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DEMOGRAPHICS
HOSPI TALS
SANOFI / MANAGED CARE DIGEST SERIES
®
/
WHERE INFORMATION BECOMES INTELLIGENCE
.
™
HOSPITALS/SYSTEMS DIGEST 2015
Key Takeaway
A decrease in the shares of cases for patients age 65 and over who were admitted with any of the
nine common disease states profiled from 2012 to 2013 reversed the trend from 2011 to 2012, when
their percentages increased across the board. Although the portion of the overall population age 65
and over has grown, and will continue to do so over the next couple decades, wellness and disease
management efforts can lead to further reductions in their inpatient utilization rates.
Data source: IMS Health © 2015
PERCENTAGE OF HYPERCHOLESTEROLEMIA INPATIENT CASES, BY PAYER, 2010–2013
PERCENTAGE OF INPATIENT CASES, 2013
ACS
Angina Asthma Depres-
sion
Diabetes
Mellitus
Hyper-
cholester-
olemia
Hyper-
tension
Osteo
arthritis
Stroke
AGE
0–14
0.0% 0.0% 10.4% 3.1% 0.4% 0.1% 0.1% 0.0% 0.2%
15–44
4.2
4.9
31.6
45.0
11.6
6.5
9.2
2.3
4.3
45–64
41.8
36.3
32.0
36.5
37.2
35.6
36.9
41.4
27.8
65+
54.0
58.8
26.0
15.3
50.8
57.9
53.8
56.2
67.7
GENDER
Male
61.6% 56.8% 33.9% 43.8% 49.3% 48.8% 46.3% 39.3% 49.8%
Female
38.4
43.2
66.1
56.2
50.7
51.2
53.7
60.7
50.2
PAYER
Medicare 61.5% 65.5% 35.8% 35.7% 61.3% 62.3% 60.0% 59.0% 70.6%
Medicaid
8.0
7.7
26.3
24.8
11.6
6.4
9.4
3.5
6.2
Commercial
Insurance
1
22.5
19.8
28.0
25.8
18.8
25.3
22.1
32.3
16.4
7.4%
6.8%
6.3%
6.4%
59.2%
60.0%
61.5%
62.3%
27.4%
27.1%
26.3%
25.3%
2010
2011
2012
2013
0%
20%
40%
60%
80%
Percentage of Cases
Medicaid
Medicare
Commercial Insurance
1
1
Includes HMOs, PPOs, point-of-service plans and exclusive provider organizations.
Younger Patients Account for Rising Shares of IP Cases
CHRONIC DISEASE
• The percentages of all inpatient (IP) cases
accounted for by patients aged 15–64
increased for eight of the nine profiled disease
states between 2012 and 2013 (ACS excepted).
• The age 65-and-over portions of IP cases
declined for all nine disease states, but were
still the highest, by age group, in 2013 for
seven (asthma and depression excepted).
Commercial, Medicaid Hypercholesterolemia Inpatient Case Shares Decrease
• The commercial (down, to 25.3%) and
Medicaid (down, to 6.4%) shares of all
inpatient hypercholesterolemia cases
declined between 2010 and 2013.
• Meanwhile, Medicare accounted for a larger
percentage of all hypercholesterolemia
inpatient cases, expanding its share
moderately, to 62.3% in 2013 from 59.2% in 2010.