Chapter

Disability and Spending Growth

Edited by Michael E. Chernew, Dana Goldman, Feng Pan and Baoping Shang

in Health at Older Ages

Published by University of Chicago Press

Published in print March 2009 | ISBN: 9780226132310
Published online February 2013 | e-ISBN: 9780226132327 | DOI: http://dx.doi.org/10.7208/chicago/9780226132327.003.0009
Disability and Spending Growth

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This chapter examines spending trends by those with and without functional limitations, and specifically by disability category for certain types of health care services. The pattern of results suggests that the convergence in spending is driven by reductions in spending for long-term care services. For pharmaceutical spending, growth was fast among all categories of disability, but most rapid among the least disabled. Only the instrumental activities of daily living (IADL)-only group has very similar spending growth to the nondisabled group. The other ADL groups have slower spending growth in aggregate than the nondisabled (and IADL-only) group. It is noted that the convergence of spending reflects the reduction in long-term care spending following the Balanced Budget Act.

Keywords: spending trends; disability; health care services; pharmaceutical spending; spending growth; care spending; Balanced Budget Act

Chapter.  4562 words.  Illustrated.

Subjects: Public Economics

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