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Federal Interagency Forum on Aging-Related Statistics
Older Americans 2000: Key Indicators of Well-Being 
Updated Detailed Tables


Detailed Tables:  Health Care

Indicator 25 Health Care Expenditures
Indicator 26 Components of Health Care Expenditures
Indicator 28 Access to Health Care
Indicator 30 Nursing Home Utilization

Indicator 25 Health Care Expenditures

TABLE 25A  AVERAGE HEALTH CARE EXPENDITURES AMONG MEDICARE BENEFICIARIES AGE 65 OR OLDER, IN 1999 DOLLARS, BY AGE GROUP, 1992 TO 1999
1992 1993 1994 1995 1996 1997 1998 1999
All $7,757 $8,261 $8,835 $9,108 $9,249 $9,228 $8,991 $9,352
65 to 69 5,816 5,467 6,365 5,698 6,204 5,793 $5,418 $6,711
70 to 74 6,085 6,810 7,064 7,804 7,135 7,626 $7,717 $8,099
75 to 79 7,459 8,676 8,709 8,895 9,960 9,251 $8,853 $9,241
80 to 84 10,070 10,903 11,442 12,219 11,911 12,317 $11,790 $10,683
85 or older 15,232 15,629 16,946 17,396 17,420 17,493 $17,119 $16,596
Note:  Data include both out-of-pocket expenditures and expenditures covered by insurance.
Reference population:  These data refer to Medicare beneficiaries.
Source:  Medicare Current Beneficiary Survey

 

TABLE 25B  AVERAGE HEALTH CARE EXPENDITURES AMONG MEDICARE BENEFICIARIES AGE 65 OR OLDER, BY SELECTED CHARACTERISTICS, 1999
Total $9,352
Age  
    65 - 69 $6,711
    70 - 74 8,099
    75 - 79 9,241
    80 - 84 10,683
    85+ 16,596
Sex  
   Men $9,117
   Women 9,519
Race1  
   White non-Hispanic $9,340
   Black non-Hispanic 11,022
 
Level of income  
   Lowest $11,672
   Second 9,405
   Third 9,411
   Fourth 8,146
   Highest 8,052
Institutional status  
   Community dwelling $7,152
   Institutionalized part or all of year 39,133
1Sample sizes were too small to present results for other race categories.
Note:  Data include both out-of-pocket expenditures and expenditures covered by insurance.
Reference population:  These data refer to Medicare beneficiaries.
Source:  Medicare Current Beneficiary Survey.

 

TABLE 25C  PERCENTAGE OF HEALTH CARE EXPENDITURES INCURRED BY MEDICARE BENEFICIARIES AGE 65 OR OLDER, BY LEVEL OF EXPENDITURES, 1999
Spending level

            Percentage of health care expenditures incurred

Top 1 percent 12.8
Top 5 percent 35.9
Top 10 percent 53.8
Note:  Data include both out-of-pocket expenditures and expenditures covered by insurance.
Reference population:  These data refer to Medicare beneficiaries.
Source:  Medicare Current Beneficiary Survey.

 

TABLE 25D:  DISTRIBUTION OF HEALTH CARE EXPENDITURES AMONG MEDICARE BENEFICIARIES AGE 65 OR OLDER, BY INSTITUTIONAL STATUS, 1999
Noninstitutional population Institutional population
Total 100.0 100.0
Inpatient hospital 37.2 14.7
Medical/outpatient 39.5 10.1
Nursing home 0.0 65.1
Skilled nursing facility/home health 5.3 8.9
Prescription drugs 13.5 0.4
Other 4.5 0.8
Note: Data include both out-of-pocket expenditures and expenditures covered by insurance. “Other” expenditures consist of dental and hospice expenses.
Reference population: These data refer to Medicare beneficiaries.
Source: Medicare Current Beneficiary Survey.

 


Indicator 26 Components of Health Care Expenditures

TABLE 26A  MAJOR COMPONENTS OF HEALTH CARE EXPENDITURES AMONG MEDICARE BENEFICIARIES AGE 65 OR OLDER, 1992 AND 1999
1992 1999
Total 100.0 100.0
   Inpatient hospital 32.6 30.7
   Medical/outpatient 31.4 31.0
   Nursing home care 21.1 18.7
   Skilled Nursing Facility/
     Home health care
5.6 6.3
   Prescription drugs 6.7 9.8
   Other 2.6 3.5
Note:  Data include both out-of-pocket expenditures and expenditures covered by insurance.
"Other" expenditures consist of dental and hospice expenses.
Reference population:  These data refer to Medicare beneficiaries.
Source:  Medicare Current Beneficiary Survey.

 

TABLE 26B  DISTRIBUTION OF MAJOR COMPONENTS OF HEALTH CARE EXPENDITURES AMONG MEDICARE BENEFICIARIES AGE 65 OR OLDER, BY AGE GROUP AND INCOME LEVEL, 1999
Age group
Type of service 65 - 69 70 - 74 75 - 79 80 - 84 85+
Average expenditure $6,711 $8,099 $9,241 $10,683 $16,596
Total 100.0% 100.0% 100.0% 100.0% 100.0%
   Inpatient hospital 37.8 33.1 31.4 29.4 22.2
   Medical/outpatient 37.2 38.5 33.5 27.9 17.4
   Nursing home care 4.3 7.9 14.0 21.8 45.5
   Skilled Nursing Facility/Home health care 2.3 4.3 7.0 9.4 9.2
   Prescription drugs 13.3 12.0 10.7 8.8 4.0
   Other 5.2 4.2 3.3 2.7 1.8

Income level

Lowest fifth Second fifth Third fifth Fourth fifth Highest fifth
Average expenditure $11,672 $9,405 $9,411 $8,146 $8,052
Total 100.0% 100.0% 100.0% 100.0% 100.0%
   Inpatient hospital 27.6 31.9 33.8 33.1 28.0
   Medical/outpatient 24.0 29.0 32.1 34.3 39.2
   Nursing home care 32.8 19.0 15.7 11.0 9.0
   Skilled Nursing Facility/ Home health care 7.3 8.5 6.1 4.6 4.4
   Prescription drugs 6.7 9.1 9.4 12.2 12.9
   Other 1.5 2.5 3.0 4.9 6.6
Note:  Data include both out-of-pocket expenditures and expenditures covered by insurance.
          "Other" expenditures consist of dental and hospice expenses.
Reference population:  These data refer to Medicare beneficiaries.
Source:  Medicare Current Beneficiary Survey.

 


Indicator 28 Access to Health Care

TABLE 28A  PERCENTAGE OF MEDICARE BENEFICIARIES AGE 65 OR OLDER WHO REPORTED PROBLEMS WITH ACCESS TO HEALTH CARE, 1992 TO 1998
1992 1993 1994 1995 1996 1997 1998
Percent reporting difficulty obtaining care 3.1 2.6 2.6 2.6 2.3 2.4 2.4
Percent reporting they delayed getting care due to cost 9.8 9.1 7.6 6.8 5.5 4.8 4.4
Reference population:  These data refer to noninstitutional Medicare beneficiaries.
Source:  Medicare Current Beneficiary Survey.

 

TABLE 28B  ACCESS TO AND SATISFACTION WITH HEALTH CARE AMONG MEDICARE BENEFICIARIES AGE 65 OR OLDER, BY AGE GROUP AND RACE AND HISPANIC ORIGIN, 1998
  Age group
Total 65 - 74 75 - 84 85+
Percent reporting difficulty obtaining care 2.4 2.4 2.4 2.6
Percent reporting they delayed getting care due to cost 4.4 5.3 3.5 2.4
Percent reporting they were unsatisfied or very unsatisfied with health care 3.1 3.0 3.3 3.4
  Race  
  Non-Hispanic Non-Hispanic Hispanic
Total White Black
Percent reporting difficulty obtaining care 2.4 2.3 3.8 2.4
Percent reporting they delayed getting care due to cost 4.4 4.1 6.4 4.5
Percent reporting they were unsatisfied or very unsatisfied with health care 3.1 3.1 2.4 5.0
Reference population:  These data refer to noninstitutional Medicare beneficiaries.
Source:  Medicare Current Beneficiary Survey.

 


Indicator 30 Nursing Home Utilization

TABLE 30A:  RATE OF NURSING HOME RESIDENCE AMONG PERSONS AGE 65 OR OLDER, BY SEX AND AGE GROUP, 1985, 1995, 1997, AND 1999 (PER 1,000)
1985 1995 1997 1999
TOTAL
65 OR OLDER 54.0 45.9 45.3 43.3
65 TO 74 12.5 10.1 10.8 10.8
75 TO 84 57.7 45.9 45.5 43.0
85 OR OLDER 220.3 198.6 192.0 182.5
MEN
65 OR OLDER 38.8 32.8 32.0 30.6
65 TO 74 10.8 9.5 9.8 10.3
75 TO 84 43.0 33.3 34.6 30.8
85 OR OLDER 145.7 130.8 119.0 116.5
WOMEN
65 OR OLDER 61.5 52.3 51.9 49.8
65 TO 74 13.8 10.6 11.6 11.2
75 TO 84 66.4 53.9 52.7 51.2
85 OR OLDER 250.1 224.9 221.6 210.5
Note: Rates for 65 or older category are age-adjusted using the 2000 standard population. In 1997 population, figures are adjusted for net underenumeration using the 1990 National Population Adjustment Matrix from the U.S. Census Bureau.
Reference population: These data refer to the resident population. Persons residing in personal care or domiciliary care homes are excluded.
Source: National Nursing Home Survey.

 

TABLE 30B:  NUMBER OF NURSING HOME RESIDENTS AGE 65 OR OLDER, BY SEX AND AGE GROUP, 1985, 1995, 1997, AND 1999 IN THOUSANDS
1985 1995 1997 1999
TOTAL
65 OR OLDER 1,318 1,423 1,465 1,469
65 TO 74 212 190 198 195
75 TO 84 509 512 528 518
85 OR OLDER 597 720 738 757
MEN
65 OR OLDER 334 357 372 378
65 TO 74 81 79 81 84
75 TO 84 141 144 159 150
85 OR OLDER 113 133 132 144
WOMEN
65 OR OLDER 984 1,066 1,093 1,092
65 TO 74 132 111 118 111
75 TO 84 368 368 369 368
85 OR OLDER 485 587 606 613
Reference population: These data refer to the population residing in nursing homes. Persons residing in personal care or domiciliary care homes are excluded.
Source: National Nursing Home Survey.

 

TABLE 30C:  PERCENTAGE OF NURSING HOME RESIDENTS AGE 65 OR OLDER WHO ARE INCONTINENT AND DEPENDENT IN MOBILITY AND EATING, BY AGE GROUP AND SEX, 1985, 1995 AND 1999
AGE and SEX DEPENDENT MOBILITY INCONTINENT

DEPENDENT EATING

DEPENDENT MOBILITY, EATING, AND INCONTINENT
  1985 1995 1999 1985 1995 1999 1985 1995 1999 1985 1995 1999
TOTAL
65 OR OLDER
age adjusted
75.7 79.0 80.3 55.0 63.8 65.7 40.9 44.9 47.3 32.5 36.5 36.9
65 TO 74 61.2 73.0 73.9 42.9 61.9 58.5 33.5 43.8 43.1 25.7 35.8 31.7
75 TO 84 70.5 76.5 77.8 55.1 62.5 64.2 39.4 45.2 46.6 30.6 35.3 35.4
85 OR OLDER 83.3 82.4 83.8 58.1 65.3 65.3 43.9 45.0 49.0 35.6 37.5 39.4
MEN
65 OR OLDER
age adjusted
71.2 76.6 76.6 54.2 63.8 66.6 36.0 42.1 45.2 28.0 34.3 35.0
65 TO 74 55.8 70.6 70.5 38.8 63.4 59.6 32.8 44.2 45.0 24.1 36.9 34.8
75 TO 84 65.7 76.6 76.9 54.4 64.6 68.9 32.6 44.1 44.7 25.5 35.5 35.2
85 OR OLDER 79.2 78.2 78.1 58.1 63.4 66.8 39.2 40.2 45.7 30.9 32.7 34.9
WOMEN
65 OR OLDER
age adjusted
77.3 79.7 81.5 55.4 63.6 65.0 42.4 45.6 47.8 33.9 36.9 37.2
65 TO 74 64.5 74.8 76.4 45.4 60.9 57.7 34.0 43.6 41.6 26.7 35.0 29.3
75 TO 84 72.3 76.5 78.2 55.3 61.7 62.2 42.0 45.7 47.4 32.6 35.2 35.6
85 OR OLDER 84.3 83.3 85.2 58.1 65.7 69.0 45.0 46.0 49.7 36.7 38.6 40.4
Note: Residents dependent in mobility and eating require the assistance of a person or special equipment. Residents who are incontinent have difficulty in controlling bowels and/or bladder or have an ostomy or indwelling catheter. Rates for the 65 or older category are age-adjusted using the 1995 National Nursing Home Survey population.
Reference population: These data refer to the population residing in nursing homes. Persons residing in personal care or domiciliary care homes are excluded.
Source: National Nursing Home Survey.

See also: Excel spreadsheet version of these tables


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