Table 1. Medicare Home Health Care Use, by Characteristics of Enrollees: Fiscal Years 1997 and 1999.
| Characteristic | Home Health Users as a Percent of Enrollees | Number of Visits per User | Number of Visits per Enrollee | ||||||
|---|---|---|---|---|---|---|---|---|---|
|
|
|
|
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| 1997 | 1999 | Percent Change | 1997 | 1999 | Percent Change | 1997 | 1999 | Percent Change | |
| Total | 10.1 | 8.0 | -21 | 79 | 46 | -41 | 8.0 | 3.7 | -54 |
| Age | |||||||||
| Under 65 Years | 5.6 | 4.5 | -20 | 87 | 56 | -35 | 4.9 | 2.5 | -48 |
| 65-74 Years | 5.9 | 4.8 | -20 | 68 | 42 | -39 | 4.1 | 2.0 | -51 |
| 75-84 Years | 13.3 | 10.2 | -23 | 76 | 44 | -42 | 10.1 | 4.5 | -55 |
| 85 Years or Over | 22.2 | 17.2 | -22 | 91 | 50 | -45 | 20.3 | 8.6 | -58 |
| Sex | |||||||||
| Female | 11.5 | 9.1 | -21 | 82 | 47 | -43 | 9.4 | 4.3 | -55 |
| Male | 8.2 | 6.5 | -21 | 74 | 45 | -39 | 6.0 | 2.9 | -52 |
| Age and Sex | |||||||||
| Under 65 Years, Female | 6.6 | 5.3 | -20 | 89 | 55 | -39 | 5.9 | 2.9 | -51 |
| Under 65 Years, Male | 4.8 | 3.8 | -19 | 85 | 58 | -32 | 4.1 | 2.2 | -45 |
| 65-74 Years, Female | 6.5 | 5.2 | -19 | 73 | 43 | -41 | 4.7 | 2.2 | -53 |
| 65-74 Years, Male | 5.2 | 4.2 | -20 | 62 | 40 | -35 | 3.3 | 1.7 | 48 |
| 75-84 Years, Female | 14.4 | 11.0 | -24 | 79 | 45 | -43 | 11.3 | 5.0 | -56 |
| 75-84 Years, Male | 11.5 | 9.1 | -21 | 71 | 42 | -41 | 8.1 | 3.8 | -53 |
| 85 Years or Over, Female | 22.4 | 17.7 | -21 | 92 | 50 | -46 | 20.6 | 8.8 | -57 |
| 85 Years or Over, Male | 21.6 | 16.2 | -25 | 90 | 50 | -45 | 19.4 | 8.0 | -59 |
| Medicaid Enrolled | |||||||||
| Yes | 15.3 | 11.4 | -25 | 102 | 58 | -43 | 15.6 | 6.7 | -57 |
| No | 9.2 | 7.3 | -20 | 72 | 43 | -41 | 6.6 | 3.1 | -53 |
| Urban/Rural Location | |||||||||
| Rural | 10.4 | 7.7 | -26 | 85 | 49 | -42 | 8.8 | 3.8 | -57 |
| Urban | 10.0 | 8.1 | -19 | 76 | 45 | -41 | 7.7 | 3.7 | -52 |
| Spending per Enrollee in 1996 | |||||||||
| Lowest One-Third of States | 8.2 | 6.9 | -15 | 51 | 34 | -33 | 4.2 | 2.4 | -43 |
| Middle One-Third of States | 9.9 | 8.0 | -19 | 59 | 38 | -36 | 5.8 | 3.0 | -48 |
| Highest One-Third of States | 12.0 | 8.9 | -26 | 114 | 63 | -45 | 13.8 | 5.6 | -59 |
| Historic Growth in Spending | |||||||||
| Lowest One-Third of States | 10.1 | 8.2 | -19 | 67 | 42 | -36 | 6.7 | 3.5 | -48 |
| Middle One-Third of States | 9.6 | 7.8 | -19 | 65 | 40 | -39 | 6.3 | 3.1 | -50 |
| Highest One-Third of States | 11.1 | 8.2 | -26 | 114 | 62 | -46 | 12.7 | 5.1 | -60 |
| Census Region | |||||||||
| New England | 12.9 | 10.9 | -16 | 90 | 54 | -40 | 11.7 | 5.9 | -49 |
| Middle Atlantic | 9.7 | 9.0 | -8 | 53 | 37 | -31 | 5.1 | 3.3 | -36 |
| South Atlantic | 10.1 | 8.1 | -20 | 73 | 44 | -39 | 7.3 | 3.6 | -51 |
| East North Central | 9.1 | 7.1 | -21 | 58 | 38 | -35 | 5.3 | 2.7 | -49 |
| East South Central | 12.6 | 8.6 | -31 | 117 | 69 | -41 | 14.7 | 6.0 | -59 |
| West North Central | 8.3 | 6.4 | -23 | 55 | 34 | -38 | 4.6 | 2.2 | -52 |
| West South Central | 12.4 | 8.7 | -30 | 147 | 78 | -47 | 18.2 | 6.8 | -63 |
| Mountain | 8.3 | 6.4 | -23 | 77 | 40 | -48 | 6.4 | 2.6 | -60 |
| Pacific | 9.2 | 7.3 | -21 | 48 | 29 | -39 | 4.4 | 2.1 | -52 |
NOTES: Medicare expenditures used to group States are from Medicare Home Health Agency National State Summary, dated May 26, 2000, and the enrollment data are from the Health Care Financing Administration Web site http://cms.hhs.gov/statistics/enrollment/stenrtrend95_98.asp. Historic growth is based on the percentage change in spending per enrollee between 1990 and 1994.
SOURCE: Komisar, H. L., Georgetown University, 2002.