Research Findings # 0

Table 7. Home health services^a: median and mean expenditures per person with expense and distribution of expenditures by source of payment, U.S., 1997

Annual total expense per person with expense

|
|
|
|

Percent distribution of total expenses by source of payment

Population characteristic

Total population (in thousands)

Percent with expense

Median

Mean

|
|
|
|

Total expenses (in millions)

Out of Pocket

Private Insurance^b

Medicare

Medicaid

Other public programs^c

Other^d

Total

271,279

2.4

$1,676

$4,552

|

$29,210

15.5

6.6

50.2

22.3

4.4

0.9*

|

Age in years

|

Under 65

237,093

1.0

1,082

3,599

|

8,477

11.3*

18.5

13.7

49.5

6.0*

1.0*

Under 6

23,791

1.0

--

|

--

6-17

48,127

0.3

--

|

--

18-44

108,879

0.8

--

|

--

45-64

56,295

1.9

1,374

3,705

|

3,950

18.2*

12.8

24.8

36.7

6.4*

1.2*

65 and over

34,185

11.9

2,323

5,104

|

20,732

17.3

1.7*

65.2

11.1

3.8

0.9*

|

Sex

|

Male

132,605

1.8

1,422

4,011

|

9,371

18.0*

6.2*

54.8

15.4*

5.4*

0.2*

Female

138,673

2.9

1,949

4,861

|

19,839

14.4

6.8*

48.1

25.5

4.0*

1.3*

|

Race/ethnicity

|

White and other

206,082

2.5

1,572

4,208

|

22,022

18.1

7.7*

48.7

20

4.6*

0.9*

Black

34,086

2.2

2,085*

5,789

|

4,330

4.5*

0.7*

60.3

29.2

4.7*

0.7*

Hispanic

31,111

1.4

3,419

6,558

|

2,857

12.8*

7.0*

46.8

29.1

2.9*

1.5*

|

Health insurance status^e,f

|
|
|

Under age 65:

|

Any private

173,962

0.8

852

2,577

|

3,525

25.7*

44.4

16.0*

10.2*

3.3*

0.5*

Public only

29,828

3.0

2,353

5,412

|

4,819

0.7*

0.1*

12.4*

79.6

6.2*

1.0*

Uninsured

33,304

0.3*

--

|

--

Age 65 and over:

|
|

Medicare only

8,550

11.7

2,041

5,090

|

5,081

20.7

0.0

74.3

0.0

3.0*

2.0*

Medicare and private

21,690

10.0

1,518

4,313

|
|

9,364

26.1

3.7*

67.2

1.0*

2

0.0

Medicare and other public

3,486

25.4

4,179

7,078

|
|

6,278

1.4*

0.0

54.9

35.2

7.1

1.4*

|

Poverty status^g

|
|

Poor

36,415

4.0

2,577

5,326

|

7,850

4.8*

2.9*

41

46.1

3.7

1.6*

Near-poor

12,233

4.5

--

|

--

Low income

38,723

3.2

2,825

5,364

|

6,713

10.8*

2.6*

70.1

10.4

5.4*

0.7*

Middle income

89,981

2.1

1,196

4,076

|

7,707

14.3

11.7*

52

15.4*

6.2*

0.4*

High income

93,926

1.3

893

3,576

|

4,468

46.4

13.1*

31.9

7.0*

1.2*

0.5*

|

Metropolitan statistical area (MSA)^e

|
|
|

MSA

215,782

2.0

1,401

4,685

|

19,769

19.5

8.5

41.5

24.7

4.9

0.7

Non-MSA

52,621

2.7

1,959

4,434

|

6,322

6.2*

2.1*

70.6

16.3

3.6

1.2*

|

Census Region

|
|

Northeast

52,394

2.5

1,896

5,051

|

6,695

11.7*

4.9*

40.9

38.9

2.4

1.2*

Midwest

63,090

2.4

1,267

3,381

|

5,104

6.1

3.4*

59.9

23.0*

7.1

0.5*

South

94,929

2.5

1,871

4,832

|

11,586

22.0*

5.3*

54.1

14.6

3.0*

1.0*

West

60,865

1.9

1,911*

4,916

|

5,825

15.5

14.0*

44.8

17.8*

7.2*

0.8*

|

Perceived health status^e

|
|

Under 65 years

|
|

Excellent, very good , or good

217,904

0.5

880

3,027

|
|

3,536

7.1*

29.7*

4.1*

49.4

8.9*

0.7*

Fair or Poor

18,876

6.0

1,491

4,164

|

4,721

12.0*

9.4*

21.4

51.8

4.1*

1.3*

65 years and over

|
|

Excellent, very good , or good

24,864

6.4

1,565

4,231

|
|

6,707

14.2

2.1*

61.7

14.9*

5.0*

2.0*

Fair or Poor

8,890

26.8

2,840

5,824

|

13,865

18.9

1.5*

66.6

9.4

3.2

0.4*

^aExpenses for care provided by home health agencies and independent home health providers are included. Most home health expenses (82.5%) were from agency providers.

^bPrivate insurance includes CHAMPUS and CHAMPVA (Armed-Forces-related coverage).

^cOther public programs include Department of Veterans Affairs (except CHAMPVA); other Federal sources (Indian Health Service, military treatment facilities, and other care provided by the Federal Government); other State and local sources (community and neighborhood clinics, State and local health departments, and State programs other than Medicaid); and other public (Medicaid payments reported for persons who were not enrolled in the Medicaid program at any time during the year).

^dOther includes Worker's Compensation; other unclassified sources (e.g., automobile, homeowner's, liability, and other miscellaneous or unknown sources); and other private insurance (any type of private insurance payments reported for persons without private health insurance coverage during the year, as defined in MEPS).

^eNumber of persons and amount of expenses do not add to overall total because data on this variable were not available for some sample persons.

^fUninsured refers to persons uninsured during the entire year. Public and private health insurance categories refer to individuals with public or private insurance at any time during the period; individuals with both public and private insurance and those with CHAMPUS or CHAMPVA (Armed-Forces-related coverage) are classified as having insurance.

^gPoor refers to incomes below the Federal poverty line; near poor, over the poverty line through 125 percent of the poverty line; low income, over 125 percent through 200 percent of the poverty line; middle income, over 200 percent to 400 percent of the poverty line; and high income, over 400 percent of the poverty line.

-- Less than 100 sample cases with expenses.

*Relative standard error equal to or greater than 30 percent.

Note: These estimates are for a target population of approximately 271.3 million persons who were in the civilian noninstitutionalized population for all or part of 1997. Percents may not add to 100 because of rounding.

Source: Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality: Medical Expenditure Panel Survey, 1997.

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