Health and Health Care of the Medicare Population: 2006

Data Table Section 4: How Much does the Medicare Population Spend on Health Care and Who Pays for Their Care? 4-1

Table 4.1 Personal Health Care Expenditures for Medicare Beneficiaries, by Source of Payment and Type of Medical Service, 2006

All Medicare Beneficiaries

Total Source of Payment (as a percentage of row total)Expenditures Private Out-of- Other

Medical Service (millions of $) Medicare Medicaid Insurance Pocket Source

Total Medical Services All beneficiaries $653,636 58.58 8.56 13.45 17.02 2.39

9,496 0.74 0.38 0.69 0.37 0.14 Beneficiaries 65 years and older 544,057 58.52 7.54 14.02 17.87 2.05

9,404 0.76 0.36 0.79 0.42 0.13 Beneficiaries 64 years and younger 109,579 58.87 13.65 10.62 12.80 4.06

5,132 1.71 1.46 0.65 0.92 0.48

Inpatient Hospital Services All beneficiaries 159,464 85.92 1.12 8.60 3.85 0.52

4,228 1.36 0.08 1.05 0.76 0.10 Beneficiaries 65 years and older 132,734 86.77 0.80 8.50 3.53 0.39

4,176 1.57 0.07 1.22 0.81 0.09 Beneficiaries 64 years and younger 26,730 81.67 2.70 9.10 5.41 1.13

1,969 2.47 0.24 1.60 1.96 0.40

Outpatient Hospital Services All beneficiaries 61,400 71.17 2.63 17.26 7.72 1.23

2,028 1.12 0.18 1.20 0.36 0.29 Beneficiaries 65 years and older 47,167 71.40 1.54 19.05 7.38 0.63

1,675 1.40 0.14 1.49 0.41 0.13 Beneficiaries 64 years and younger 14,233 70.40 6.25 11.30 8.87 3.18

1,113 1.98 0.57 1.44 0.85 1.15

Physician/Supplier Services All beneficiaries 173,145 64.92 2.35 16.06 16.19 0.49

5,191 1.66 0.15 1.83 0.47 0.07 Beneficiaries 65 years and older 148,989 65.10 1.54 16.90 16.16 0.31

5,269 1.94 0.12 2.08 0.53 0.04 Beneficiaries 64 years and younger 24,156 63.80 7.34 10.88 16.40 1.58

1,220 1.30 0.58 0.93 1.03 0.42

Health and Health Care of the Medicare Population: 2006

Data Table Section 4: How Much does the Medicare Population Spend on Health Care and Who Pays for Their Care? 4-2

Table 4.1 Personal Health Care Expenditures for Medicare Beneficiaries, by Source of Payment and Type of Medical Service, 2006

All Medicare Beneficiaries

Total Source of Payment (as a percentage of row total)Expenditures Private Out-of- Other

Medical Service (millions of $) Medicare Medicaid Insurance Pocket Source

Dental Services All beneficiaries $13,706 1.94 1.59 17.60 77.67 1.21

411 0.09 0.35 0.81 0.90 0.32 Beneficiaries 65 years and older 12,124 1.99 0.81 17.41 78.87 0.93

371 0.09 0.25 0.87 0.90 0.28 Beneficiaries 64 years and younger 1,581 1.56 7.62 18.98 68.48 3.36

192 0.21 2.41 2.43 2.98 1.52

Prescription Medicines All beneficiaries 102,917 39.46 3.51 28.48 21.43 7.11

1,342 0.74 0.21 0.67 0.30 0.36 Beneficiaries 65 years and older 77,850 34.69 2.06 31.89 24.41 6.95

1,041 0.65 0.15 0.69 0.31 0.35 Beneficiaries 64 years and younger 25,068 54.28 8.02 17.90 12.19 7.62

1,126 1.69 0.65 1.29 0.58 0.87

Medicare Hospice Services All beneficiaries 9,023 100.00 0.00 0.00 0.00 0.00

857 0.00 0.00 0.00 0.00 0.00 Beneficiaries 65 years and older 8,621 100.00 0.00 0.00 0.00 0.00

831 0.00 0.00 0.00 0.00 0.00 Beneficiaries 64 years and younger 402 100.00 0.00 0.00 0.00 0.00

252 0.00 0.00 0.00 0.00 0.00

Medicare Home Health Services All beneficiaries 18,770 90.71 0.98 1.35 6.00 0.95

1,054 1.85 0.22 0.46 1.64 0.57 Beneficiaries 65 years and older 16,600 91.27 0.80 1.35 6.43 0.15

985 1.86 0.21 0.55 1.86 0.07 Beneficiaries 64 years and younger 2,170 86.45 2.37 1.39 2.68 7.12

330 5.17 1.65 1.40 1.65 4.65

Health and Health Care of the Medicare Population: 2006

Data Table Section 4: How Much does the Medicare Population Spend on Health Care and Who Pays for Their Care? 4-3

Table 4.1 Personal Health Care Expenditures for Medicare Beneficiaries, by Source of Payment and Type of Medical Service, 2006

All Medicare Beneficiaries

Total Source of Payment (as a percentage of row total)Expenditures Private Out-of- Other

Medical Service (millions of $) Medicare Medicaid Insurance Pocket Source

Long-Term Facility Care1 All beneficiaries $115,212 19.84 38.61 3.33 33.44 4.79

3,872 0.91 1.66 0.34 1.39 0.50 Beneficiaries 65 years and older 99,972 21.52 35.10 3.69 35.37 4.32

3,312 0.92 1.61 0.38 1.51 0.55 Beneficiaries 64 years and younger 15,240 8.82 61.62 0.95 20.75 7.86

2,131 1.80 5.37 0.41 4.08 2.01

Source: Medicare Current Beneficiary Survey, CY 2006 Cost and Use Public Use File.

Notes: Standard errors are shaded and italic. See Appendix A for additional information on standard errors. See Appendix B for definitions of terms and variables.

1 Expenditures for long-term care in facilities include facility room and board expenses for beneficiaries who resided in a facility for the full year; facility room and board expenses forbeneficiaries who resided in a facility for part of the year and in the community for part of the year; and expenditures for short-term facility stays (institutional events), primarilyin skilled nursing facilities, for full-year or part-year community residents, which were reported during a community interview or created through Medicare claims. See Appendix Bfor additional information.

Health and Health Care of the Medicare Population: 2006

Data Table Section 4: How Much does the Medicare Population Spend on Health Care and Who Pays for Their Care? 4-4

Table 4.2 Inpatient Hospital Expenditures for Noninstitutionalized Medicare Beneficiaries, by Source of Payment, and by Demographic, Socioeconomic, and Health Characteristics, 2006

Community-Only Residents1

Total Source of Payment (as a percentage of row total) Beneficiary Expenditures Private Out-of- Other ExpendituresCharacteristic2 (millions of $) Medicare Medicaid Insurance Pocket Source Per Beneficiary

All Beneficiaries $137,830 84.68 0.99 9.65 4.09 0.59 $3,338 4,188 1.55 0.08 1.20 0.87 0.12 99

Medicare Status3 Aged

65 - 74 years 48,959 78.54 0.75 15.06 5.38 0.26 2,626 2,970 3.81 0.15 3.03 2.03 0.12 159

75 - 84 years 46,562 91.93 0.50 5.30 1.84 0.44 3,848 2,836 0.55 0.06 0.39 0.27 0.13 228

85 years and older 18,375 87.81 0.93 5.57 4.70 0.99 4,700 1,165 1.48 0.27 0.66 1.29 0.41 276

Disabled Under 45 years 4,108 81.15 4.43 6.64 4.51 3.26 2,589

421 4.05 0.54 2.89 2.97 1.99 263 45 - 64 years 19,826 80.64 2.10 10.90 5.54 0.83 3,922

1,926 3.14 0.26 2.19 2.49 0.43 361

Gender Male 71,377 81.43 0.76 11.67 5.19 0.95 3,838

3,694 2.70 0.12 2.10 1.50 0.23 190 Female 66,453 88.17 1.24 7.48 2.91 0.20 2,928

2,583 1.09 0.12 0.91 0.67 0.09 110

Living Arrangement Alone 37,873 90.01 1.25 4.89 3.32 0.54 3,130

1,800 1.46 0.15 0.65 1.33 0.20 142 With spouse 67,556 79.68 0.41 14.67 4.74 0.50 3,156

3,297 2.82 0.09 2.27 1.50 0.16 149 With children 18,771 87.93 1.73 6.45 3.52 0.37 4,455

1,580 1.78 0.23 1.49 0.70 0.24 343 With others 12,886 90.12 2.30 2.15 3.88 1.55 3,746

1,654 1.75 0.40 0.49 1.53 0.63 453

Health and Health Care of the Medicare Population: 2006

Data Table Section 4: How Much does the Medicare Population Spend on Health Care and Who Pays for Their Care? 4-5

Table 4.2 Inpatient Hospital Expenditures for Noninstitutionalized Medicare Beneficiaries, by Source of Payment, and by Demographic, Socioeconomic, and Health Characteristics, 2006

Community-Only Residents1

Total Source of Payment (as a percentage of row total) Beneficiary Expenditures Private Out-of- Other ExpendituresCharacteristic2 (millions of $) Medicare Medicaid Insurance Pocket Source Per Beneficiary

All Beneficiaries $137,830 84.68 0.99 9.65 4.09 0.59 $3,338 4,188 1.55 0.08 1.20 0.87 0.12 99

Race/Ethnicity White non-Hispanic 104,765 83.07 0.68 11.41 4.25 0.59 3,252

3,926 1.90 0.08 1.45 1.11 0.14 112 Black non-Hispanic 15,177 92.46 2.24 2.84 2.25 0.20 4,062

1,949 1.16 0.47 0.74 0.65 0.14 526 Hispanic 10,731 86.42 1.66 4.58 5.87 1.46 3,266

1,068 3.00 0.30 1.47 2.56 0.69 321 Other 7,070 89.30 1.95 5.64 2.97 0.14 3,581

1,130 2.55 0.43 1.66 1.88 0.08 555

Income Less than $5,000 4,438 92.96 2.33 2.77 1.94 0.00 4,401

1,027 1.45 0.53 1.09 1.01 0.00 1,050 $5,000 - $9,999 18,473 90.08 3.92 2.61 2.82 0.58 3,519

1,568 1.32 0.36 1.10 0.66 0.44 278 $10,000 - $14,999 24,669 91.95 1.35 3.54 2.54 0.63 3,790

1,659 0.73 0.21 0.54 0.41 0.25 251 $15,000 - $19,999 19,266 85.85 0.59 10.72 1.88 0.97 4,110

2,094 5.17 0.16 5.21 0.42 0.39 431 $20,000 - $24,999 14,841 81.57 0.30 10.89 6.94 0.31 3,457

1,567 4.55 0.11 3.32 3.53 0.17 353 $25,000 - $29,999 8,339 86.15 0.10 8.47 4.51 0.76 2,826

805 2.63 0.05 1.63 2.07 0.42 259 $30,000 - $39,999 16,987 82.68 0.19 14.00 2.65 0.47 2,831

1,838 3.71 0.08 3.73 0.73 0.23 294 $40,000 - $49,999 10,177 82.43 0.11 5.75 11.34 0.37 3,049

1,397 6.88 0.06 0.86 7.25 0.29 390 $50,000 or more 20,639 72.68 0.00 21.64 5.01 0.66 2,844

1,917 5.70 0.00 3.70 2.78 0.44 250

Health and Health Care of the Medicare Population: 2006

Data Table Section 4: How Much does the Medicare Population Spend on Health Care and Who Pays for Their Care? 4-6

Table 4.2 Inpatient Hospital Expenditures for Noninstitutionalized Medicare Beneficiaries, by Source of Payment, and by Demographic, Socioeconomic, and Health Characteristics, 2006

Community-Only Residents1

Total Source of Payment (as a percentage of row total) Beneficiary Expenditures Private Out-of- Other ExpendituresCharacteristic2 (millions of $) Medicare Medicaid Insurance Pocket Source Per Beneficiary

All Beneficiaries $137,830 84.68 0.99 9.65 4.09 0.59 $3,338 4,188 1.55 0.08 1.20 0.87 0.12 99

Health Status Excellent 8,595 88.96 0.18 5.74 3.60 1.51 1,434

814 2.14 0.10 1.16 1.11 1.13 129 Very good 24,080 89.21 0.41 7.61 2.25 0.51 2,195

1,530 1.23 0.08 0.96 0.68 0.25 133 Good 41,104 87.48 0.91 8.84 2.37 0.40 3,124

2,226 1.45 0.14 1.38 0.35 0.17 166 Fair 37,557 77.50 1.17 14.03 6.61 0.69 5,054

2,783 4.65 0.18 3.38 2.68 0.24 347 Poor 24,801 84.75 1.76 7.67 5.27 0.54 7,067

2,192 3.11 0.25 2.45 2.01 0.21 567

Functional Limitation None 52,131 84.83 0.62 10.64 3.51 0.40 2,157

3,009 2.54 0.09 2.27 1.44 0.15 119 IADL only4 39,280 83.22 0.95 11.09 3.89 0.84 4,292

2,493 3.15 0.14 2.14 1.52 0.29 261 One to two ADLs5 24,321 88.29 1.11 6.22 3.81 0.58 4,618

1,597 1.58 0.15 0.92 1.38 0.36 276 Three to five ADLs 20,878 82.21 1.93 8.74 6.49 0.63 8,102

1,818 3.65 0.36 2.90 2.68 0.24 650

Health and Health Care of the Medicare Population: 2006

Data Table Section 4: How Much does the Medicare Population Spend on Health Care and Who Pays for Their Care? 4-7

Table 4.2 Inpatient Hospital Expenditures for Noninstitutionalized Medicare Beneficiaries, by Source of Payment, and by Demographic, Socioeconomic, and Health Characteristics, 2006

Community-Only Residents1

Total Source of Payment (as a percentage of row total) Beneficiary Expenditures Private Out-of- Other ExpendituresCharacteristic2 (millions of $) Medicare Medicaid Insurance Pocket Source Per Beneficiary

All Beneficiaries $137,830 84.68 0.99 9.65 4.09 0.59 $3,338 4,188 1.55 0.08 1.20 0.87 0.12 99

Metropolitan Area Resident Yes 105,898 85.55 0.88 9.57 3.42 0.57 3,377

3,797 1.66 0.09 1.48 0.82 0.14 120 No 31,932 81.77 1.36 9.91 6.32 0.64 3,241

2,024 3.78 0.21 1.65 2.49 0.26 189

Source: Medicare Current Beneficiary Survey, CY 2006 Cost and Use Public Use File.

Notes: Standard errors are shaded and italic. See Appendix A for additional information on standard errors. See Appendix B for definitions of terms and variables.

1 The term community-only residents includes beneficiaries who resided only in the community during the year. It excludes beneficiaries who resided part of the year

in the community and part of the year in a long-term care facility, and beneficiaries who resided only in a long-term care facility during the year.2 Due to missing values for some variables, expenditures for individual categories may not sum to total expenditures for all beneficiaries.3 Medicare beneficiaries with end-stage renal disease (ESRD) are included within the subgroups of aged and disabled.

4 IADL stands for Instrumental Activity of Daily Living.

5 ADL stands for Activity of Daily Living.

Health and Health Care of the Medicare Population: 2006

Data Table Section 4: How Much does the Medicare Population Spend on Health Care and Who Pays for Their Care? 4-8

Table 4.3 Outpatient Hospital Expenditures for Noninstitutionalized Medicare Beneficiaries, by Source of Payment, and by Demographic, Socioeconomic, and Health Characteristics, 2006

Community-Only Residents1

Total Source of Payment (as a percentage of row total) Beneficiary Expenditures Private Out-of- Other ExpendituresCharacteristic2 (millions of $) Medicare Medicaid Insurance Pocket Source Per Beneficiary

All Beneficiaries $56,315 70.04 2.38 18.32 7.94 1.32 $1,364 2,085 1.19 0.19 1.28 0.40 0.31 50

Medicare Status3 Aged

65 - 74 years 21,062 69.23 1.51 21.69 7.00 0.57 1,130 1,166 2.34 0.24 2.70 0.53 0.14 62

75 - 84 years 18,211 70.89 1.15 19.37 7.89 0.70 1,505 1,031 2.08 0.16 2.02 0.79 0.20 83

85 years and older 4,161 74.76 1.45 15.15 7.46 1.17 1,064 264 1.21 0.40 0.98 0.83 0.52 62

Disabled Under 45 years 2,660 73.82 8.19 10.80 6.41 0.78 1,676

271 2.51 0.94 2.81 1.17 0.33 170 45 - 64 years 10,221 67.30 5.22 12.78 10.54 4.16 2,022

1,147 2.54 0.71 1.62 1.19 1.60 228

Gender Male 26,385 68.51 2.07 18.50 8.39 2.53 1,419

1,343 1.70 0.27 1.51 0.61 0.65 71 Female 29,930 71.40 2.64 18.17 7.54 0.25 1,319

1,627 1.89 0.25 2.11 0.55 0.08 70

Living Arrangement Alone 15,395 73.87 3.04 13.58 7.81 1.70 1,272

807 1.54 0.27 1.09 0.77 0.86 66 With spouse 28,137 65.54 1.08 23.96 8.11 1.31 1,314

1,581 2.08 0.22 2.26 0.65 0.42 73 With children 7,202 75.72 4.21 12.36 7.06 0.65 1,709

1,003 1.82 0.67 2.12 0.91 0.36 228 With others 5,310 74.90 4.92 10.43 8.51 1.24 1,544

615 1.99 0.57 1.54 1.25 0.48 175

Health and Health Care of the Medicare Population: 2006

Data Table Section 4: How Much does the Medicare Population Spend on Health Care and Who Pays for Their Care? 4-9

Table 4.3 Outpatient Hospital Expenditures for Noninstitutionalized Medicare Beneficiaries, by Source of Payment, and by Demographic, Socioeconomic, and Health Characteristics, 2006

Community-Only Residents1

Total Source of Payment (as a percentage of row total) Beneficiary Expenditures Private Out-of- Other ExpendituresCharacteristic2 (millions of $) Medicare Medicaid Insurance Pocket Source Per Beneficiary

All Beneficiaries $56,315 70.04 2.38 18.32 7.94 1.32 $1,364 2,085 1.19 0.19 1.28 0.40 0.31 50

Race/Ethnicity White non-Hispanic 42,518 68.21 1.80 20.81 8.14 1.04 1,320

1,999 1.48 0.22 1.57 0.44 0.23 60 Black non-Hispanic 6,375 73.83 4.04 11.15 8.28 2.71 1,706

693 3.14 0.55 2.46 1.25 2.00 190 Hispanic 4,469 78.48 4.40 9.16 5.56 2.40 1,360

511 2.86 0.57 2.06 1.24 1.83 150 Other 2,906 75.93 4.14 11.91 7.54 0.49 1,472

552 2.29 0.80 1.78 1.91 0.19 249

Income Less than $5,000 2,015 74.01 4.29 15.19 5.70 0.82 1,998

515 5.33 1.07 5.42 1.61 0.82 506 $5,000 - $9,999 8,249 79.34 8.26 5.94 6.17 0.30 1,571

577 1.17 0.52 1.88 1.01 0.12 107 $10,000 - $14,999 9,610 74.88 3.80 10.29 8.70 2.34 1,476

1,013 1.72 0.46 1.10 0.80 1.39 146 $15,000 - $19,999 6,478 69.77 2.18 19.35 7.97 0.73 1,382

650 3.61 0.81 3.92 1.02 0.23 135 $20,000 - $24,999 5,970 69.11 0.53 22.29 7.50 0.58 1,391

826 5.26 0.34 4.06 1.47 0.31 189 $25,000 - $29,999 3,818 68.31 0.67 19.81 9.84 1.37 1,294

372 3.00 0.32 2.06 2.06 0.54 119 $30,000 - $39,999 7,183 68.84 0.05 21.04 8.32 1.75 1,197

531 2.06 0.02 1.32 0.85 1.20 81 $40,000 - $49,999 4,025 67.89 0.09 23.20 7.06 1.76 1,206

380 3.07 0.06 1.72 1.24 1.19 108 $50,000 or more 8,967 58.91 0.01 30.66 8.80 1.63 1,236

934 4.84 0.00 5.50 1.01 0.73 123

Health and Health Care of the Medicare Population: 2006

Data Table Section 4: How Much does the Medicare Population Spend on Health Care and Who Pays for Their Care? 4-10

Table 4.3 Outpatient Hospital Expenditures for Noninstitutionalized Medicare Beneficiaries, by Source of Payment, and by Demographic, Socioeconomic, and Health Characteristics, 2006

Community-Only Residents1

Total Source of Payment (as a percentage of row total) Beneficiary Expenditures Private Out-of- Other ExpendituresCharacteristic2 (millions of $) Medicare Medicaid Insurance Pocket Source Per Beneficiary

All Beneficiaries $56,315 70.04 2.38 18.32 7.94 1.32 $1,364 2,085 1.19 0.19 1.28 0.40 0.31 50

Health Status Excellent 4,530 69.34 0.42 19.28 9.53 1.42 756

536 2.63 0.10 2.61 1.89 0.52 89 Very good 10,673 66.57 1.15 23.98 7.60 0.70 973

761 4.51 0.24 5.06 0.74 0.24 70 Good 17,202 73.49 1.85 16.22 7.03 1.42 1,307

974 1.20 0.22 0.83 0.55 0.75 71 Fair 13,643 67.99 3.20 19.32 8.18 1.31 1,836

1,287 2.60 0.52 2.58 0.93 0.59 170 Poor 9,971 71.09 4.42 14.07 8.74 1.68 2,841

1,156 2.12 0.55 1.86 1.06 0.94 296

Functional Limitation None 25,883 69.00 1.54 20.66 7.66 1.15 1,071

1,477 2.29 0.20 2.45 0.52 0.51 56 IADL only4 15,645 71.56 3.07 16.99 7.23 1.14 1,709

945 1.27 0.44 1.31 0.64 0.39 96 One to two ADLs5 8,353 71.63 2.50 14.96 9.57 1.34 1,586

675 1.62 0.34 0.98 1.05 0.72 111 Three to five ADLs 6,273 68.30 3.98 16.46 8.81 2.46 2,434

1,124 3.44 0.87 3.95 1.68 1.49 402

Health and Health Care of the Medicare Population: 2006

Data Table Section 4: How Much does the Medicare Population Spend on Health Care and Who Pays for Their Care? 4-11

Table 4.3 Outpatient Hospital Expenditures for Noninstitutionalized Medicare Beneficiaries, by Source of Payment, and by Demographic, Socioeconomic, and Health Characteristics, 2006

Community-Only Residents1

Total Source of Payment (as a percentage of row total) Beneficiary Expenditures Private Out-of- Other ExpendituresCharacteristic2 (millions of $) Medicare Medicaid Insurance Pocket Source Per Beneficiary

All Beneficiaries $56,315 70.04 2.38 18.32 7.94 1.32 $1,364 2,085 1.19 0.19 1.28 0.40 0.31 50

Metropolitan Area Resident Yes 40,413 70.78 1.98 18.14 7.54 1.56 1,289

1,666 1.62 0.17 1.74 0.49 0.43 53 No 15,902 68.17 3.37 18.80 8.96 0.69 1,614

1,181 1.23 0.51 1.09 0.70 0.20 115

Source: Medicare Current Beneficiary Survey, CY 2006 Cost and Use Public Use File.

Notes: Standard errors are shaded and italic. See Appendix A for additional information on standard errors. See Appendix B for definitions of terms and variables.

1 The term community-only residents includes beneficiaries who resided only in the community during the year. It excludes beneficiaries who resided part of the year

in the community and part of the year in a long-term care facility, and beneficiaries who resided only in a long-term care facility during the year.2 Due to missing values for some variables, expenditures for individual categories may not sum to total expenditures for all beneficiaries.3 Medicare beneficiaries with end-stage renal disease (ESRD) are included within the subgroups of aged and disabled.

4 IADL stands for Instrumental Activity of Daily Living.

5 ADL stands for Activity of Daily Living.

Health and Health Care of the Medicare Population: 2006

Data Table Section 4: How Much does the Medicare Population Spend on Health Care and Who Pays for Their Care? 4-12

Table 4.4 Physician/Supplier Services Expenditures for Noninstitutionalized Medicare Beneficiaries, by Source of Payment, and by Demographic, Socioeconomic, and Health Characteristics, 2006

Community-Only Residents1

Total Source of Payment (as a percentage of row total) Beneficiary Expenditures Private Out-of- Other ExpendituresCharacteristic2 (millions of $) Medicare Medicaid Insurance Pocket Source Per Beneficiary

All Beneficiaries $162,067 63.99 2.26 16.79 16.45 0.51 $3,925 5,172 1.75 0.16 1.95 0.51 0.08 126

Medicare Status3 Aged

65 - 74 years 64,615 63.23 1.65 19.30 15.49 0.34 3,466 3,327 2.85 0.24 3.52 0.81 0.07 177

75 - 84 years 57,564 64.12 1.23 17.34 17.02 0.29 4,757 3,742 3.72 0.19 3.62 0.69 0.05 296

85 years and older 17,283 67.86 1.43 12.61 17.76 0.35 4,421 718 0.92 0.22 0.52 1.04 0.11 146

Disabled Under 45 years 4,266 62.59 12.11 7.96 15.47 1.87 2,688

365 1.69 1.32 1.12 1.49 0.65 229 45 - 64 years 18,338 62.96 6.13 12.22 17.06 1.63 3,628

1,163 1.58 0.66 1.14 1.23 0.52 195

Gender Male 73,094 64.11 1.87 17.59 15.56 0.88 3,931

3,696 2.91 0.20 2.84 0.56 0.16 204 Female 88,973 63.90 2.58 16.13 17.19 0.20 3,920

3,091 2.00 0.22 2.66 0.79 0.04 136

Living Arrangement Alone 47,593 66.70 3.31 13.67 15.84 0.48 3,933

1,795 1.06 0.36 0.91 0.75 0.09 137 With spouse 80,321 62.84 0.88 18.84 16.89 0.54 3,752

3,995 2.61 0.11 2.55 0.54 0.13 188 With children 20,922 59.14 3.26 21.09 16.13 0.38 4,965

2,996 8.27 0.59 10.46 2.12 0.13 720 With others 12,695 69.69 5.44 8.11 16.10 0.67 3,690

910 1.25 0.53 0.73 1.11 0.21 238

Health and Health Care of the Medicare Population: 2006

Data Table Section 4: How Much does the Medicare Population Spend on Health Care and Who Pays for Their Care? 4-13

Table 4.4 Physician/Supplier Services Expenditures for Noninstitutionalized Medicare Beneficiaries, by Source of Payment, and by Demographic, Socioeconomic, and Health Characteristics, 2006

Community-Only Residents1

Total Source of Payment (as a percentage of row total) Beneficiary Expenditures Private Out-of- Other ExpendituresCharacteristic2 (millions of $) Medicare Medicaid Insurance Pocket Source Per Beneficiary

All Beneficiaries $162,067 63.99 2.26 16.79 16.45 0.51 $3,925 5,172 1.75 0.16 1.95 0.51 0.08 126

Race/Ethnicity White non-Hispanic 125,354 63.47 1.33 17.33 17.33 0.54 3,891

4,541 1.79 0.12 1.73 0.45 0.09 140 Black non-Hispanic 15,969 59.12 4.23 24.35 12.10 0.19 4,274

2,990 10.61 1.03 13.12 2.06 0.05 808 Hispanic 13,722 73.38 7.39 6.07 12.55 0.60 4,176

992 1.66 0.99 0.85 1.61 0.26 237 Other 6,840 66.18 4.35 10.73 18.26 0.47 3,465

599 2.39 0.57 1.89 2.00 0.12 204

Income Less than $5,000 3,790 67.17 3.59 9.77 19.30 0.18 3,759

443 2.89 0.50 1.98 2.32 0.08 420 $5,000 - $9,999 23,366 62.65 9.20 15.34 12.56 0.26 4,451

2,717 7.88 1.43 10.22 1.65 0.07 537 $10,000 - $14,999 23,794 69.95 3.31 9.28 16.64 0.82 3,656

937 1.13 0.28 0.82 1.10 0.18 117 $15,000 - $19,999 22,205 59.55 1.48 22.46 16.02 0.49 4,737

3,435 8.98 0.38 8.71 1.23 0.19 719 $20,000 - $24,999 16,569 68.06 0.78 14.92 15.97 0.28 3,860

1,066 1.27 0.26 0.93 1.04 0.06 206 $25,000 - $29,999 11,355 66.07 0.47 15.23 17.39 0.84 3,848

1,000 1.45 0.24 1.03 1.32 0.65 338 $30,000 - $39,999 21,288 63.56 0.27 16.80 18.78 0.59 3,548

890 1.44 0.15 0.85 1.07 0.19 120 $40,000 - $49,999 11,642 65.01 0.09 19.09 15.26 0.55 3,488

675 1.46 0.04 0.96 1.03 0.19 176 $50,000 or more 28,058 59.82 0.02 21.59 18.13 0.44 3,866

1,374 1.31 0.01 1.39 0.95 0.14 165

Health and Health Care of the Medicare Population: 2006

Data Table Section 4: How Much does the Medicare Population Spend on Health Care and Who Pays for Their Care? 4-14

Table 4.4 Physician/Supplier Services Expenditures for Noninstitutionalized Medicare Beneficiaries, by Source of Payment, and by Demographic, Socioeconomic, and Health Characteristics, 2006

Community-Only Residents1

Total Source of Payment (as a percentage of row total) Beneficiary Expenditures Private Out-of- Other ExpendituresCharacteristic2 (millions of $) Medicare Medicaid Insurance Pocket Source Per Beneficiary

All Beneficiaries $162,067 63.99 2.26 16.79 16.45 0.51 $3,925 5,172 1.75 0.16 1.95 0.51 0.08 126

Health Status Excellent 13,400 63.77 0.44 15.54 19.85 0.41 2,235

707 1.22 0.12 0.87 1.31 0.14 90 Very good 33,034 65.16 1.00 15.80 17.61 0.43 3,011

1,000 0.98 0.17 0.72 0.67 0.10 90 Good 51,812 66.20 2.01 14.23 16.89 0.68 3,938

1,826 1.10 0.25 0.71 0.82 0.18 119 Fair 37,159 62.45 3.23 18.77 15.13 0.43 5,001

3,725 5.65 0.46 5.48 0.77 0.11 492 Poor 25,442 60.06 3.98 21.17 14.33 0.46 7,249

3,352 6.74 0.65 8.58 1.73 0.16 898

Functional Limitation None 70,780 67.33 1.24 15.77 15.14 0.51 2,928

1,958 0.70 0.12 0.59 0.50 0.12 71 IADL only4 44,630 62.52 2.97 18.71 15.46 0.33 4,876

3,168 3.91 0.51 5.06 1.12 0.07 326 One to two ADLs5 25,783 65.81 2.58 12.97 18.05 0.59 4,896

1,671 1.25 0.30 0.79 1.07 0.18 257 Three to five ADLs 20,251 53.06 3.85 20.88 21.42 0.79 7,859

3,418 8.67 0.59 9.81 1.45 0.32 1,322

Health and Health Care of the Medicare Population: 2006

Data Table Section 4: How Much does the Medicare Population Spend on Health Care and Who Pays for Their Care? 4-15

Table 4.4 Physician/Supplier Services Expenditures for Noninstitutionalized Medicare Beneficiaries, by Source of Payment, and by Demographic, Socioeconomic, and Health Characteristics, 2006

Community-Only Residents1

Total Source of Payment (as a percentage of row total) Beneficiary Expenditures Private Out-of- Other ExpendituresCharacteristic2 (millions of $) Medicare Medicaid Insurance Pocket Source Per Beneficiary

All Beneficiaries $162,067 63.99 2.26 16.79 16.45 0.51 $3,925 5,172 1.75 0.16 1.95 0.51 0.08 126

Metropolitan Area Resident Yes 130,123 64.04 2.16 17.06 16.25 0.48 4,149

5,045 2.15 0.19 2.41 0.60 0.08 165 No 31,938 63.80 2.65 15.66 17.26 0.63 3,242

845 1.35 0.32 0.74 0.93 0.15 70

Source: Medicare Current Beneficiary Survey, CY 2006 Cost and Use Public Use File.

Notes: Standard errors are shaded and italic. See Appendix A for additional information on standard errors. See Appendix B for definitions of terms and variables.

1 The term community-only residents includes beneficiaries who resided only in the community during the year. It excludes beneficiaries who resided part of the year

in the community and part of the year in a long-term care facility, and beneficiaries who resided only in a long-term care facility during the year.2 Due to missing values for some variables, expenditures for individual categories may not sum to total expenditures for all beneficiaries.3 Medicare beneficiaries with end-stage renal disease (ESRD) are included within the subgroups of aged and disabled.

4 IADL stands for Instrumental Activity of Daily Living.

5 ADL stands for Activity of Daily Living.

Health and Health Care of the Medicare Population: 2006

Data Table Section 4: How Much does the Medicare Population Spend on Health Care and Who Pays for Their Care? 4-16

Table 4.5 Dental Services Expenditures for Noninstitutionalized Medicare Beneficiaries, by Source of Payment, and by Demographic, Socioeconomic, and Health Characteristics, 2006

Community-Only Residents1

Total Source of Payment (as a percentage of row total) Beneficiary Expenditures Private Out-of- Other ExpendituresCharacteristic2 (millions of $) Medicare Medicaid Insurance Pocket Source Per Beneficiary

All Beneficiaries $13,654 1.86 1.60 17.64 77.70 1.21 $331 411 0.09 0.36 0.81 0.90 0.32 10

Medicare Status3 Aged

65 - 74 years 6,686 1.56 0.62 18.84 78.29 0.68 359 313 0.11 0.24 1.20 1.22 0.22 16

75 - 84 years 4,278 2.25 0.67 16.17 79.92 0.98 354 214 0.15 0.32 1.12 1.25 0.65 18

85 years and older 1,118 2.58 2.42 14.01 78.78 2.20 286 94 0.26 1.29 2.32 2.78 0.96 23

Disabled Under 45 years 312 1.16 12.87 14.89 69.14 1.94 197

49 0.29 3.86 3.42 4.64 1.08 31 45 - 64 years 1,260 1.61 6.38 20.13 68.14 3.74 249

187 0.26 2.88 2.76 3.60 1.90 37

Gender Male 5,943 1.85 0.79 18.67 77.36 1.34 320

274 0.12 0.20 1.25 1.28 0.39 15 Female 7,711 1.87 2.22 16.84 77.96 1.11 340

306 0.12 0.61 1.00 1.25 0.46 13

Living Arrangement Alone 3,815 2.03 2.58 16.08 77.38 1.93 315

211 0.14 0.96 1.45 1.65 0.63 16 With spouse 8,239 1.45 0.55 18.84 78.39 0.77 385

355 0.09 0.18 1.08 1.18 0.30 16 With children 900 3.50 4.50 17.13 74.62 0.26 214

115 0.62 2.54 2.81 3.78 0.19 27 With others 684 3.57 4.98 12.41 75.23 3.82 199

87 0.75 1.82 3.10 4.05 3.53 24

Health and Health Care of the Medicare Population: 2006

Data Table Section 4: How Much does the Medicare Population Spend on Health Care and Who Pays for Their Care? 4-17

Table 4.5 Dental Services Expenditures for Noninstitutionalized Medicare Beneficiaries, by Source of Payment, and by Demographic, Socioeconomic, and Health Characteristics, 2006

Community-Only Residents1

Total Source of Payment (as a percentage of row total) Beneficiary Expenditures Private Out-of- Other ExpendituresCharacteristic2 (millions of $) Medicare Medicaid Insurance Pocket Source Per Beneficiary

All Beneficiaries $13,654 1.86 1.60 17.64 77.70 1.21 $331 411 0.09 0.36 0.81 0.90 0.32 10

Race/Ethnicity White non-Hispanic 11,815 1.50 0.65 17.88 78.96 1.01 367

368 0.08 0.16 0.90 0.94 0.35 11 Black non-Hispanic 605 4.62 10.59 13.35 68.13 3.31 162

78 0.78 5.56 2.69 5.86 1.90 20 Hispanic 735 4.99 8.90 17.15 67.53 1.44 224

111 0.74 3.12 3.64 4.84 1.08 29 Other 483 2.46 2.43 18.22 73.76 3.13 245

87 0.66 1.78 4.51 5.17 2.50 42

Income Less than $5,000 169 3.57 6.49 7.86 64.20 17.89 167

39 1.00 5.47 3.78 11.93 12.99 36 $5,000 - $9,999 690 4.77 19.38 7.34 67.55 0.96 131

90 0.81 4.85 2.27 4.84 0.82 18 $10,000 - $14,999 945 5.59 5.11 7.90 80.34 1.05 145

86 0.71 1.96 1.74 2.62 0.60 13 $15,000 - $19,999 1,126 3.02 1.39 14.86 78.53 2.20 240

116 0.45 0.62 2.28 2.68 1.13 24 $20,000 - $24,999 1,154 2.67 0.71 15.47 80.81 0.34 269

111 0.33 0.66 2.40 2.59 0.33 24 $25,000 - $29,999 929 2.09 0.12 18.88 78.78 0.12 315

109 0.32 0.12 3.06 3.14 0.09 35 $30,000 - $39,999 2,270 1.32 0.01 17.88 79.98 0.81 378

172 0.15 0.01 1.98 1.99 0.37 27 $40,000 - $49,999 1,757 0.90 0.00 21.23 77.15 0.72 526

164 0.11 0.00 2.95 2.94 0.40 49 $50,000 or more 4,614 0.69 0.00 21.01 77.05 1.26 636

351 0.08 0.00 1.69 1.80 0.59 43

Health and Health Care of the Medicare Population: 2006

Data Table Section 4: How Much does the Medicare Population Spend on Health Care and Who Pays for Their Care? 4-18

Table 4.5 Dental Services Expenditures for Noninstitutionalized Medicare Beneficiaries, by Source of Payment, and by Demographic, Socioeconomic, and Health Characteristics, 2006

Community-Only Residents1

Total Source of Payment (as a percentage of row total) Beneficiary Expenditures Private Out-of- Other ExpendituresCharacteristic2 (millions of $) Medicare Medicaid Insurance Pocket Source Per Beneficiary

All Beneficiaries $13,654 1.86 1.60 17.64 77.70 1.21 $331 411 0.09 0.36 0.81 0.90 0.32 10

Health Status Excellent 2,505 1.14 0.50 15.83 82.26 0.28 418

175 0.10 0.29 1.69 1.73 0.26 28 Very good 4,267 1.48 0.51 17.29 79.90 0.81 389

265 0.15 0.25 1.31 1.39 0.58 23 Good 4,239 2.15 2.22 18.37 75.87 1.39 322

215 0.17 0.86 1.43 1.63 0.49 16 Fair 1,612 3.04 4.73 17.68 71.91 2.63 217

158 0.40 1.37 2.42 2.99 1.34 20 Poor 924 2.21 1.44 21.41 72.58 2.37 263

171 0.48 0.80 3.65 3.63 1.43 49

Functional Limitation None 8,891 1.56 0.75 17.27 79.39 1.02 368

289 0.08 0.22 0.88 1.01 0.36 12 IADL only4 2,641 2.23 1.47 20.08 73.91 2.32 289

217 0.29 0.50 1.98 2.07 0.92 23 One to two ADLs5 1,651 2.31 6.27 15.61 75.07 0.74 313

185 0.29 2.40 2.73 3.60 0.39 34 Three to five ADLs 402 4.28 2.17 17.23 75.94 0.38 156

63 0.61 1.15 3.31 3.62 0.24 24

Health and Health Care of the Medicare Population: 2006

Data Table Section 4: How Much does the Medicare Population Spend on Health Care and Who Pays for Their Care? 4-19

Table 4.5 Dental Services Expenditures for Noninstitutionalized Medicare Beneficiaries, by Source of Payment, and by Demographic, Socioeconomic, and Health Characteristics, 2006

Community-Only Residents1

Total Source of Payment (as a percentage of row total) Beneficiary Expenditures Private Out-of- Other ExpendituresCharacteristic2 (millions of $) Medicare Medicaid Insurance Pocket Source Per Beneficiary

All Beneficiaries $13,654 1.86 1.60 17.64 77.70 1.21 $331 411 0.09 0.36 0.81 0.90 0.32 10

Metropolitan Area Resident Yes 11,992 2.01 1.57 17.37 77.73 1.31 382

402 0.10 0.40 0.91 1.02 0.37 12 No 1,653 0.78 1.77 19.62 77.35 0.49 168

92 0.09 0.68 1.48 1.64 0.17 9

Source: Medicare Current Beneficiary Survey, CY 2006 Cost and Use Public Use File.

Notes: Standard errors are shaded and italic. See Appendix A for additional information on standard errors. See Appendix B for definitions of terms and variables.

1 The term community-only residents includes beneficiaries who resided only in the community during the year. It excludes beneficiaries who resided part of the year

in the community and part of the year in a long-term care facility, and beneficiaries who resided only in a long-term care facility during the year.2 Due to missing values for some variables, expenditures for individual categories may not sum to total expenditures for all beneficiaries.3 Medicare beneficiaries with end-stage renal disease (ESRD) are included within the subgroups of aged and disabled.

4 IADL stands for Instrumental Activity of Daily Living.

5 ADL stands for Activity of Daily Living.

Health and Health Care of the Medicare Population: 2006

Data Table Section 4: How Much does the Medicare Population Spend on Health Care and Who Pays for Their Care? 4-20

Table 4.6 Prescription Medicine Expenditures for Noninstitutionalized Medicare Beneficiaries, by Source of Payment, and by Demographic, Socioeconomic, and Health Characteristics, 2006

Community-Only Residents1

Total Source of Payment (as a percentage of row total) Beneficiary Expenditures Private Out-of- Other ExpendituresCharacteristic2 (millions of $) Medicare Medicaid Insurance Pocket Source Per Beneficiary

All Beneficiaries $101,809 39.25 3.51 28.60 21.49 7.15 $2,465 1,351 0.75 0.21 0.67 0.30 0.36 32

Medicare Status3 Aged

65 - 74 years 39,461 33.59 2.18 34.42 23.61 6.19 2,117 807 1.13 0.25 1.17 0.44 0.53 39

75 - 84 years 29,178 34.74 1.76 30.73 24.97 7.80 2,411 714 0.85 0.17 1.01 0.43 0.51 45

85 years and older 8,196 36.87 2.38 25.57 27.20 7.97 2,097 301 1.36 0.32 1.19 0.85 0.87 58

Disabled Under 45 years 5,834 64.42 9.03 12.64 7.74 6.16 3,677

307 2.00 0.68 1.61 0.50 1.46 177 45 - 64 years 19,140 51.11 7.73 19.50 13.58 8.09 3,786

1,095 2.08 0.79 1.59 0.74 1.01 173

Gender Male 43,099 34.87 3.24 29.14 20.95 11.80 2,318

813 0.88 0.31 0.81 0.30 0.58 38 Female 58,710 42.46 3.71 28.20 21.89 3.74 2,587

1,236 1.02 0.28 0.87 0.46 0.42 49

Living Arrangement Alone 30,912 45.40 4.84 22.97 19.91 6.88 2,555

857 1.24 0.49 1.01 0.63 0.61 59 With spouse 49,094 29.52 1.51 36.22 25.03 7.71 2,293

1,035 0.99 0.15 0.84 0.44 0.59 42 With children 11,326 48.28 5.55 22.02 17.44 6.71 2,688

512 1.76 0.57 1.46 0.72 1.07 88 With others 10,323 57.44 6.87 16.10 13.70 5.90 3,001

591 2.28 0.59 2.06 0.88 0.97 162

Health and Health Care of the Medicare Population: 2006

Data Table Section 4: How Much does the Medicare Population Spend on Health Care and Who Pays for Their Care? 4-21

Table 4.6 Prescription Medicine Expenditures for Noninstitutionalized Medicare Beneficiaries, by Source of Payment, and by Demographic, Socioeconomic, and Health Characteristics, 2006

Community-Only Residents1

Total Source of Payment (as a percentage of row total) Beneficiary Expenditures Private Out-of- Other ExpendituresCharacteristic2 (millions of $) Medicare Medicaid Insurance Pocket Source Per Beneficiary

All Beneficiaries $101,809 39.25 3.51 28.60 21.49 7.15 $2,465 1,351 0.75 0.21 0.67 0.30 0.36 32

Race/Ethnicity White non-Hispanic 77,232 35.10 2.13 31.33 23.72 7.71 2,397

1,154 0.73 0.16 0.75 0.30 0.42 31 Black non-Hispanic 9,988 51.14 6.83 21.18 14.80 6.05 2,673

487 1.99 0.67 1.95 0.86 1.10 110 Hispanic 8,961 52.78 9.86 19.41 13.62 4.34 2,727

910 3.44 1.46 2.25 1.10 0.84 196 Other 5,516 53.88 6.53 18.43 15.24 5.92 2,794

540 2.81 0.75 1.97 1.21 1.10 186

Income Less than $5,000 2,511 54.02 4.79 16.15 18.26 6.78 2,491

205 3.59 0.88 2.35 1.91 1.70 173 $5,000 - $9,999 17,624 68.07 11.57 8.83 7.97 3.55 3,357

732 1.45 0.83 1.34 0.42 0.61 115 $10,000 - $14,999 17,568 56.00 4.65 14.47 15.76 9.13 2,699

689 1.55 0.44 1.03 0.67 0.95 90 $15,000 - $19,999 11,419 41.25 3.28 22.00 23.37 10.10 2,436

683 3.08 0.69 1.66 1.30 1.15 133 $20,000 - $24,999 9,663 28.53 0.49 34.61 26.96 9.41 2,251

443 1.26 0.13 1.60 0.77 1.28 78 $25,000 - $29,999 6,488 28.59 0.93 36.16 27.05 7.27 2,198

313 1.69 0.40 1.97 1.06 1.68 84 $30,000 - $39,999 13,163 21.77 0.42 43.48 26.95 7.38 2,194

474 1.21 0.12 1.53 0.74 0.85 56 $40,000 - $49,999 7,162 21.35 0.59 42.32 28.36 7.38 2,146

360 1.73 0.20 2.05 1.05 1.13 72 $50,000 or more 16,211 18.80 0.12 47.22 28.64 5.23 2,234

653 1.04 0.08 1.44 0.68 0.72 63

Health and Health Care of the Medicare Population: 2006

Data Table Section 4: How Much does the Medicare Population Spend on Health Care and Who Pays for Their Care? 4-22

Table 4.6 Prescription Medicine Expenditures for Noninstitutionalized Medicare Beneficiaries, by Source of Payment, and by Demographic, Socioeconomic, and Health Characteristics, 2006

Community-Only Residents1

Total Source of Payment (as a percentage of row total) Beneficiary Expenditures Private Out-of- Other ExpendituresCharacteristic2 (millions of $) Medicare Medicaid Insurance Pocket Source Per Beneficiary

All Beneficiaries $101,809 39.25 3.51 28.60 21.49 7.15 $2,465 1,351 0.75 0.21 0.67 0.30 0.36 32

Health Status Excellent 8,116 29.33 1.08 33.34 27.17 9.07 1,354

351 1.36 0.30 1.49 0.81 1.16 45 Very good 20,538 31.68 1.56 35.35 25.46 5.95 1,872

559 1.19 0.23 1.24 0.52 0.48 39 Good 33,185 38.96 2.73 28.46 22.31 7.55 2,522

766 1.09 0.22 0.92 0.47 0.62 52 Fair 24,027 43.47 5.17 24.97 18.89 7.50 3,234

780 1.35 0.46 1.14 0.54 0.79 82 Poor 15,120 48.37 6.11 23.39 15.58 6.55 4,308

967 2.63 0.81 2.10 0.78 0.90 193

Functional Limitation None 47,486 34.13 2.25 32.54 23.98 7.09 1,964

1,042 0.93 0.20 0.77 0.41 0.41 32 IADL only4 27,870 42.38 4.37 25.60 20.06 7.59 3,045

798 1.24 0.41 1.20 0.61 0.85 62 One to two ADLs5 16,044 41.93 3.67 27.54 19.74 7.12 3,046

758 1.95 0.59 1.74 0.63 0.90 96 Three to five ADLs 9,932 50.08 6.08 20.50 16.88 6.46 3,854

785 3.33 0.84 2.18 1.28 1.10 242

Health and Health Care of the Medicare Population: 2006

Data Table Section 4: How Much does the Medicare Population Spend on Health Care and Who Pays for Their Care? 4-23

Table 4.6 Prescription Medicine Expenditures for Noninstitutionalized Medicare Beneficiaries, by Source of Payment, and by Demographic, Socioeconomic, and Health Characteristics, 2006

Community-Only Residents1

Total Source of Payment (as a percentage of row total) Beneficiary Expenditures Private Out-of- Other ExpendituresCharacteristic2 (millions of $) Medicare Medicaid Insurance Pocket Source Per Beneficiary

All Beneficiaries $101,809 39.25 3.51 28.60 21.49 7.15 $2,465 1,351 0.75 0.21 0.67 0.30 0.36 32

Metropolitan Area Resident Yes 77,528 39.38 3.48 29.22 21.04 6.89 2,472

1,091 0.94 0.26 0.82 0.37 0.43 33 No 24,244 38.86 3.64 26.56 22.93 8.02 2,461

858 0.99 0.32 1.01 0.52 0.66 83

Source: Medicare Current Beneficiary Survey, CY 2006 Cost and Use Public Use File.

Notes: Standard errors are shaded and italic. See Appendix A for additional information on standard errors. See Appendix B for definitions of terms and variables.

1 The term community-only residents includes beneficiaries who resided only in the community during the year. It excludes beneficiaries who resided part of the year

in the community and part of the year in a long-term care facility, and beneficiaries who resided only in a long-term care facility during the year.2 Due to missing values for some variables, expenditures for individual categories may not sum to total expenditures for all beneficiaries.3 Medicare beneficiaries with end-stage renal disease (ESRD) are included within the subgroups of aged and disabled.

4 IADL stands for Instrumental Activity of Daily Living.

5 ADL stands for Activity of Daily Living.

Health and Health Care of the Medicare Population: 2006

Data Table Section 4: How Much does the Medicare Population Spend on Health Care and Who Pays for Their Care? 4-24

Table 4.7 Long-Term Care Facility Expenditures for Medicare Beneficiaries, by Source of Payment, and by Demographic, Socioeconomic, and Health Characteristics, 2006

Long-Term Care Facility Residents1

Total Source of Payment (as a percentage of row total) Beneficiary Expenditures Private Out-of- Other ExpendituresCharacteristic2 (millions of $)3 Medicare Medicaid Insurance Pocket Source Per Beneficiary

All Beneficiaries $101,709 11.46 43.62 2.65 36.86 5.41 $39,365 3,924 0.75 1.77 0.33 1.55 0.56 994

Medicare Status4 Aged

65 - 74 years 12,613 12.39 55.45 2.57 23.84 5.75 41,341 1,738 2.35 6.00 0.82 5.16 2.00 3,276

75 - 84 years 30,799 13.83 39.86 3.63 37.16 5.51 38,872 2,097 1.25 3.07 0.68 2.66 1.07 1,483

85 years and older 44,073 12.01 35.68 2.78 45.27 4.27 38,968 2,224 1.07 2.01 0.47 2.07 0.82 1,059

Disabled Under 45 years 2,931 2.47 60.86 0.00 21.81 14.87 37,581

433 1.32 6.02 0.00 3.91 4.76 4,728 45 - 64 years 11,293 4.13 67.20 0.24 21.68 6.75 40,720

2,071 1.36 6.39 0.25 5.45 2.35 5,417

Gender Male 32,148 11.63 41.49 2.88 36.84 7.15 36,440

2,204 1.17 3.26 0.64 2.64 1.12 1,497 Female 69,562 11.37 44.61 2.54 36.87 4.61 40,881

3,296 0.85 2.04 0.35 1.82 0.60 1,214

Race/Ethnicity White non-Hispanic 84,522 11.79 39.41 3.03 40.24 5.53 38,860

3,326 0.82 1.79 0.39 1.56 0.61 1,023 Black non-Hispanic 11,355 9.72 64.21 0.86 19.83 5.38 43,503

1,489 2.26 4.08 0.44 3.42 1.45 3,058 Hispanic 4,252* 10.49* 67.91* 0.05* 16.95* 4.60* 37,903*

1,106 3.53 8.60 0.05 6.05 2.25 4,998 Other 1,580* 8.75* 55.46* 1.88* 32.12* 1.80* 44,478*

610 4.53 19.41 0.92 19.73 1.97 10,384

Health and Health Care of the Medicare Population: 2006

Data Table Section 4: How Much does the Medicare Population Spend on Health Care and Who Pays for Their Care? 4-25

Table 4.7 Long-Term Care Facility Expenditures for Medicare Beneficiaries, by Source of Payment, and by Demographic, Socioeconomic, and Health Characteristics, 2006

Long-Term Care Facility Residents1

Total Source of Payment (as a percentage of row total) Beneficiary Expenditures Private Out-of- Other ExpendituresCharacteristic2 (millions of $)3 Medicare Medicaid Insurance Pocket Source Per Beneficiary

All Beneficiaries $101,709 11.46 43.62 2.65 36.86 5.41 $39,365 3,924 0.75 1.77 0.33 1.55 0.56 994

Income Less than $5,000 6,608 9.25 55.62 0.52 25.90 8.70 45,392

1,128 1.81 6.58 0.37 5.28 3.58 3,903 $5,000 - $9,999 32,181 9.91 66.00 1.10 17.56 5.43 42,359

2,587 1.34 2.52 0.45 1.50 1.10 2,142 $10,000 - $14,999 23,201 10.02 46.88 2.38 34.16 6.56 35,925

1,698 1.20 3.08 0.50 2.76 1.03 1,460 $15,000 - $19,999 10,694 14.60 26.48 6.08 47.92 4.92 37,987

1,093 2.22 4.42 1.49 4.49 1.87 2,411 $20,000 - $24,999 9,233 9.80 27.42 3.09 57.60 2.10 39,999

1,411 2.14 5.33 1.06 5.18 1.08 3,096 $25,000 - $29,999 4,144* 16.85* 21.74* 4.68* 55.44* 1.29* 36,649*

842 3.16 5.92 1.72 6.80 0.68 3,761 $30,000 - $39,999 6,952 16.90 9.42 4.86 62.55 6.27 36,600

826 2.90 3.40 0.82 4.46 2.93 2,827 $40,000 - $49,999 3,116* 8.11* 23.33* 0.62* 64.77* 3.17* 40,799*

663 2.84 7.46 0.44 8.46 2.21 4,450 $50,000 or more 5,581 16.79 16.67 4.77 55.46 6.31 39,609

1,045 4.00 4.87 2.00 6.30 2.78 3,916

Health Status Excellent 2,300* 14.38* 22.73* 3.62* 52.56* 6.71* 31,097*

527 7.63 9.46 2.95 9.11 4.49 5,344 Very good 8,259 10.12 40.37 2.90 40.57 6.05 33,773

1,066 2.20 5.70 0.99 4.79 1.76 2,571 Good 30,735 9.69 39.46 2.88 42.58 5.39 39,983

2,250 1.17 3.77 0.62 3.17 1.00 1,880 Fair 36,610 11.28 46.92 1.88 34.70 5.22 41,555

2,419 0.96 2.56 0.42 2.33 1.10 1,622 Poor 21,096 14.69 46.84 3.54 29.16 5.77 38,194

1,890 1.75 4.09 0.79 3.71 1.24 1,884

Health and Health Care of the Medicare Population: 2006

Data Table Section 4: How Much does the Medicare Population Spend on Health Care and Who Pays for Their Care? 4-26

Table 4.7 Long-Term Care Facility Expenditures for Medicare Beneficiaries, by Source of Payment, and by Demographic, Socioeconomic, and Health Characteristics, 2006

Long-Term Care Facility Residents1

Total Source of Payment (as a percentage of row total) Beneficiary Expenditures Private Out-of- Other ExpendituresCharacteristic2 (millions of $)3 Medicare Medicaid Insurance Pocket Source Per Beneficiary

All Beneficiaries $101,709 11.46 43.62 2.65 36.86 5.41 $39,365 3,924 0.75 1.77 0.33 1.55 0.56 994

Functional Limitation None 3,683 17.85 11.42 7.86 48.05 14.81 23,232

779 5.09 5.82 2.48 7.05 4.48 3,211 IADL only5 5,596 13.32 30.58 3.58 40.20 12.32 22,829

691 3.24 4.98 1.17 5.45 3.55 1,719 One to two ADLs6 16,705 11.60 36.89 1.85 41.36 8.30 33,189

1,623 1.41 4.34 0.53 3.57 1.87 1,671 Three to five ADLs 75,552 10.87 47.75 2.45 35.15 3.79 45,141

3,224 0.81 2.10 0.38 1.96 0.63 1,246

Metropolitan Area Resident Yes 78,631 10.82 43.10 2.15 39.16 4.77 40,613

3,508 0.76 2.00 0.29 1.77 0.62 1,251 No 23,078 13.62 45.40 4.36 29.02 7.59 35,635

1,481 1.87 3.77 0.95 2.82 1.38 1,299

Source: Medicare Current Beneficiary Survey, CY 2006 Cost and Use Public Use File.

Notes: Standard errors are shaded and italic. See Appendix A for additional information on standard errors. See Appendix B for definitions of terms and variables. Values followed by an asterisk (*) indicate that the estimates are based on cell counts of less than 50 sample persons.

1 The term long-term care facility residents includes beneficiaries who resided only in a long-term care facility during the year, and beneficiaries who resided part of the year in a long-term care

facility and part of the year in the community. It excludes beneficiaries who resided only in the community during the year.2 Due to missing values for some variables, expenditures for individual categories may not sum to total expenditures for all beneficiaries.3 Expenditures for long-term care in facilities include facility room and board expenses for beneficiaries who resided in a facility for the full year, and facility room and board expenses for beneficiaries who

resided in a facility for part of the year and in the community for part of the year. However, in contrast with table 4.1, facility expenditures in table 4.7 do not include expenditures for short-term facility stays

(institutional events), primarily in skilled nursing facilities, for full-year community residents, which were reported during a community interview or created through Medicare claims data. See Appendix Bfor additional information.

4 Medicare beneficiaries with end-stage renal disease (ESRD) are included within the subgroups of aged and disabled.

5 IADL stands for Instrumental Activity of Daily Living.

6 ADL stands for Activity of Daily Living.

Health and Health Care of the Medicare Population: 2006

Data Table Section 4: How Much does the Medicare Population Spend on Health Care and Who Pays for Their Care? 4-27

Table 4.8 Personal Health Care Expenditures per Noninstitutionalized Medicare Beneficiary, by Insurance Coverage, and by Demographic, Socioeconomic, and Health Characteristics, 2006

Community-Only Residents1 Medicare Supplemental Health Insurance

Beneficiary Fee-for-Service Individually-Purchased Employer-Sponsored Both Types ofCharacteristic Total2 Only Medicaid Private Insurance Private Insurance Private Insurance

Expenditures per Beneficiary $12,263 $7,757 $16,399 $11,489 $11,925 $12,054 205 555 624 461 494 693

Medicare Status3 Aged

65 - 74 years 10,168 5,020 15,252 9,123 10,179 9,531 304 593 1,168 707 661 806

75 - 84 years 14,030 9,608 17,430 12,973 14,450 14,614 465 1,524 1,091 704 1,146 1,470

85 years and older 14,787 10,621 19,023 14,800 13,513 17,070 451 1,954 1,706 1,048 940 1,955

Disabled Under 45 years 11,160 6,245 12,470 19,839* 8,899 12,164*

548 1,629 690 8,105 1,131 3,589 45 - 64 years 14,153 9,814 18,389 11,298* 12,664 9,716*

734 1,357 1,540 2,687 948 3,637

Gender Male 12,505 7,278 16,194 12,741 12,275 14,663

322 579 1,171 841 776 1,343 Female 12,065 8,447 16,526 10,657 11,602 9,888

260 914 736 397 555 776

Living Arrangement Alone 12,292 6,304 16,344 11,951 11,094 12,879

300 686 758 808 529 1,203 With spouse 11,428 7,886 16,011 10,473 11,652 11,666

287 878 1,221 539 611 873 With children 15,707 12,912 17,358 14,425 17,814 13,778*

1,019 3,063 1,498 1,441 3,569 2,097 With others 13,058 6,387 16,154 13,816 10,757 10,300*

871 1,204 1,598 1,763