Open AccessAssociation of Mental Health Disorders With Health Care Spending in the Medicare Population
Author(s) -
José F. Figueroa,
Jessica Phelan,
E. John Orav,
Vikram Patel,
Ashish K. Jha
Publication year - 2020
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.2020.1210
Subject(s) - medicine , mental health , bipolar disorder , anxiety , mental illness , psychiatry , schizophrenia (object oriented programming) , prevalence of mental disorders , personality disorders , population , cohort , personality , psychology , environmental health , mood , social psychology
Key Points Question What is the proportion and degree of total spending directly associated with mental health conditions compared with spending on other non–mental health conditions among Medicare patients with mental illness? Findings In this cohort study of 4 358 975 Medicare beneficiaries, patients with serious mental illness spent substantially more on medical services for physical conditions than patients with other common mental health disorders or no known mental illness. Among Medicare beneficiaries, 4.2% of total Medicare spending went to mental health services and 8.5% went to additional medical spending associated with mental illness, for a total of 12.7% of total spending associated with mental health disorders. Meaning In this study, having a mental health disorder was associated with substantially higher spending on for other medical conditions, which increased total spending associated with mental health disorders 3-fold.
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