2019 Total Medicare beneficiary counts* [a1a] |
64430729 |
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Coverage*** |
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Full or
nearly full fee-for-service (FFS) |
31860990 |
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Non-FFS |
32569739 |
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Table E.1 Number of Medicare Beneficiaries* by Chronic Condition** and
Assessment Type, 2010–2019 |
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👇sort by |
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2019
Chronic Condition |
OASIS▲ |
MDS‡ |
IRF-PAI# |
Swing Bed^ |
At least one |
n {all bene} |
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All
Assessments for Medicare Beneficiaries |
4930656 |
3513392 |
421053 |
13746 |
7019063 |
64430729 |
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Hypertension |
2975336 |
2132490 |
325552 |
11191 |
4219658 |
20668844 |
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Hyperlipidemia |
2282366 |
1501494 |
274027 |
8348 |
3082389 |
17198553 |
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Rheumatoid
Arthritis / Osteoarthritis |
2071620 |
1354187 |
218856 |
8133 |
2798180 |
12397247 |
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Chronic
Kidney Disease |
1955863 |
1483936 |
225784 |
7679 |
2785178 |
9538759 |
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Anemia |
1899608 |
1524188 |
245924 |
7873 |
2741855 |
8015345 |
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Ischemic
Heart Disease |
1867711 |
1355121 |
211550 |
7160 |
2618595 |
10181642 |
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Diabetes |
1600978 |
1183705 |
175441 |
5625 |
2299028 |
10493681 |
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Heart
Failure |
1488777 |
1202616 |
163993 |
6652 |
2156857 |
5412873 |
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Depression |
1396045 |
1279692 |
175384 |
5118 |
2157802 |
6994263 |
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Alzheimer’s
disease, related disorders, or senile dementia |
1248551 |
1550290 |
124395 |
4636 |
2298438 |
4218595 |
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Chronic
Obstructive Pulmonary Disease |
1041518 |
754504 |
113188 |
5291 |
1441186 |
4127934 |
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Acquired
hypothyroidism |
915365 |
687909 |
100380 |
3776 |
1304264 |
5651288 |
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Atrial
fibrillation |
713317 |
548180 |
95648 |
3106 |
985101 |
2965235 |
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Benign
prostatic hyperplasia |
505355 |
362816 |
72282 |
1979 |
694248 |
2795631 |
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Osteoporosis |
503585 |
340444 |
59171 |
1824 |
662266 |
2430101 |
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Cataract |
441021 |
376501 |
47134 |
1527 |
694975 |
5990634 |
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Alzheimer's
disease |
406271 |
585548 |
25800 |
1261 |
838139 |
1474982 |
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Stroke /
Transient Ischemic Attack |
404420 |
380614 |
109310 |
1522 |
633779 |
1354914 |
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Asthma |
357758 |
194435 |
38702 |
1133 |
441803 |
1812962 |
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Glaucoma |
311462 |
193800 |
30799 |
833 |
422487 |
3264979 |
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Cancer,
Female Breast |
175891 |
111438 |
18762 |
703 |
227473 |
1161635 |
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Hip /
Pelvic Fracture |
148241 |
175101 |
38501 |
1316 |
222103 |
252740 |
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Cancer,
Prostate |
146477 |
93889 |
19793 |
591 |
193858 |
1167241 |
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Acute
myocardial infarction |
118629 |
87787 |
20173 |
628 |
158857 |
339957 |
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Cancer,
Lung |
101168 |
64130 |
10753 |
390 |
133403 |
406829 |
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Cancer,
Colorectal |
99495 |
67677 |
11200 |
489 |
132464 |
432047 |
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Cancer,
Endometrial |
28150 |
18726 |
3229 |
100 |
36320 |
136623 |
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*
Includes all Medicare beneficiaries who were eligible for or enrolled in
Medicare on or after January 1, YYYY. |
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** 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. |
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†
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. |
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‡
MDS = Minimum Data Set: Assessment data collected by nursing homes. |
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▲ OASIS = Outcome and Assessment
Information Set: Assessment data collected by home health agencies. |
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#
IRF-PAI = Inpatient Rehabilitation Facility Patient Assessment Instrument:
Assessment data collected by inpatient rehabilitation facilities. |
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^ Swing bed = Assessment data
collected by swing bed facilities. |
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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. |
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