Posted on October 2nd, 2019.

In 2015, about 191 million American (almost half of all adults) have at least one chronic illness and 75% had two or more chronic health conditions. The price tag is 3 Trillion in medical costs and lost productivity. About 31.5% Americans, are now living with multiple chronic conditions (MCCs), its   prevalence increases with age –80% of people 65 and older live with MCC. Seventy one percent of all healthcare spending in the US goes towards treating people with MCC. The high prevalence of

 

Burden Now and Future Estimates of  Chronic Disease among Adults


Chronic conditions (CC) is mainly attributed to the current trends in the population growth, and disease dynamics threatening the financial health of the world and US in particular. By year 2030 the number of Americans with three or more chronic conditions would be about 83.4 million and that would cost US economy about 42 Trillion. People with multiple chronic conditions are more
likely to be hospitalized , have more doctors visits, receive more inpatient and post-acture care services , have more ER visits, have higher rates of 30 day readmissions.

 

Elderly and Chronic conditions and cost implications- A deep Dive:

Infact, chronic conditions account for the most of the total medicare spending of 707.4 Billion currently amounting to 3.7 % of GDP. In 2017, the number of medicare enrollees amounted to around 55 million people (17% of Americans). Infact, every day about 10,000 older adults are added to the medicare pool. By the year 2030 the elderly are expected to grow to 80 Million and an increase in medicare outlays of up to 1,521 billion U.S. dollars in 2028 to 5.1% of GDP. Further, whereas the projected number of medicare

Burden Now and Future Estimates of Chronic Disease among Elderly

beneficiaries for the year 2050 is expected to amount to 90.6 million enrollees. Proportional to the number of chronic conditions, medicare spending also increases. Data from 2012 health care
expenditure suggests that , a medicare beneficiary with one chronic condition spends about 2000 USD and that can rise to chronic conditions to 32,658 forpeople with >6 chronic conditions.
The average opening cost for one

chronic conditions is about 9738 USD. While a third of beneficiaries with one chronic conditions accounted for only 7% of medicare spending, while the
14% of beneficiaries with > 6 chronic conditions accounted for 46% of total medicare budget. The emergence of high prevalence of common chronic conditions such as high
blood pressure, Type 2 diabetes, high cholesterol and heart disease account for most of the health care costs. A deeper dive into the costs and the co-occurrence of two of these conditions among medicare beneficiaries would suggests about half of the medicare people have high-blood pressure and high-cholesterol. These costs about 14000 USD per patient per year in 2012 Dollars. In addition, a third have co-occurrence of diabetes plus high cholesterol, and another third have and high-blood pressure plus ischemic heart disease. Both these dyads

costs about 18,000 USD per patient. It is found that the most expensive
Dyad among medicare patients is Ischemic heart disease and high
cholesterol costing about 20,500 USD per patient.

Prevalent DYADS/Triads among FFS Medicare Beneficiaries and costs

Given the paradigm shift towards the virtual care teams and remote patient monitoring comprising of connected devices, and smart cloud allowing sharing of data, our interactive rule based data analytic platform, DesignerData 1.0 is a patent pending analytic solution that supports multiple chronic cardiovascular conditions. These include, BMI, Waist hip ratios, blood pressure status, lipid profiles, and insulin levels. In addition, the spectrum of cardiovascular events that can be analyzed include: cardiovascular diseases, stroke, angina, heart disease and heart attack .
Such comprehensive analytic platform can serve as common database for multiple reporting systems to engage patients, provides actionable insights to health care providers, payors, and a variety of population health metrics to health policy makers.

Percentage of Medicare FFS beneficiaries with Chronic Cardiovascular conditions in 2015

Percentage of Medicare FFS beneficiaries with One or more Chronic conditions in 2015