Association of the Overall Well-being of a Population With Health Care Spending for People 65 Years of Age or Older | Zendy

Carley Riley | Zendy; Brita Roy | Zendy; Jeph Herrin | Zendy; Erica S. Spatz | Zendy; Anita Arora | Zendy; Kenneth P. Kell | Zendy; Elizabeth Y. Rula | Zendy; Harlan M. Krumholz | Zendy

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Association of the Overall Well-being of a Population With Health Care Spending for People 65 Years of Age or Older

Author(s) -

Carley Riley,

Brita Roy,

Jeph Herrin,

Erica S. Spatz,

Anita Arora,

Kenneth P. Kell,

Elizabeth Y. Rula,

Harlan M. Krumholz

Publication year - 2018

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2018.2136

Subject(s) - medicine , beneficiary , health care , population , gerontology , demography , environmental health , finance , business , economics , economic growth , sociology

Key Points Question Is the overall well-being of a population associated with the health care spending of individuals 65 years of age or older (the highest users of health care services) in that population? Findings In this cross-sectional study assessing 2998 US counties, Medicare spent $992 less per fee-for-service beneficiary in counties in the highest quintile of well-being compared with counties in the lowest quintile. This inverse association persisted after accounting for median household income, urbanicity, and health care system capacity. Meaning The overall well-being of a geographically defined population was inversely associated with its health care spending for people 65 years or older.

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