Table 3.

Health and Healthcare Utilization of Medicare Fee-For-Service Beneficiaries in Assisted Living Facilities Compared to Community-Dwelling and Long-Stay Nursing Home Residents in 2008

	Community-Dwelling Medicare FFS Beneficiaries	Medicare FFS Beneficiaries Residing in Validated ALF ZIP Codes	Medicare FFS Long-Stay NH Residents
N	33,025,690	434,239	1,287,572
Demographic Characteristics
Age 0–64	31.64	7.65	9.32
Age 65–74	39.51	11.42	12.98
Age 75–84	20.76	28.56	29.73
Age 85+	8.09	52.37	47.98
Female	52.73	69.25	69.14
White	82.79	93.00	83.52
Black	9.69	4.75	12.06
Dually-Eligible for Medicaid	11.85	30.94	73.17
Healthcare Utilization
Any Hospitalization	9.35	36.29	48.56
Any NH Stay	0.01	34.37	100.00
Chronic Conditions
At Least 3 Chronic Conditions*	35.47	81.99	92.61
At Least 6 Chronic Conditions*	9.59	46.62	64.12
Alzheimer’s/Related or Senile Dementia	3.53	38.92	73.00
Heart Attack/Acute Myocardial Infarction	0.44	1.77	2.26
Heart Failure	6.61	34.46	47.64
Chronic Obstructive Pulmonary Disease	5.47	18.40	23.95
Depression	6.11	26.89	40.83
Diabetes	15.59	28.41	40.55
Glaucoma	6.84	13.04	7.98
Stroke/Transient Ischemic Attack	1.72	9.37	18.03

Note.

^*Number of conditions present out of the 26 reported in the Chronic Conditions Data Warehouse.

Samples include Medicare Fee-For-Service (FFS) Beneficiaries without any Medicare Advantage coverage in 2008.

Community-Dwelling Population identified as having no nursing home, hospital, or emergency room utilization in prior year (2007).

Assisted Living Facility Residents defined as having a validated ALF 9-digit ZIP code.

Long-Stay Nursing Home Residents are defined as having a length of stay in a nursing home for more than 90 days at any point during 2008.