ArticleHealth affairs (Project Hope)2016
Identification Of Four Unique Spending Patterns Among Older Adults In The Last Year Of Life Challenges Standard Assumptions.
Article in Health affairs (Project Hope), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
32 citing papers in PubMed.
- Trajectories of health and social care expenditure in the last year of life among people 70 years and older in Region Stockholm: a population-based cohort study.BMC geriatrics · 2025Article
- Identifying clusters of healthcare expenditure trajectories in end-stage organ disease: a retrospective cohort study using linked administrative databases in Singapore.BMC health services research · 2025Article
- Healthcare Expenditure Trajectories in the Last 5 Years of Life: A Retrospective Cohort Study of Decedents with Advanced Cancer and End-Stage Organ Diseases.PharmacoEconomics - open · 2025Article
- A specific role of village doctors in reducing disparities: a quantile regression analysis of end-of-life medical care.BMC palliative care · 2025Article
- End-of-life expenditure on health care for the older population: a scoping review.Health economics review · 2024Article
- Article
- Geographic variation in inpatient medical expenditure among older adults aged 75 years and above in Japan: a three-level multilevel analysis of nationwide data.Frontiers in public health · 2024Article
- Examining annual transitions in healthcare spending among U.S. medicare beneficiaries using multistate Markov models: Analysis of medicare current beneficiary survey data, 2003-2019.Preventive medicine reports · 2023Article
- Predicting mortality and visualizing health care spending by predicted mortality in Danes over age 65.Scientific reports · 2023Article
- Palliative care and imaging utilisation for patients with cancer.BMJ supportive & palliative care · 2022Observational
- Prevalence of co-occurring serious illness diagnoses and association with health care utilization at the end of life.Journal of the American Geriatrics Society · 2022Article
- Article
- One last effort. Are high out-of-pocket payments at the end of life a fatality?The European journal of health economics : HEPAC : health economics in prevention and care · 2022Article
- Trends in US Medicare Decedents' Diagnosis of Dementia From 2004 to 2017.JAMA health forum · 2022Article
- Advance Identification of Patients With Chronic Conditions and Acute Respiratory Failure at Greatest Risk for High-Intensity, Costly Care.Journal of pain and symptom management · 2022Article
- Dementia diagnosis and utilization patterns in a racially diverse population within an integrated health care delivery system.Alzheimer's & dementia (New York, N. Y.) · 2022Article
- Out-of-pocket costs near end of life in low- and middle-income countries: A systematic review.PLOS global public health · 2022Article
- International comparison of spending and utilization at the end of life for hip fracture patients.Health services research · 2021Article
- The Association of Advance Care Planning Documentation and End-of-Life Healthcare Use Among Patients With Multimorbidity.The American journal of hospice & palliative care · 2021Article
- Article
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Abstract
The assumption that health care spending skyrockets at the end of life might suggest that policy makers should target the last few months of life to control costs. However, spending patterns leading up to death have not been fully examined. We applied a new methodology to administrative claims data for older Medicare beneficiaries who died in 2012 to characterize trajectories of health care spending in the last year of life. After adjustment, we identified four unique spending trajectories among decedents: 48.7 percent had high persistent spending, 29.0 percent had moderate persistent spending, 10.2 percent had progressive spending, and 12.1 percent had late rise spending. High spending throughout the full year before death (approximately half of all decedents) was associated with having multiple chronic conditions but not any specific diseases. These findings suggest that spending at the end of life is a marker of general spending patterns often set in motion long before death.
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