Measuring the burden of multimorbidity among Medicare beneficiaries via condition counts and cumulative duration.

ABSTRACT:

Objective

The study's purpose was to describe the cumulative duration of 19 chronic conditions among Medicare fee-for-service (FFS) beneficiaries and examine variation in total expenditures explained by cumulative duration and condition counts.

Design, setting, study design, and data extraction

In a retrospective cohort of FFS beneficiaries age ≥68, 2015 Medicare enrollment and claims data (N = 20 124 230) were used to identify the presence or absence of 19 diagnosed chronic conditions, and to construct MCC categories (0-1, 2-3, 4-5, 6+) and cumulative duration of each of 19 conditions from the date of first possible occurrence in claims (1/1/1999) to the end of follow-up (date of death or 12/31/2015). Total Medicare expenditures were estimated using linear models adjusted f

SUBMITTER: Maciejewski ML 

PROVIDER: S-EPMC6407342 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature