Health care spending and service use among high-cost Medicaid beneficiaries, 2002-2004

Inquiry. 2009-2010 Winter;46(4):405-17. doi: 10.5034/inquiryjrnl_46.4.405.

Abstract

Using program administrative data, this paper examines spending and service use patterns for the national Medicaid population between 2002 and 2004, with a focus on high-cost beneficiaries. We observed a high degree of spending persistence. 57.9% of those who were among the top 10% of Medicaid spenders in 2002 remained in the top 10% of spenders in the two subsequent years. We identified two distinct subgroups of high spenders--those with persistently high costs and those with episodically high costs-each with different services driving their costs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Age Distribution
  • Aged
  • Child
  • Child, Preschool
  • Chronic Disease / economics
  • Continental Population Groups / statistics & numerical data
  • Female
  • Health Expenditures / statistics & numerical data*
  • Health Expenditures / trends
  • Health Services / economics*
  • Health Services / statistics & numerical data*
  • Health Services / trends
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Medicaid / economics*
  • Medicaid / statistics & numerical data*
  • Medicaid / trends
  • Middle Aged
  • Sex Distribution
  • United States
  • Young Adult