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. 2023 Jul 25;12(3):e002271. doi: 10.1136/bmjoq-2023-002271

Table 1.

Characteristics of beneficiaries across high-need, high-cost subpopulations

Adults under 65 with disability Older adults with frailty Beneficiaries with major complex chronic conditions
Beneficiaries assigned to primary care clinic (n) 331 371 258 894 263 062
Mean age (SD) 52.4 (9.8) 81.7 (8.5) 79.5 (7.9)
Sex (%)
 Male 48.1 33.1 47.4
 Female 51.9 66.9 52.6
Race (%)
 Non-Hispanic white 67.3 81.7 83.4
 Non-Hispanic black 19.4 9.1 7.5
 Hispanic 9.4 5.8 5.7
 Other 3.9 3.4 3.5
Original reason for entitlement (%)
 Old age and survivor’s insurance 86.4 85.0
 Disability insurance benefits (DIB) 96.4 13.3 14.6
 End-stage renal disease (ESRD) 1.4 0.2 0.2
 Both DIB and ESRD 2.2 0.2 0.2
Region (based on practice location) (%)
 Northeast 18.7 21.3 19.5
 Midwest 19.0 17.1 17.2
 South 45.8 44.8 44.7
 West 15.2 15.7 17.5
Select chronic conditions
 Number of chronic conditions (SD) 3.5 (2.7) 6.8 (3.0) 7.2 (2.5)
 Acute myocardial infarction (%) 0.7 1.8 2.1
 Alzheimer’s disease and related disorders (%) 5.1 45.9 27.1
 Atrial fibrillation (%) 2.8 20.3 33.6
 Chronic kidney disease (%) 19.0 44.4 51.8
 Chronic obstructive pulmonary disease (%) 15.6 25.1 33.2
 Heart failure (%) 12.9 42.1 56.5
 Diabetes (%) 33.8 42.6 46.7
 Ischaemic heart disease (%) 21.8 55.1 80.7
 Depression (%) 36.0 35.3 28.0
 Rheumatoid arthritis/osteoarthritis (%) 33.8 64.4 46.3
 Stroke/transient ischaemic attack (%) 3.7 12.1 10.6
 Asthma (%) 14.7 16.2 21.8
 Hyperlipidaemia (%) 42.9 58.8 72.2
 Hypertension (%) 54.5 83.4 88.0

P values were statistically significant at p<0.001 when comparing across the three subpopulations across all categories.