Table 2. Distribution of Average Medicare Expenses1, by Type of Service: Pooled Data, 1991-1994.
| Type of Service | Total | Non-Institutionalized | Institutionalized | ||||
|---|---|---|---|---|---|---|---|
|
| |||||||
| All | 0 ADL | 1-2 ADLs | 3-4 ADLs | 5-6 ADLs | |||
| Medicare | |||||||
| N (Unweighted) | 32,228 | 30,269 | 18,507 | 7,278 | 2,734 | 1,750 | 1,959 |
| Average Medicare Expenses | $5,186 | $5,153 | $3,604 | $6,763 | $9,131 | $13,557 | $5,960 |
| Percent | |||||||
| Inpatient Hospital | 54.1 | 54.4 | 54.8 | 56.4 | 54.0 | 48.3 | 47.4 |
| Physician | 27.3 | 27.1 | 31.2 | 25.8 | 22.3 | 19.5 | 31.5 |
| Outpatient Hospital | 7.5 | 7.2 | 8.7 | 6.4 | 6.1 | 4.4 | 12.8 |
| Home Health | 7.7 | 8.1 | 3.2 | 7.6 | 14.0 | 22.5 | 0.0 |
| Skilled Nursing Facility | 3.4 | 3.1 | 2.0 | 3.8 | 3.6 | 5.4 | 8.3 |
| Cost Factor | 1.0 | 1.0 | 0.7 | 1.3 | 1.8 | 2.6 | 1.1 |
| Dually Eligible | |||||||
| N (Unweighted) | 5,471 | 4,383 | 2,048 | 1,236 | 586 | 513 | 1,088 |
| Average Medicare Expenses | $7,152 | $7,408 | $4,756 | $7,253 | $10,178 | $16,139 | $5,987 |
| Percent | |||||||
| Inpatient Hospital | 50.4 | 51.0 | 53.5 | 53.1 | 50.0 | 45.8 | 47.1 |
| Physician | 25.6 | 24.6 | 29.0 | 25.1 | 22.3 | 20.3 | 31.0 |
| Outpatient Hospital | 8.5 | 7.5 | 9.4 | 7.2 | 8.0 | 5.0 | 13.7 |
| Home Health | 11.2 | 13.1 | 5.6 | 11.3 | 15.9 | 23.1 | 0.0 |
| Skilled Nursing Facility | 4.4 | 3.8 | 2.5 | 3.4 | 3.8 | 5.7 | 8.1 |
| Cost Factor | 1.4 | 1.4 | 0.9 | 1.4 | 2.0 | 3.1 | 1.2 |
1
Expenses are expressed in 1996 dollars and exclude hospice services.
NOTES: ADL is activity of daily living. ADL status was measured in the base years. Cost factor is average Medicare expenses for a specific group divided by the mean Medicare expenses for all persons in the study sample ($5,186).
SOURCE: Medicare Current Beneficiary Survey, 1991-1994.