California Health Care Almanac | Medicare Facts and Figures

35 Pages·2010·2.07 MB·English

california
CALIFORNIA
HEALTHCARE
Health Care Almanac
FOUNDATION
Medicare Facts and Figures
January 2010
Medicare Facts and Figures
Introduction
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California has the largest number of Medicare beneficiaries of any state — 4.5 million contents
enrollees — and as the population ages the percentage of Californians covered by overview .................................3
Medicare will continue to rise. it is projected that by 2030, California’s entire elderly enrollment and Population ...............7
population — those 65 and over — will be more than double what it was in 2000. demographics .......................... 12
Coverage ............................... 15
this profile provides a factual framework to help consumer advocates, health care
spending and utilization ............... 18
providers, and policymakers better understand California’s Medicare population and
Health status ........................... 29
inform their efforts to design programs and policies that meet beneficiaries’ needs.
Quality ................................. 32
Key findings include: appendix ............................... 34
• Medicare reimbursement for care delivered to California beneficiaries is higher data sources ........................... 35
than the national average — about $600 more per beneficiary in 2006.
• in 2004 and 2005, total annual medical payments per Medicare beneficiary
in California averaged $11,326, of which $1,330 (11 percent) came out of the
beneficiaries’ own pockets.
• a large percentage of Medicare beneficiaries suffer from multiple chronic illnesses.
in 2005, 79 percent reported having two or more chronic conditions, and 37 percent
reported four or more.
data in this presentation are drawn from the most recent national and state-level sources
available. a full list of sources can be found on page 35.
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Medicare Facts and Figures
overview
Projected Population, Elderly vs. Non-Elderly,
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California, 2000 and 2030
California’s elderly
PoPulation (in Millions) population (those age
 Elderly (65+) 65 and older) is expected
 Non-elderly (<65)
50000000 to more than double
46.5
between 2000 and 2030.
8.3 —18%

40000000
33.9
38.2
3.6
—11%
30000000
30.3
20000000
10000000
0
2000 2030 Projection
source: u.s. Census Bureau, interim state Population Projections, 2005, table 4: interim Projections: Change in total Population and Population 65 and older, by state: 2000 to 2030.
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Medicare Facts and Figures
overview
Projected Population Growth, Elderly vs. Non-Elderly,
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California vs. the United States, 2000 to 2030
California’s elderly
population is projected
 California
to grow much faster than
 United States
the national rate. Between
26% 2000 and 2030, the number
Non-elderly of Californians 65 and older
(<65)
is expected to increase
19%
by 131 percent, compared
to 104 percent for the
united states as a whole.
131%
Elderly
(65+)
104%
0 20 40 60 80 100 120 140
source: u.s. Census Bureau, interim state Population Projections, 2005, table 4: interim Projections: Change in total Population and Population 65 and older, by state: 2000 to 2030.
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Medicare Facts and Figures
overview
Elderly Population Growth, by Region,
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California, 1990 to 2008
from 1990 to 2008, nearly
all of California’s regions
PerCentage CHange
experienced a significant
total
PoPulation age 65+ age 85+
jump in the size of their
California Overall 23% 31% 107%
elderly population,
greater Bay area 16% 29% 101%
particularly among seniors
sacramento area 39% 54% 158%
85 and older.
san Joaquin Valley 37% 29% 108%
inland empire 56% 47% 157%
san diego area 21% 25% 120%
los angeles County 11% 23% 85%
orange County 25% 55% 107%
note: data for all counties are provided in the appendix.
sources: u.s. Census Bureau, Population estimates for Counties by age group (Co-99-13): July 1, 1990 and annual estimates of the resident Population by selected age groups and sex for Counties:
april 1, 2000 to July 1, 2008.
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Medicare Facts and Figures
overview
Elderly Population Growth, by County,
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1990 to 2008
among California counties,
the median growth rate
AGE 65 TO 84 AGE 85 AND OLDER
for people 85 and older
was 114 percent from
Growth
1990 to 2008, compared
 Above Median
 Median and Below
to 21 percent for younger
seniors.
source: u.s. Census Bureau, Population estimates for Counties by age group (Co-99-13): July 1, 1990 and annual estimates of the resident Population by selected age groups and sex for Counties: april 1,
2000 to July 1, 2008.
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Medicare Facts and Figures
enrollment and Population
Enrollment in Medicare,
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California vs. Selected States, 2008
fifteen percent of the u.s.
PoPulation (in Millions) population, or 44.8 million
 Medicare
individuals, are enrolled in
40000000  Non-Medicare
36.8
Medicare. While California
35000000 4.5 —12% has the largest number of
Medicare beneficiaries in the
32.3
30000000
nation at 4.5 million, they
24.3
25000000
make up a comparatively
2.8
—11%
19.5
18.3 small percentage of the
20000000 21.5
2.9
—15%
3.2 —17% state’s total population.
15000000 16.6 12.4
15.1
2.2
—18%
10000000
10.2
5000000
0
California Texas New York Florida Pennsylvania
sources: Mathematica Policy research analysis of CMs state/County Market Penetration files, July 2008; and Census Bureau state Population estimates 2000 – 2008 (nst-est2008-01).
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Medicare Facts and Figures
enrollment and Population
Medicare Enrollment as Percent of Population, by County,
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California, 2007
California’s rural counties are
Del
Norte Siskiyou Modoc home to higher percentages
Percentage of Population Enrolled in Medicare
of Medicare enrollees than
Shasta  <11.5% (15 counties)
Lassen
Trinity
Humboldt  11.5% to 13% (12 counties) the state’s urban centers.
Tehama  >13% to 18% (17 counties)
Plumas
of the approximately one
Mendocino Glenn Butte Sierra  >18% (14 counties)
Nevada
Colusa Yuba Placer in four counties that have
Lake
Sutter
Yolo El Dorado
Sonoma Sacra- Alpine more than 18 percent of
Napa
mentoAmador
Solano
Calaveras
Marin Contra San Tuolumne Mono their residents enrolled
Costa Joaquin
San Francisco
Alameda Stanislaus Mariposa
San Mateo Santa in Medicare, most are
Clara Merced
Santa Cruz Madera
Fresno among the least populous
San Inyo
Benito
Tulare
Monterey in the state. By contrast,
Kings
San Luis three of California’s five
Obispo Kern
San Bernardino largest counties have
Santa Barbara
Ventura
Los Angeles
less than 11.5 percent of
Orange Riverside
their population enrolled
San Diego Imperial
in Medicare.
sources: Medicare County enrollment report, 2007; u.s. Census Population estimates, annual estimates of the resident Population by age, sex, race and Hispanic origin for Counties: april 1, 2000 to July 1, 2007;
www.census.gov/popest/counties/asrh/files/cc-est2007-alldata-06.csv.
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Medicare Facts and Figures
enrollment and Population
Medicare Beneficiaries and Reimbursements, by Type,
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California, 2005
While the majority of
Medicare beneficiaries
BENEFICIARIES REIMBURSEMENTS
are eligible because of
ESRD their age, some qualify for
1%
other reasons. in California,
14 percent are disabled.
ESRD
8% those with end-stage renal
Disabled
14%
disease (esrd) represent
Disabled
14%
only 1 percent of the
beneficiary population, but
account for 8 percent of
Elderly Elderly
reimbursement costs.
85% 78%
note: esrd (end-stage renal disease) category comprises elderly beneficiaries with esrd, disabled beneficiaries with esrd, and beneficiaries with esrd who would not otherwise be eligible for Medicare.
source: Medicare Current Beneficiary survey, 2005.
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Medicare Facts and Figures
enrollment and Population
Medicare Beneficiaries, by Eligibility Category,*
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California, 2000 to 2007
from 2000 to 2007, the
PoPulation (in Millions) number of Medicare
 Disabled
beneficiaries in California
5000000  Elderly
increased by 12 percent.
4.4
4.3
4.2
4.1
4.1 Within that population,
4.0
4.0
3.9 0.6
0.6
4000000 0.5 0.6 0.6 disabled beneficiaries
0.5
0.5
0.5
3.8
3.6 3.6 3.6 3.7 grew at a faster rate than
3.4 3.5 3.5
3000000 elderly beneficiaries.
2000000
1000000
0
2000 2001 2002 2003 2004 2005 2006 2007
*does not include beneficiaries with end-stage renal disease (esrd).
source: Annual Statistical Supplement to the Social Security Bulletin (2005 and 2008): table 8.B3a — Hospital insurance and/or supplementary Medical insurance: number of enrollees aged 65 or older, by census
division and state or other area, table 8.B3b — Medicare Part a (Hospital insurance) and/or Part B (supplementary Medical insurance): number of disabled enrollees, by census division and state or other area.
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