injury, 1987, American Journal of Public Health 86, no. 1 (1996): The Centers for Disease Control and Prevention carried out a similar analysis for Medicare claims for the year July 1991 June 1992, for fractures only. See CDC, Incidence and Costs to Medicare of Fractures among Medicare Beneficiaries Aged Greater than or Equal to 65 Years United States, July 1991 June 1992, Morbidity and Mortality Weekly Report 45, no. 41 (1996): CDC, The Barell Injury Diagnosis Matrix: Classification by Region of Body and Nature of Injury, 15 September 2001, (28 September 2001). 6. We modified the Barell matrix to show detail of traumatic brain injury, in two Barell categories, and to differentiate lower and upper extremity fractures and sprains/strains. A small number of injury-related claims are known to be found in mixed categories outside the ICD-9 range, but these are not included in the Barell matrix and could not be accurately identified. See Miller and Lestina, Patterns in U.S. Medical Expenditures and Utilization for Injury; and D. Baugh et al., Hospitalizations for Injury among Medicaid Children: California 1992, Health Care Financing Review 19, no. 4 (1998): Medicare claims for professional services usually include multiple services, with a designated diagnosis for each line item. The file included a small number of hospital shadow claims with injury diagnoses for beneficiaries enrolled in Medicare HMOs. These claims cause a slight overstatement of the number of beneficiaries experiencing an injury in 1999 but do not affect spending because they are not paid claims. 8. The total number of beneficiaries with an injury claim is thus less than the sum of the beneficiaries with a claim in each diagnosis category. Similarly, the unduplicated count of beneficiaries with a fracture claim in 1999 is less than the sum of beneficiaries with each type of fracture. This occurs because some beneficiaries experienced several different types of fractures during The results here are based on larger tables produced by the authors for this project. See Injuries among Medicare Beneficiaries: Expenditures and Beneficiary Characteristics, , researchers/projects/injuriestab5-02.pdf (7 August 2002). The tables show Medicare expenditures and counts of beneficiaries with injury claims by sex and age for by region, race, urban/rural location, long-term care status (community resident, long-stay Medicare home health, long-stay nursing home resident), and service category (inpatient, postacute, physician/practitioner, outpatient/er, other). 10. Reported totals include neither Medicare spending attributable to injury services included in Medicare HMO premiums, nor claims for the very small number of beneficiaries with incomplete enrollment records. Beneficiaries who do not seek Medicare-covered treatment for injuries are not included in the counts of injured beneficiaries. 11. The cost and prevalence of open wounds from involuntary injury may be overstated because the diagnos- 222 November/December 2002

9 tic codes are sometimes used by home health agencies caring for beneficiaries with surgical wounds. 12. The expenditures reported here, claims paid in one year (1999) with a specific injury diagnosis, encompass only the Medicare-insured portion of the medical costs of injuries. Additional direct medical costs include claims that also occur during the episode of care for an injury but are not labeled with an injury code as well as the cost of services not paid for by Medicare (coinsurance and deductibles and nursing home and other services paid for by Medicaid or private supplemental insurance or by beneficiaries themselves). Other costs include costs of donated family care, pain and suffering, lost earnings, and long-term consequences of loss of independence due to injury or fear of further injury. See Rice and MacKenzie, The Cost of Injury in the United States; L.C. Harlan, W.R. Harlan, and P.E. Parsons, The Economic Impact of Injuries: A Major Source of Medical Costs, American Journal of Public Health 80, no. 4 (1990): ; Miller and Lestina, Patterns in U.S. Medical Expenditures and Utilization for Injury ; and D.P. Rice and W. Max, The High Cost of Injuries in the United States, American Journal of Public Health 86, no. 1 (1996): Another approach is represented by the CDC estimate of $ 4.2 billion in FY 1992; see CDC, Incidence and Costs to Medicare of Fractures. Their estimates of cost to Medicare did not aggregate claims with a fracture diagnosis but rather examined the difference in total Medicare claims for a beneficiary experiencing a fracture, comparing the six months before and after the fracture. The estimate reported for hip fracture is $15,294, much more than the mean direct Medicare claims expense for lower extremity fractures reported here ($4,638). The diagnostic category used here includes fractures of the ankle, foot, and leg, likely to be less costly than hip fractures. But our estimate is also more conservative in including only claims that are explicitly identified as injury-related. Ada Brainsky and colleagues included all direct medical care costs, instead of restricting analysis to Medicare claims, for hip fractures for 759 community-dwelling elders, finding costs of $16,300 $17,700 (1993 dollars); see A. Brainsky et al., The Economic Cost of Hip Fractures in Community-Dwelling Older Adults: A Prospective Study, Journal of the American Geriatrics Society 45, no. 3 (1997): In an estimate again including all medical care resources, total direct cost of fall injuries to the elderly was estimated at $22.2 billion for 1994; see CDC, The Costs of Fall Injuries among Older Adults, (7 August 2002), citing F. Englander, T.J. Hodson, and R.A. Terregrossa, Economic Dimensions of Slip and Fall Injuries, Journal of Forensic Sciences 41, no. 5 (1996): This estimate cannot be compared with the estimate presented here, which refers to injury diagnosis classes and includes only Medicare expenditures. 14. K.P. Quinlan et al., Expanding the National Electronic Injury Surveillance System to Monitor All Nonfatal Injuries Treated in U.S. Hospital Emergency Departments, Annals of Emergency Medicine 34, no. 5 (1999): ; and J.A. Stevens et al., Surveillance for Injuries and Violence among Older Adults, Morbidity and Mortality Weekly Report 48, no. SS08 (1999): M. Pfeifer and H.W. Minne, Vitamin D and Hip Fracture, Trends in Endocrinology and Metabolism 10, no. 10 (1999): ; B.A. Kumar and M.J. Parker, Are Hip Protectors Cost Effective? Injury 31, no. 9 (2000): ; E.K. Parra and J.A. Stevens, U.S. Fall Prevention Programs for Seniors: Selected Programs Using Home Assessment and Home Modification (Atlanta: CDC, National Center for Injury Prevention and Control, 2000); L. Rubenstein, Hip Protectors A Breakthrough in Fracture Prevention, New England Journal of Medicine 343, no. 21 (2000): ; P. Vestergaard, L. Rejnmark, and L. Mosekilde, Hip Fracture Prevention: Cost-Effective Strategies, Pharmacoeconomics 19, no. 5 (2001), Part 1: ; AARP, Older Driver Skill Assessment and Resource Guide: Creating Mobility Choices (Washington: AARP, 1992); W.J. Millar, Older Drivers A Complex Public Health Issue, Health Reports 11, no. 2 (1999): (English), (French); CDC, Motor Vehicle Related Deaths among Older Americans Fact Sheet, older.htm (12 December 2000); M.B. Haselberger and B.A. Kroner, Drug Poisoning in Older Patients: Preventative and Management Strategies, Drugs and Aging 7, no. 4 (1995): ; A.T. Elder, T. Squires, and A. Busuttil, Fire Fatalities in Elderly People, Age and Ageing 25, no. 3 (1996): ; I. Roberts, Smoke Alarm Use: Prevalence and Household Predictors, Injury Prevention 2, no. 4 (1996): ; C.M. Ryan et al., A Persistent Fire Hazard for Older Adults: Cooking-Related Clothing Ignition, Journal of the American Geriatrics Society 45, no. 10 (1997): ; and N.J. Stiles et al., Evaluating Fire Safety in Older Persons through Home Visits, Journal of the Kentucky Medical Association 99, no. 3 (2001): National Institutes of Health, 111. Osteoporosis Prevention, Diagnosis, and Therapy, March 2000, consensus.nih.gov/cons/111/111_statement.htm (26 July 2002); and M. Sinaki et al., Stronger Back Muscles Reduce the Incidence of Vertebral Fractures: A Prospective Ten-Year Follow-Up of Postmenopausal Women, Bone 30, no. 6 (2002): Elder Fall Prevention Act of 2002, S. 1922, 107th Cong., 2d sess. (7 February 2002). 18. See W. Haddon Jr., Advances in the Epidemiology of Injuries as a Basis for Public Policy, Public Health Reports 95, no. 5 (1980): ; and L. Robertson, Injury Epidemiology (New York: Oxford University Press, 1998). HEALTH AFFAIRS ~ Volume 21, Number 6 223

Title: uthor: Background Knowledge: Local Problem: Intended Improvement:

Title: uthor: Background Knowledge: Local Problem: Intended Improvement: 1. Title: The Use of a Cognitive Aid within the Electronic Record can greatly improve the effectiveness of communication among care givers and reduce patient injuries from falls. 2. Author: M. Kathleen

More information

The Stopping Elderly Accidents, Deaths & Injuries (STEADI) Tool Kit for Health Care Providers

The Stopping Elderly Accidents, Deaths & Injuries (STEADI) Tool Kit for Health Care Providers The Stopping Elderly Accidents, Deaths & Injuries (STEADI) Tool Kit for Health Care Providers Disclaimer: The findings and conclusions in this presentation are those of the author and do not necessarily

More information

The Importance of Understanding External Cause of Injury Codes

The Importance of Understanding External Cause of Injury Codes The Importance of Understanding External Cause of Injury Codes This presentation is designed to: Define external cause of injury codes Inform and Educate health care providers, policymakers, and the public

More information

STATISTICAL BRIEF #93

STATISTICAL BRIEF #93 Agency for Healthcare Medical Expenditure Panel Survey Research and Quality STATISTICAL BRIEF #93 August 2005 Health Care Expenditures for Injury- Related Conditions, 2002 Steven R. Machlin, MS Introduction

More information

16. ARTHRITIS, OSTEOPOROSIS, AND CHRONIC BACK CONDITIONS

16. ARTHRITIS, OSTEOPOROSIS, AND CHRONIC BACK CONDITIONS 16. ARTHRITIS, OSTEOPOROSIS, AND CHRONIC BACK CONDITIONS Goal Reduce the impact of several major musculoskeletal conditions by reducing the occurrence, impairment, functional limitations, and limitation

More information

International Collaborative Effort on Injury Statistics

International Collaborative Effort on Injury Statistics ICE International Collaborative Effort on Injury Statistics This lecture will overview a current and broad-based project in injury research; the ICE Injury Statistics Project. This effort, as you will

More information

Health Coverage and Concerns Facing Older Women

Health Coverage and Concerns Facing Older Women Health Coverage and Concerns Facing Older Women Alina Salganicoff, Ph.D. Vice President and Director Women s Health Policy Kaiser Family Foundation Figure 1 Women comprise the majority of Medicare enrollment

More information

Medicare Cost Sharing and Supplemental Coverage

Medicare Cost Sharing and Supplemental Coverage Medicare Cost Sharing and Supplemental Coverage Topics to be Discussed Medicare costs to beneficiaries Review Medicare premiums and cost sharing Background on Medicare beneficiary income Current role of

More information

The National Center for Health Statistics' Linked Data Files: Resources for Research and Policy. Eric A. Miller National Center for Health Statistics

The National Center for Health Statistics' Linked Data Files: Resources for Research and Policy. Eric A. Miller National Center for Health Statistics The National Center for Health Statistics' Linked Data Files: Resources for Research and Policy Eric A. Miller National Center for Health Statistics NCHS Record Linkage Program Links survey data with data

More information

HCUP Methods Series HCUP External Cause of Injury (E Code) Evaluation Report (2001 HCUP Data) Report # 2004-06

HCUP Methods Series HCUP External Cause of Injury (E Code) Evaluation Report (2001 HCUP Data) Report # 2004-06 HCUP Methods Series Contact Information: Healthcare Cost and Utilization Project (HCUP) Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 http://www.hcup-us.ahrq.gov For Technical

More information

ICD-10-CM Official Guidelines for Coding and Reporting

ICD-10-CM Official Guidelines for Coding and Reporting 2013 Narrative changes appear in bold text Items underlined have been moved within the guidelines since the 2012 version Italics are used to indicate revisions to heading changes The Centers for Medicare

More information

Office of Epidemiology

Office of Epidemiology Office of Epidemiology and Scientific Support Montana Hospital Discharge Data System July, 2012 Introduction Results of the E-Code Quality Improvement Project, Phase II, 2012 1, Carol Ballew, PhD, Senior

More information

Understanding Medicare and How It Works

Understanding Medicare and How It Works Understanding Medicare and How It Works Get the facts about your Medicare insurance options 1 What Is Medicare? 2 Medicare is a health insurance program for people 65 or older or under 65 and with certain

More information

Medicare does not directly provide an outpatient prescription

Medicare does not directly provide an outpatient prescription Medicare Beneficiaries And Drug Coverage A high rate of drug coverage masks low medication use and high out-of-pocket spending among the noncovered and poor elderly. by John A. Poisal and George S. Chulis

More information

Florida Medicaid and Implementation of SB 2654

Florida Medicaid and Implementation of SB 2654 Florida Medicaid and Implementation of SB 2654 Shachi Mankodi Counsel to the Chief of Staff Florida Agency for Health Care Administration Autism Compact Presentation September 18, 2008 Overview What is

More information

Appendix 14: Obtaining Data on Opioid Poisoning

Appendix 14: Obtaining Data on Opioid Poisoning : Obtaining Data on Opioid Poisoning Obtaining Hospital Data on Nonfatal Opioid Poisoning Data on the number of nonfatal opioid overdoses can often be obtained from hospitals serving your community. Forming

More information

Sources of supplemental coverage among noninstitutionalized Medicare beneficiaries, 2011

Sources of supplemental coverage among noninstitutionalized Medicare beneficiaries, 2011 3 Chart 3-1. Sources of supplemental coverage among noninstitutionalized Medicare beneficiaries, 2011 No supplemental coverage 13.5% Medigap 17.3% Medicare managed care 29.8% Employersponsored insurance

More information

Rehabilitation Reimbursement Update By: Cherilyn G. Murer, JD, CRA

Rehabilitation Reimbursement Update By: Cherilyn G. Murer, JD, CRA Rehabilitation Reimbursement Update By: Cherilyn G. Murer, JD, CRA Introduction The Centers for Medicare & Medicaid Services (CMS) and legislators in this country remain dedicated to ensuring that beneficiaries

More information

Medicaid. Administration

Medicaid. Administration MEDICAID care is reasonable, necessary, and provided in the most appropriate setting. The PROs are composed of groups of practicing physicians. To receive Medicare payments, a hospital must have an agreement

More information

CODES Statewide Application: Older Occupants of Motor Vehicles. Massachusetts

CODES Statewide Application: Older Occupants of Motor Vehicles. Massachusetts CODES Statewide Application: Older Occupants of Motor Vehicles Massachusetts Heather Rothenberg, Marta Benavente, and Michael A. Knodler, Jr. University of Massachusetts Traffic Safety Research Program

More information

Nebraska Occupational Health Indicator Report, 2013

Nebraska Occupational Health Indicator Report, 2013 Occupational Health Indicator Report, 213 Occupational Safety and Health Surveillance Program Department of Health and Human Services Web: www.dhhs.ne.gov/publichealth/occhealth/ Phone: 42-471-2822 Introduction

More information

GAO MEDICARE ADVANTAGE. Relationship between Benefit Package Designs and Plans Average Beneficiary Health Status. Report to Congressional Requesters

GAO MEDICARE ADVANTAGE. Relationship between Benefit Package Designs and Plans Average Beneficiary Health Status. Report to Congressional Requesters GAO United States Government Accountability Office Report to Congressional Requesters April 2010 MEDICARE ADVANTAGE Relationship between Benefit Package Designs and Plans Average Beneficiary Health Status

More information

Setting the Record Straight about Medicare

Setting the Record Straight about Medicare Fact Sheet Setting the Record Straight about Medicare Keith D. Lind, JD, MS As the nation considers the future of Medicare, it is important to separate the facts from misconceptions about Medicare coverage,

More information

U.S. Fall Prevention Programs for Seniors

U.S. Fall Prevention Programs for Seniors U.S. Fall Prevention Programs for Seniors Selected Programs Using Home Assessment and Modification DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention U.S. Fall Prevention

More information

MULTI-FACTORIAL FALL RISK ASSESSMENT AND INTERVENTION FOR COMMUNITY DWELLING SENIORS: THE ROLE OF HOME HEALTH AGENCIES. Caring Choices.

MULTI-FACTORIAL FALL RISK ASSESSMENT AND INTERVENTION FOR COMMUNITY DWELLING SENIORS: THE ROLE OF HOME HEALTH AGENCIES. Caring Choices. MULTI-FACTORIAL FALL RISK ASSESSMENT AND INTERVENTION FOR COMMUNITY DWELLING SENIORS: THE ROLE OF HOME HEALTH AGENCIES Caring Choices April 2006 Caring Choices Page 1 Multi-Factorial Fall Risk Assessment

More information

Main figures on Road Safety Data Spain 2013

Main figures on Road Safety Data Spain 2013 Main figures on Road Safety Data Spain 2013 Contents Preface.3 Road Safety Data 2013.4 Injuries related to traffic...10 Evolution of the road safety indicators.....12 Casualties.....14 Drivers...16 Fleet...17

More information

BICYCLE-RELATED INJURIES

BICYCLE-RELATED INJURIES BICYCLE-RELATED INJURIES Injury Prevention Plan of Alabama 3 BICYCLE-RELATED INJURIES THE PROBLEM: An estimated 140,000 children are treated each year in emergency departments for head injuries sustained

More information

Medicare has four components, Part A, Part B Part C and Part D:

Medicare has four components, Part A, Part B Part C and Part D: Medicare What is Medicare? Medicare is a National Health Insurance Program for people 65 years of age and older Certain persons with disabilities under the age of 65 People with end stage renal disease

More information

MEDICARE PHYSICAL THERAPY. Self-Referring Providers Generally Referred More Beneficiaries but Fewer Services per Beneficiary

MEDICARE PHYSICAL THERAPY. Self-Referring Providers Generally Referred More Beneficiaries but Fewer Services per Beneficiary United States Government Accountability Office Report to Congressional Requesters April 2014 MEDICARE PHYSICAL THERAPY Self-Referring Providers Generally Referred More Beneficiaries but Fewer Services

More information

Medicare Beneficiaries Out-of-Pocket Spending for Health Care

Medicare Beneficiaries Out-of-Pocket Spending for Health Care Insight on the Issues OCTOBER 2015 Beneficiaries Out-of-Pocket Spending for Health Care Claire Noel-Miller, MPA, PhD AARP Public Policy Institute Half of all beneficiaries in the fee-for-service program

More information

Data Report on Spinal Cord Injury

Data Report on Spinal Cord Injury Indiana State Department of Health Injury Prevention Program Data prepared by Jodi Hackworth and Joan Marciniak December 12, 27 DATA HIGHLIGHTS Data Report on Spinal Cord Injury The leading cause of spinal

More information

SECTION 3.2: MOTOR VEHICLE TRAFFIC CRASHES

SECTION 3.2: MOTOR VEHICLE TRAFFIC CRASHES SECTION 3.2: MOTOR VEHICLE TRAFFIC CRASHES 1,155 Deaths* 4,755 Hospitalizations 103,860 ED Visits *SOURCE: OHIO DEPARTMENT OF HEALTH, VITAL STATISTICS SOURCE: OHIO HOSPITAL ASSOCIATION CHAPTER HIGHLIGHTS:

More information

Medicare Benefits. As of 2012, approximately 50 million people were Medicare beneficiaries.

Medicare Benefits. As of 2012, approximately 50 million people were Medicare beneficiaries. Medicare Benefits Medicare is the federal health insurance program for people age 65 and older, and those of all ages with certain disabilities, End-Stage Renal Disease (ESRD), or Lou Gehrig s disease

More information

Glossary. Adults: Individuals ages 19 through 64. Allowed amounts: See prices paid. Allowed costs: See prices paid.

Glossary. Adults: Individuals ages 19 through 64. Allowed amounts: See prices paid. Allowed costs: See prices paid. Glossary Acute inpatient: A subservice category of the inpatient facility clams that have excluded skilled nursing facilities (SNF), hospice, and ungroupable claims. This subcategory was previously known

More information

The Economic Impact of Motor Vehicle Crashes Involving Pedestrians and Bicyclists

The Economic Impact of Motor Vehicle Crashes Involving Pedestrians and Bicyclists The Economic Impact of Motor Vehicle Crashes Involving Pedestrians and Bicyclists Florida Department of Health Health Information and Policy Analysis Program Release Date: September 9, 2015 Date Range:

More information

INSIGHT on the Issues

INSIGHT on the Issues INSIGHT on the Issues AARP Public Policy Institute Medicare Beneficiaries Out-of-Pocket for Health Care Claire Noel-Miller, PhD AARP Public Policy Institute Medicare beneficiaries spent a median of $3,138

More information

What Federal Employees Need to Know About Their Health Insurance and Medicare

What Federal Employees Need to Know About Their Health Insurance and Medicare What Federal Employees Need to Know About Their Health Insurance and Medicare Federal employees have been paying the Medicare Part A (hospital insurance) payroll tax since Jan. 1, 1983. That means all

More information

Making the most of Medicare

Making the most of Medicare Making the most of Medicare S5743_102714_K04_RE Internal Approval 10/27/2014 Today s Topics What is Medicare Who s eligible Medicare coverage Options to fill coverage gaps When you can enroll Finding the

More information

Use and Integration of Freely Available U.S. Public Use Files to Answer Pharmacoeconomic Questions: Deciphering the Alphabet Soup

Use and Integration of Freely Available U.S. Public Use Files to Answer Pharmacoeconomic Questions: Deciphering the Alphabet Soup Use and Integration of Freely Available U.S. Public Use Files to Answer Pharmacoeconomic Questions: Deciphering the Alphabet Soup Prepared by Ovation Research Group for the National Library of Medicine

More information

HCUP Methods Series HCUP External Cause of Injury (E Code) Evaluation Report (2001-2011 HCUP Data) Report # 2014-01

HCUP Methods Series HCUP External Cause of Injury (E Code) Evaluation Report (2001-2011 HCUP Data) Report # 2014-01 HCUP Methods Series Contact Information: Healthcare Cost and Utilization Project (HCUP) Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 http://www.hcup-us.ahrq.gov For Technical

More information

RESEARCH UPDATE. California Workers Compensation Reform Monitoring. Part 3: Temporary Disability Outcomes Accident Years 2002 2007 Claims Experience

RESEARCH UPDATE. California Workers Compensation Reform Monitoring. Part 3: Temporary Disability Outcomes Accident Years 2002 2007 Claims Experience January 2009 RESEARCH UPDATE California Workers Compensation Reform Monitoring Part 3: Temporary Disability Outcomes Accident Years 2002 2007 Claims Experience by Alex Swedlow, MHSA and John Ireland, MHSA

More information

ANNEXURE J THE COST OF MEDICAL AND REHABILITATION CARE FOR ROAD ACCIDENT VICTIMS AT PUBLIC HOSPITALS

ANNEXURE J THE COST OF MEDICAL AND REHABILITATION CARE FOR ROAD ACCIDENT VICTIMS AT PUBLIC HOSPITALS HERBST - COST OF CARE 547 ANNEXURE J THE COST OF MEDICAL AND REHABILITATION CARE FOR ROAD ACCIDENT VICTIMS AT PUBLIC HOSPITALS DR A J HERBST May 2002 ROAD ACCIDENT FUND COMMISSION REPORT 2002 VOLUME 3

More information

Medicare Supplement Coverage Options

Medicare Supplement Coverage Options Medicare Supplement Coverage Options Thank you for your interest in our Medicare Supplemental coverage options, also known as Traditional Blue (Medigap) policies. The Medicare Supplement Plans, when combined

More information

Using Medicare Hospitalization Information and the MedPAR. Beth Virnig, Ph.D. Associate Dean for Research and Professor University of Minnesota

Using Medicare Hospitalization Information and the MedPAR. Beth Virnig, Ph.D. Associate Dean for Research and Professor University of Minnesota Using Medicare Hospitalization Information and the MedPAR Beth Virnig, Ph.D. Associate Dean for Research and Professor University of Minnesota MedPAR Medicare Provider Analysis and Review Includes information

More information

2012 Georgia Occupational Health Indicators: Demographics and Summary Tables

2012 Georgia Occupational Health Indicators: Demographics and Summary Tables Georgia Occupational Health Surveillance Data Series Table 1. Georgia and U.S. General Employment Demographics, 2012 Georgia U.S. Employed Persons, 16 Years and Older 2012 Georgia Occupational Health Indicators:

More information

Essential Hospitals VITAL DATA. Results of America s Essential Hospitals Annual Hospital Characteristics Survey, FY 2012

Essential Hospitals VITAL DATA. Results of America s Essential Hospitals Annual Hospital Characteristics Survey, FY 2012 Essential Hospitals VITAL DATA Results of America s Essential Hospitals Annual Hospital Characteristics Survey, FY 2012 Published: July 2014 1 ABOUT AMERICA S ESSENTIAL HOSPITALS METHODOLOGY America s

More information

9. Substance Abuse. pg 166-169: Self-reported alcohol consumption. pg 170-171: Childhood experience of living with someone who used drugs

9. Substance Abuse. pg 166-169: Self-reported alcohol consumption. pg 170-171: Childhood experience of living with someone who used drugs 9. pg 166-169: Self-reported alcohol consumption pg 170-171: Childhood experience of living with someone who used drugs pg 172-173: Hospitalizations related to alcohol and substance abuse pg 174-179: Accidental

More information

Essential Hospitals VITAL DATA. Results of America s Essential Hospitals Annual Hospital Characteristics Report, FY 2013

Essential Hospitals VITAL DATA. Results of America s Essential Hospitals Annual Hospital Characteristics Report, FY 2013 Essential Hospitals VITAL DATA Results of America s Essential Hospitals Annual Hospital Characteristics Report, FY 2013 Published: March 2015 1 ABOUT AMERICA S ESSENTIAL HOSPITALS METHODOLOGY America s

More information

1992 2001 Aggregate data available; release of county or case-based data requires approval by the DHMH Institutional Review Board

1992 2001 Aggregate data available; release of county or case-based data requires approval by the DHMH Institutional Review Board 50 Table 2.4 Maryland Cancer-Related base Summary: bases That Can Be Used for Cancer Surveillance base/system and/or of MD Cancer Registry Administration, Center for Cancer Surveillance and Control 410-767-5521

More information

Medical, Drug, and Work-Loss Costs of Diabetic Foot Ulcers

Medical, Drug, and Work-Loss Costs of Diabetic Foot Ulcers Medical, Drug, and Work-Loss Costs of Diabetic Foot Ulcers Brad Rice, PhD; 1 Urvi Desai, PhD; 1 Alice Kate Cummings, BA; 1 Michelle Skornicki, MPH; 2 Nathan Parsons, RN BSN; 2 and Howard Birnbaum, PhD

More information

Early Childhood Indicators Report

Early Childhood Indicators Report 2015 Early Childhood Indicators Report Carol Prentice, Prentice Consulting, 2012 Updated by Alaska Department of Health & Social Services, September 2013 Updated by Prentice Consulting, July 2015 Early

More information

An Examination of Workers Compensation Claims Data for the Colorado Oil and Gas Industry

An Examination of Workers Compensation Claims Data for the Colorado Oil and Gas Industry An Examination of Workers Compensation Claims Data for the Colorado Oil and Gas Industry MARGARET COOK- SHIMANEK, MD, MPH THE UNIVERSITY OF COLORADO OCCUPATIONAL AND ENVIRONMENTAL MEDICINE RESIDENCY PROGRAM

More information

The role of t he Depart ment of Veterans Affairs (VA) as

The role of t he Depart ment of Veterans Affairs (VA) as The VA Health Care System: An Unrecognized National Safety Net Veterans who use the VA health care system have a higher level of illness than the general population, and 60 percent have no private or Medigap

More information

School Catastrophic Insurance Program Does your insurance coverage make the grade? The answer is simple. LOOMIS & LAPANN, INC. Insurance Since 1852

School Catastrophic Insurance Program Does your insurance coverage make the grade? The answer is simple. LOOMIS & LAPANN, INC. Insurance Since 1852 School Catastrophic Insurance Program Does your insurance coverage make the grade? The answer is simple LOOMIS & LAPANN, INC. Insurance Since 1852 Underwritten by: National Union Fire Insurance Company

More information

OUTLINE OF MEDICARE SUPPLEMENT COVERAGE

OUTLINE OF MEDICARE SUPPLEMENT COVERAGE OUTLINE OF MEDICARE SUPPLEMENT COVERAGE Tufts Medicare Preferred Supplement Core Tufts Medicare Preferred Supplement One Outline of Medicare Supplement Coverage Cover Page: Benefit Plans Medicare Supplement

More information

A B C D F l F* G K L M N Basic including

A B C D F l F* G K L M N Basic including Aetna Life Insurance Company Outline of Medicare Supplement Coverage Benefit Plans A, B, C, F, G and N are Offered This chart shows the benefits included in each of the standard Medicare supplement plans.

More information

3.0 METHODS. 3.1.3 Injury Morbidity Hospital separations were identified as cases if:

3.0 METHODS. 3.1.3 Injury Morbidity Hospital separations were identified as cases if: 3.0 METHODS 3.1 Definitions The following three sections present the case definitions of injury mechanism, mortality and morbidity used for the purposes of this report. 3.1.1 Injury Mechanism Injuries

More information

Outline of Medicare Supplement Coverage TUFTS MEDICARE PREFERRED SUPPLEMENT PLANS 2015

Outline of Medicare Supplement Coverage TUFTS MEDICARE PREFERRED SUPPLEMENT PLANS 2015 TUFTS MEDICARE PREFERRED SUPPLEMENT PLANS 2015 Outline of Medicare Supplement Coverage Tufts Medicare Preferred Supplement Core Tufts Medicare Preferred Supplement One Effective January 1, 2015 December

More information

Medicare (History and Financing)

Medicare (History and Financing) Medicare (History and Financing) Note: Please pay attention to dates on slides and data; CMS has discontinued the publication of some valuable figures and these are occasionally referenced for prior years.

More information

About to Retire: Preparing for Medicare Patient Financial Services Agenda Medicare Enrollment Covered Services Medicare-covered covered Preventive Services Agenda, continued Advance Beneficiary Notice

More information

SURVEILLANCE OF INTENTIONAL INJURIES USING HOSPITAL DISCHARGE DATA. Jay S. Buechner, Ph.D. Rhode Island Department of Health

SURVEILLANCE OF INTENTIONAL INJURIES USING HOSPITAL DISCHARGE DATA. Jay S. Buechner, Ph.D. Rhode Island Department of Health SURVEILLANCE OF INTENTIONAL INJURIES USING HOSPITAL DISCHARGE DATA Jay S. Buechner, Ph.D. Rhode Island Department of Health Background. Hospital discharge data systems have great potential for injury surveillance

More information

2016 Medicare Supplement Pre-Enrollment Kit

2016 Medicare Supplement Pre-Enrollment Kit 2016 Medicare Supplement Pre-Enrollment Kit Coverage underwritten by HNE Coverage Insurance underwritten Company, by an HNE affiliate Insurance of Health Company, New England, affiliate Inc. of Health

More information

Upstate New York adults with diagnosed type 1 and type 2 diabetes and estimated treatment costs

Upstate New York adults with diagnosed type 1 and type 2 diabetes and estimated treatment costs T H E F A C T S A B O U T Upstate New York adults with diagnosed type 1 and type 2 diabetes and estimated treatment costs Upstate New York Adults with diagnosed diabetes: 2003: 295,399 2008: 377,280 diagnosed

More information

Medicare Advantage Stars: Are the Grades Fair?

Medicare Advantage Stars: Are the Grades Fair? Douglas Holtz-Eakin Conor Ryan July 16, 2015 Medicare Advantage Stars: Are the Grades Fair? Executive Summary Medicare Advantage (MA) offers seniors a one-stop option for hospital care, outpatient physician

More information

Medicare Advantage 101. Michael Taylor, PhD Medicare Advantage Branch Manager Centers for Medicare & Medicaid Services Atlanta Regional Office

Medicare Advantage 101. Michael Taylor, PhD Medicare Advantage Branch Manager Centers for Medicare & Medicaid Services Atlanta Regional Office Medicare Advantage 101 Michael Taylor, PhD Medicare Advantage Branch Manager Centers for Medicare & Medicaid Services Atlanta Regional Office Objectives General Overview of Medicare Advantage CMS 5 Star

More information

CURRENT AND FUTURE TRENDS IN POST ACUTE CARE The Value and Role of Acute Inpatient Rehab

CURRENT AND FUTURE TRENDS IN POST ACUTE CARE The Value and Role of Acute Inpatient Rehab CURRENT AND FUTURE TRENDS IN POST ACUTE CARE The Value and Role of Acute Inpatient Rehab Robert S. Djergaian, M.D. Medical Director Banner Good Samaritan Rehabilitation Institute Stewardship Profitability

More information

RECORD, Volume 22, No. 2 *

RECORD, Volume 22, No. 2 * RECORD, Volume 22, No. 2 * Colorado Springs Spring Meeting June 26 28, 1996 Session 32TS Medicare Risk Contracts Track: Health Key words: Contracts, Health Maintenance Organizations Instructors: FRANK

More information

Hospitalizations and Medical Care Costs of Serious Traumatic Brain Injuries, Spinal Cord Injuries and Traumatic Amputations

Hospitalizations and Medical Care Costs of Serious Traumatic Brain Injuries, Spinal Cord Injuries and Traumatic Amputations Hospitalizations and Medical Care Costs of Serious Traumatic Brain Injuries, Spinal Cord Injuries and Traumatic Amputations FINAL REPORT JUNE 2013 J. Mick Tilford, PhD Professor and Chair Department of

More information

DataWatch. Exhibit 1 Health Care As A Percentage Of The GNP, 1965-85

DataWatch. Exhibit 1 Health Care As A Percentage Of The GNP, 1965-85 DataWatch National Medical Care Spending by Gerard F. Anderson In 1985, the United States spent 10.6 percent of the gross national product (GNP) on health care, continuing a trend of devoting an increasing

More information

Youth and Road Crashes Magnitude, Characteristics and Trends

Youth and Road Crashes Magnitude, Characteristics and Trends Youth and Road Crashes Magnitude, Characteristics and Trends The The mission of the (TIRF) is to reduce traffic related deaths and injuries TIRF is a national, independent, charitable road safety institute.

More information

http://www.cdc.gov/nchs.

http://www.cdc.gov/nchs. As the Nation s principal health statistics agency, the National Center for Health Statistics (NCHS) compiles statistical information to guide actions and policies to improve the health of the population.

More information

Dual Eligible and Low-Income Medicare Beneficiaries and Part D

Dual Eligible and Low-Income Medicare Beneficiaries and Part D Dual Eligible and Low-Income Medicare Beneficiaries and Part D Presentation to National Medicaid Congress by Andy Schneider, Senior Advisor June 5, 2006 What is the Experience of Dual Eligible and Low-Income

More information

Skilled Nursing Facility Coinsurance. Skilled Nursing Facility Coinsurance Part A Deductible Part B. Part A Deductible Part B.

Skilled Nursing Facility Coinsurance. Skilled Nursing Facility Coinsurance Part A Deductible Part B. Part A Deductible Part B. Aetna Life Insurance Company Outline of Medicare Supplement Coverage Benefit Plans A, B, F, G and N are Offered Benefit Chart of Medicare Supplement Plans Sold for Effective Dates on or After June 1, 2010

More information

Injuries are a Major Public Health Problem in Massachusetts

Injuries are a Major Public Health Problem in Massachusetts Injury Surveillance Program, Massachusetts Department of Public Health January 2015 Injuries are a Major Public Health Problem in Massachusetts Injuries are the third leading cause of death among Massachusetts

More information

Original Medicare: An Outline of Benefits Prepared for the Alzheimer's Association

Original Medicare: An Outline of Benefits Prepared for the Alzheimer's Association Someone to 51and hy You Original Medicare: An Outline of Benefits Prepared for the Alzheimer's Association Medicare is a federal health insurance program designed to provide affordable health insurance

More information

Improved Medicare for All

Improved Medicare for All Improved Medicare for All Quality, Guaranteed National Health Insurance by HEALTHCARE-NOW! Single-Payer Healthcare or Improved Medicare for All! The United States is the only country in the developed world

More information

Geneva Association 10th Health and Aging Conference Insuring the Health of an Aging Population

Geneva Association 10th Health and Aging Conference Insuring the Health of an Aging Population Geneva Association 10th Health and Aging Conference Insuring the Health of an Aging Population November 18, 2013 Diana Dennett EVP, Global Issues and Counsel America s Health Insurance Plans (AHIP) America

More information

Butler Memorial Hospital Community Health Needs Assessment 2013

Butler Memorial Hospital Community Health Needs Assessment 2013 Butler Memorial Hospital Community Health Needs Assessment 2013 Butler County best represents the community that Butler Memorial Hospital serves. Butler Memorial Hospital (BMH) has conducted community

More information

Basic, including 100% Part B Coinsurance, except up to $20 copayment for office visit, and up to $50 copayment for ER Skilled Nursing.

Basic, including 100% Part B Coinsurance, except up to $20 copayment for office visit, and up to $50 copayment for ER Skilled Nursing. MUTUAL OF OMAHA INSURANCE COMPANY OUTLINE OF MEDICARE SUPPLEMENT COVERAGE COVER PAGE BENEFIT PLANS A, F, AND G This chart shows the benefits included in each of the standard Medicare supplement plans.

More information

11 Medicare Health Insurance 1

11 Medicare Health Insurance 1 11 Medicare Health Insurance 1 11.01 INTRODUCTION An attorney typically is called upon to review Medicare benefits when payment for health care has been denied, either in advance of services, so that the

More information

Omaha Insurance Company Application Packet

Omaha Insurance Company Application Packet Omaha Insurance Company Application Packet Thank you for your interest in the Omaha Insurance Company Medicare Supplement plan! This application packet provides you with a link to the Online Application

More information

OF MEDICARE SUPPLEMENT COVERAGE - COVER PAGE 1 BENEFIT PLANS A, F AND G

OF MEDICARE SUPPLEMENT COVERAGE - COVER PAGE 1 BENEFIT PLANS A, F AND G UNITED OF OMAHA LIFE INSURANCE COMPANY A Mutual of Omaha Company OUTLINE OF MEDICARE SUPPLEMENT COVERAGE - COVER PAGE 1 BENEFIT PLANS A, F AND G These charts show the benefits included in each of the standard

More information

Medicare Supplement Insurance Approved Policies 2011

Medicare Supplement Insurance Approved Policies 2011 Medicare Supplement Insurance Approved Policies 2011 For more information on health insurance call: MEDIGAP HELPLINE 1-800-242-1060 This is a statewide toll-free number set up by the Wisconsin Board on

More information

BENEFIT ARCHWAY. Supplemental Health Insurance Plans. Standard Life and Accident Insurance Company

BENEFIT ARCHWAY. Supplemental Health Insurance Plans. Standard Life and Accident Insurance Company BENEFIT ARCHWAY Supplemental Health Insurance Plans SLBAB Standard Life and Accident Insurance Company ST-3580 BENEFIT ARCHWAY Supplemental, Limited Benefit Health Insurance Plans First dollar coverage

More information

ICD 10: Final Steps for Successful Implementation

ICD 10: Final Steps for Successful Implementation ICD 10: Final Steps for Successful Implementation Gayle R. Lee, JD Matt Elrod, PT, DPT, MEd, NCS Presenters Gayle Lee, JD, has more than 15 years of experience working on health care issues impacting the

More information

Seniors Falls in Canada

Seniors Falls in Canada Seniors Falls in Canada SECOND Report Protecting Canadians from Illness To promote and protect the health of Canadians through leadership, partnership, innovation and action in public health. Public Health

More information

Initial Preventive Physical Examination

Initial Preventive Physical Examination Initial Preventive Physical Examination Overview The Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 expanded Medicare's coverage of preventive services. Central to the Centers

More information

Maryland Medicaid Program: An Overview. Stacey Davis Planning Administration Department of Health and Mental Hygiene May 22, 2007

Maryland Medicaid Program: An Overview. Stacey Davis Planning Administration Department of Health and Mental Hygiene May 22, 2007 Maryland Medicaid Program: An Overview Stacey Davis Planning Administration Department of Health and Mental Hygiene May 22, 2007 1 Maryland Medicaid In Maryland, Medicaid is also called Medical Assistance

More information

A Health Profile of Older North Carolinians

A Health Profile of Older North Carolinians A Health Profile of Older North Carolinians A Joint Publication of the State Center for Health Statistics and Older Adult Health Branch North Carolina Division of Public Health and North Carolina Division

More information

Improved Medicare for All

Improved Medicare for All Take Action: Get Involved! The most important action you can take is to sign up for Healthcare-NOW! s email list, so you can stay connected with the movement and get updates on organizing efforts near

More information

Assembling the Puzzle. Welcome!

Assembling the Puzzle. Welcome! Assembling the Puzzle Welcome! Thank you for joining us. The webinar will start momentarily. If you have not yet dialed in to the audio portion of the webinar, please click on Info Tab above, and follow

More information

Chapter Objectives. Chapter 13. Property and Liability Insurance. What is risk? How to manage pure risks? What are the fundamental insurance concepts?

Chapter Objectives. Chapter 13. Property and Liability Insurance. What is risk? How to manage pure risks? What are the fundamental insurance concepts? Chapter 13. Property and Liability Insurance Chapter Objectives To understand the foundations of insurance To learn the primary components of the homeowners and auto insurance packages To learn how to

More information

Falls Risk Assessment: A Literature Review. The purpose of this literature review is to determine falls risk among elderly individuals and

Falls Risk Assessment: A Literature Review. The purpose of this literature review is to determine falls risk among elderly individuals and Falls Risk Assessment: A Literature Review Purpose The purpose of this literature review is to determine falls risk among elderly individuals and identify the most common causes of falls. Also included

More information

MUTUAL OF OMAHA INSURANCE COMPANY OUTLINE OF MEDICARE SUPPLEMENT COVERAGE - COVER PAGE BENEFIT PLANS A, C AND F

MUTUAL OF OMAHA INSURANCE COMPANY OUTLINE OF MEDICARE SUPPLEMENT COVERAGE - COVER PAGE BENEFIT PLANS A, C AND F MUTUAL OF OMAHA INSURANCE COMPANY OUTLINE OF MEDICARE SUPPLEMENT COVERAGE - COVER PAGE BENEFIT PLANS A, C AND F Medicare supplement insurance can be sold in only 10 standard plans plus two high deductible

More information

Health Care Utilization and Costs of Full-Pay and Subsidized Enrollees in the Florida KidCare Program: MediKids

Health Care Utilization and Costs of Full-Pay and Subsidized Enrollees in the Florida KidCare Program: MediKids Health Care Utilization and Costs of Full-Pay and Subsidized Enrollees in the Florida KidCare Program: MediKids Prepared for the Florida Healthy Kids Corporation Prepared by Jill Boylston Herndon, Ph.D.

More information

Inpatient Rehabilitation Facilities (IRFs) [Preauthorization Required]

Inpatient Rehabilitation Facilities (IRFs) [Preauthorization Required] Inpatient Rehabilitation Facilities (IRFs) [Preauthorization Required] Medical Policy: MP-ME-05-09 Original Effective Date: February 18, 2009 Reviewed: April 22, 2011 Revised: This policy applies to products

More information

Basic, including 100% Part B Coinsurance, except up to $20 copayment for office visit, and up to $50 copayment for ER Skilled Nursing.

Basic, including 100% Part B Coinsurance, except up to $20 copayment for office visit, and up to $50 copayment for ER Skilled Nursing. OMAHA INSURANCE COMPANY A Mutual of Omaha Company OUTLINE OF MEDICARE SUPPLEMENT COVERAGE COVER PAGE BENEFIT PLANS A, F, AND G This chart shows the benefits included in each of the standard Medicare supplement

More information

UNITED OF OMAHA LIFE INSURANCE COMPANY A Mutual of Omaha Company

UNITED OF OMAHA LIFE INSURANCE COMPANY A Mutual of Omaha Company UNITED OF OMAHA LIFE INSURANCE COMPANY A Mutual of Omaha Company OUTLINE OF MEDICARE S UPPLEMENT COVERAGE COVER PAGE BENEFIT PLANS A, F AND G These charts show the benefits included in each of the standard

More information