title: Patterns of health care and disability for Medicare beneficiaries under 65.
abstract: Disabled people under age 65 are a vulnerable and growing segment of the Medicare population, yet Medicare reform has focused on the needs of the aged. This study linked the Medicare Current Beneficiary Survey to Social Security Administration records to analyze patterns of health care for disabled beneficiaries by reason for disability. We found substantial variation in average health care costs by type of service, including prescription drugs, and in sources of payment. Rates of institutionalization were high among some disability categories and there was heavy reliance on Medicaid and other public programs for payment. It is essential that the special needs of the disabled not be overlooked as policymakers consider fundamental modifications to Medicare and Medicaid.
authors.affiliation: Office of Research, Development, and Information, Centers for Medicare and Medicaid Services, Baltimore, MD 21244, USA.
authors.forename: Gerald F
authors.initials: GF
authors.lastname: Riley
authors.forename: James D
authors.initials: JD
authors.lastname: Lubitz
authors.forename: Nancy
authors.initials: N
authors.lastname: Zhang
mesh_terms: D000328:Adult; D002648:Child; D006233:Persons with Disabilities / Q000145:classification / Q000706:statistics & numerical data*; D011307:Drug Prescriptions / Q000191:economics; D005382:Financing, Personal / Q000706:statistics & numerical data; D017048:Health Care Costs / Q000706:statistics & numerical data; D018166:Health Care Reform; D006296:Health Services / Q000145:classification / Q000191:economics / Q000706:statistics & numerical data*; D006801:Humans; D008607:Intellectual Disability / Q000453:epidemiology; D008137:Longitudinal Studies; D008484:Medicaid / Q000706:statistics & numerical data; D006278:Medicare / Q000706:statistics & numerical data*; D001523:Mental Disorders / Q000453:epidemiology; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000453:epidemiology; D011050:Policy Making; D012943:Social Security / Q000706:statistics & numerical data; D014481:United States / Q000453:epidemiology; D014600:Utilization Review