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.