| 2019 Total Medicare beneficiary counts* [a1a] | 64430729 | ||||||||||||||||||||||
| Coverage*** | |||||||||||||||||||||||
| Full or nearly full fee-for-service (FFS) | 31860990 | ||||||||||||||||||||||
| Non-FFS | 32569739 | ||||||||||||||||||||||
| Table E.1 Number of Medicare Beneficiaries* by Chronic Condition** and Assessment Type, 2010–2019 | |||||||||||||||||||||||
| 👇sort by | |||||||||||||||||||||||
| 2019 Chronic Condition | OASIS▲ | MDS‡ | IRF-PAI# | Swing Bed^ | At least one | n {all bene} | |||||||||||||||||
| All Assessments for Medicare Beneficiaries | 4930656 | 3513392 | 421053 | 13746 | 7019063 | 64430729 | |||||||||||||||||
| Hypertension | 2975336 | 2132490 | 325552 | 11191 | 4219658 | 20668844 | |||||||||||||||||
| Hyperlipidemia | 2282366 | 1501494 | 274027 | 8348 | 3082389 | 17198553 | |||||||||||||||||
| Rheumatoid Arthritis / Osteoarthritis | 2071620 | 1354187 | 218856 | 8133 | 2798180 | 12397247 | |||||||||||||||||
| Chronic Kidney Disease | 1955863 | 1483936 | 225784 | 7679 | 2785178 | 9538759 | |||||||||||||||||
| Anemia | 1899608 | 1524188 | 245924 | 7873 | 2741855 | 8015345 | |||||||||||||||||
| Ischemic Heart Disease | 1867711 | 1355121 | 211550 | 7160 | 2618595 | 10181642 | |||||||||||||||||
| Diabetes | 1600978 | 1183705 | 175441 | 5625 | 2299028 | 10493681 | |||||||||||||||||
| Heart Failure | 1488777 | 1202616 | 163993 | 6652 | 2156857 | 5412873 | |||||||||||||||||
| Depression | 1396045 | 1279692 | 175384 | 5118 | 2157802 | 6994263 | |||||||||||||||||
| Alzheimer’s disease, related disorders, or senile dementia | 1248551 | 1550290 | 124395 | 4636 | 2298438 | 4218595 | |||||||||||||||||
| Chronic Obstructive Pulmonary Disease | 1041518 | 754504 | 113188 | 5291 | 1441186 | 4127934 | |||||||||||||||||
| Acquired hypothyroidism | 915365 | 687909 | 100380 | 3776 | 1304264 | 5651288 | |||||||||||||||||
| Atrial fibrillation | 713317 | 548180 | 95648 | 3106 | 985101 | 2965235 | |||||||||||||||||
| Benign prostatic hyperplasia | 505355 | 362816 | 72282 | 1979 | 694248 | 2795631 | |||||||||||||||||
| Osteoporosis | 503585 | 340444 | 59171 | 1824 | 662266 | 2430101 | |||||||||||||||||
| Cataract | 441021 | 376501 | 47134 | 1527 | 694975 | 5990634 | |||||||||||||||||
| Alzheimer's disease | 406271 | 585548 | 25800 | 1261 | 838139 | 1474982 | |||||||||||||||||
| Stroke / Transient Ischemic Attack | 404420 | 380614 | 109310 | 1522 | 633779 | 1354914 | |||||||||||||||||
| Asthma | 357758 | 194435 | 38702 | 1133 | 441803 | 1812962 | |||||||||||||||||
| Glaucoma | 311462 | 193800 | 30799 | 833 | 422487 | 3264979 | |||||||||||||||||
| Cancer, Female Breast | 175891 | 111438 | 18762 | 703 | 227473 | 1161635 | |||||||||||||||||
| Hip / Pelvic Fracture | 148241 | 175101 | 38501 | 1316 | 222103 | 252740 | |||||||||||||||||
| Cancer, Prostate | 146477 | 93889 | 19793 | 591 | 193858 | 1167241 | |||||||||||||||||
| Acute myocardial infarction | 118629 | 87787 | 20173 | 628 | 158857 | 339957 | |||||||||||||||||
| Cancer, Lung | 101168 | 64130 | 10753 | 390 | 133403 | 406829 | |||||||||||||||||
| Cancer, Colorectal | 99495 | 67677 | 11200 | 489 | 132464 | 432047 | |||||||||||||||||
| Cancer, Endometrial | 28150 | 18726 | 3229 | 100 | 36320 | 136623 | |||||||||||||||||
| * Includes all Medicare beneficiaries who were eligible for or enrolled in Medicare on or after January 1, YYYY. | |||||||||||||||||||||||
| ** Chronic conditions have a one- to three-year look-back time period (reference period). Refer to the Chronic Conditions Warehouse (CCW) website for more information, including the algorithms, for these Condition Categories. | |||||||||||||||||||||||
| † In any given year the CCW team may count a beneficiary in more than one Assessment Type category. The Center for Medicare and Medicaid Services (CMS) team may also count a beneficiary in more than one chronic condition category. | |||||||||||||||||||||||
| ‡ MDS = Minimum Data Set: Assessment data collected by nursing homes. | |||||||||||||||||||||||
| ▲ OASIS = Outcome and Assessment Information Set: Assessment data collected by home health agencies. | |||||||||||||||||||||||
| # IRF-PAI = Inpatient Rehabilitation Facility Patient Assessment Instrument: Assessment data collected by inpatient rehabilitation facilities. | |||||||||||||||||||||||
| ^ Swing bed = Assessment data collected by swing bed facilities. | |||||||||||||||||||||||
| NOTE: The n for each condition category considers fee-for-service (FFS) administrative claims only. The beneficiaries included in these counts may have any combination of Medicare coverage, including full or partial FFS and/or health maintenance organization (HMO) coverage. The application of coverage restrictions/criteria will impact the size of these samples. | |||||||||||||||||||||||
| *** Full or nearly FFS indicates the beneficiary had 11 or 12 months of both Part A and Part B FFS coverage, or for persons who died during the year, from January 1 until date of death. Non-FFS indicates the beneficiary had less than 11 months of Part A and Part B FFS coverage and includes people with one month or more of health maintenance organization (HMO) coverage. Some FFS beneficiaries are participants in case or disease management demonstration projects (effective 2005 forward). The Chronic Conditions Warehouse (CCW) team does not consider these beneficiaries to have HMO coverage during these months. | |||||||||||||||||||||||