Health Affairs

Health Affairs, 22, no. 2 (2003): 129-138 doi: 10.1377/hlthaff.22.2.129 © 2003 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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Research Challenge

Spending And Service Use Among People With The Fifteen Most Costly Medical Conditions, 1997

Joel W. Cohen and Nancy A. Krauss

This study addresses the Institute of Medicine’s recommendation that AHRQ use MEPS data to identify a set of priority conditions to inform efforts at improving quality of care. Using MEPS data we identify the fifteen most expensive conditions in the U.S. in 1997: chronic diseases such as heart disease, cancer, and diabetes, and acute conditions such as trauma, pneumonia, and infectious disease. Comorbidities were also associated with increased expenses. Type-of-service and source-of-payment distributions varied considerably across this set of conditions. Our findings highlight some of the challenges likely to be encountered in efforts to reform the current system.

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