
Published online:
21 February 2013
Published in print:
03 August 2005
Online ISBN:
9780226903217
Print ISBN:
9780226902869
Contents
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3.1 Introduction 3.1 Introduction
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3.2 Overview of Our Longitudinal Medicare Data 3.2 Overview of Our Longitudinal Medicare Data
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3.2.1 Description of the Data 3.2.1 Description of the Data
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3.2.2 Validation with CMS Published Statistics 3.2.2 Validation with CMS Published Statistics
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Enrollment Enrollment
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Program Payments Program Payments
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Participation Rates Participation Rates
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3.2.3 Simple Summaries of Trends in Aggregate Spending 3.2.3 Simple Summaries of Trends in Aggregate Spending
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3.3 Characterizing Growth in Annual Expenditures 3.3 Characterizing Growth in Annual Expenditures
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3.3.1 Shifts in the Distribution of Medicare Expenditures 3.3.1 Shifts in the Distribution of Medicare Expenditures
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Annual Expenditure Percentiles Annual Expenditure Percentiles
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Share of Total Expenditures by Percentile Share of Total Expenditures by Percentile
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3.3.2 A Cohort Framework for Describing Differential Growth in Medicare Expenditures 3.3.2 A Cohort Framework for Describing Differential Growth in Medicare Expenditures
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Specifications for Characterizing Trends Specifications for Characterizing Trends
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Cohort Profiles and Expenditure Growth Cohort Profiles and Expenditure Growth
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Describing the Evolution of the Distribution of Expenditures Describing the Evolution of the Distribution of Expenditures
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Parameterization and Estimation of Cohort Specifications Parameterization and Estimation of Cohort Specifications
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3.3.3 Underlying Trends in Medicare Expenditures 3.3.3 Underlying Trends in Medicare Expenditures
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Growth in Participation Growth in Participation
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Growth Across Different Intensities of Use Growth Across Different Intensities of Use
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Trends Have Changed Trends Have Changed
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3.4 Concentration of Expenditures among High-Cost Users 3.4 Concentration of Expenditures among High-Cost Users
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3.4.1 Allocation of Expenditures across High-Cost Months 3.4.1 Allocation of Expenditures across High-Cost Months
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3.4.2 Patterns for Monthly Medicare Expenditures across Participants 3.4.2 Patterns for Monthly Medicare Expenditures across Participants
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Characteristics of High-Cost Users and Structure of Tables Characteristics of High-Cost Users and Structure of Tables
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Portrait of High-Cost Month Experiences Portrait of High-Cost Month Experiences
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3.4.3 Experiences for High-Cost Users of Medicare 3.4.3 Experiences for High-Cost Users of Medicare
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3.5 Summary and Concluding Remarks 3.5 Summary and Concluding Remarks
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References References
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Comment - Jonathan Skinner Comment - Jonathan Skinner
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References References
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Chapter
3 Characterizing the Experiences of High-Cost Users in Medicare
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Pages
79–128
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Published:August 2005
Cite
OXFORD ACADEMIC STYLE
Macurdy, Thomas, and Jeff Geppert (eds), 'Characterizing the Experiences of High-Cost Users in Medicare', in David A. Wise (ed.), Analyses in the Economics of Aging (Chicago, IL , 2005; online edn, Chicago Scholarship Online, 21 Feb. 2013), https://doi.org/10.7208/chicago/9780226903217.003.0004, accessed 24 Apr. 2025.
CHICAGO STYLE
Macurdy, Thomas, and Jeff Geppert (eds). "Characterizing the Experiences of High-Cost Users in Medicare." In Analyses in the Economics of Aging. Edited by David A. Wise (ed.). University of Chicago Press, 2005. Chicago Scholarship Online, 2013. https://doi.org/10.7208/chicago/9780226903217.003.0004.
Abstract
This chapter explores patterns of expenses for high-cost users of Medicare. It aims to develop a transparent approach for identifying these beneficiaries and determining the concentration of their health care utilization. The analysis reveals that that 20–30 percent of the total growth in Medicare program payments from 1989 to 1999 came from an increase in the participation rate while 50–60 percent was from an increase in average program payments per service recipient.
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