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. 2006 Winter;28(2):65-80.

End-of-life expenditures by Ohio Medicaid beneficiaries dying of cancer

Siran M Koroukian  1 , Heather Beaird, Elizabeth Madigan, Mireya Diaz
Affiliations

End-of-life expenditures by Ohio Medicaid beneficiaries dying of cancer

Siran M Koroukian et al. Health Care Financ Rev. 2006 Winter.

Abstract

We evaluate the extent to which the Ohio Medicaid Program serves as a safety net to terminally ill cancer patients, and the costs associated with providing care to this patient population. Over a 10-year period, Ohio Medicaid served nearly 45,000 beneficiaries dying of cancer, and spent more than $1 billion in medical care expenditures in their last year of life. Eighty percent of the expenditures were incurred by 67 percent of the decedents who had been enrolled in Medicaid for at least 1 year before death, implying an opportunity for the Medicaid Program to ensure timely transition to palliative care and hospice.

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Figures

Figure 1
Figure 1. Medicaid Expenditures in the Last Year of Life, by Category of Service, and Decedents' Age Group for Non-Dually Eligible Beneficiaries: 1992-2002
Figure 2
Figure 2. Medicaid Expenditures in the Last Year of Life, by Category of Service, and Decedents' Age Group for Dually Eligible Beneficiaries: 1992-2002
Figure 3
Figure 3. Medicaid Expenditures in the Last Year of Life, by Decedent's Category of Service, and Anatomic Cancer Site: 1992-2002
Figure 4
Figure 4. Medicaid Expenditures in the Last Year of Life, by Category of Service, and Decedent's Length of Enrollment in Medicaid Prior to Death: 1992-2002
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