Chart 7.1: U.S. Population Trends and Projections by Age, 1980 – 2060(1)
500
Millions
450
400
85+ Years
350
65-84 Years
300
250
200
20-64 Years
150
100
50
0-19 Years
0
1980 1990 2000 2010 2015 2020 2025 2030 2035 2040 2045 2050 2055 2060
Source: U.S. Department of Commerce, Bureau of the Census. Projections of the Population by Sex and Age for the United States:
2015-2060.
(1) Years 2015 through 2060 are projections.
Chart 7.2: U.S. Population Trends and Projections by Race,
2015 – 2060(1)
500
All Other(2, 3)
400
Millions
Asian(3)
300
White, Hispanic
200
Black(3)
100
White, Non-Hispanic
0
2015
2020
2025
2030
2035
2040
2045
2050
2055
2060
Source: U.S. Department of Commerce, Bureau of the Census. Projections of the Population by Sex, Race, and Hispanic Origin for the
United States: 2015-2060.
(1)
Years 2015 through 2060 are projections.
(2)
All Other includes American Indian, Native Alaskan, Native Hawaiian, other Pacific Islander and two or more races.
(3)
Black, Asian, and All Other categories include Hispanic and non-Hispanic individuals.
Deaths per 100,000 Population
Chart 7.3: Age-adjusted Death Rates, Selected Causes, by Race, 2013
250
(1)
White
Black (1)
All Persons
200
150
100
50
0
Diseases of the
Heart
Malignant
Neoplasms
Cerebrovascular Chronic Lower
Disease
Respiratory
Diseases
Diabetes
Cause of Death
Source: National Center for Health Statistics. (2015). Health, United States, 2014. Hyattsville, MD.
(1)
Racial categories include individuals of both Hispanic and non-Hispanic origin.
Influenza and
Pneumonia
HIV Infection
Chart 7.4: Percent of People with Chronic Conditions by Number
and Sex,(1) 2012
Total
43.5%
44.2%
42.8%
Percent of Individuals
Male
Female
22.1%
20.3%
18.6%
11.9%
0
1
12.4%
2
11.4%
9.2% 8.8% 9.6%
3
6.6% 6.1% 7.0%
4
8.5% 7.8% 9.2%
5+
Number of Chronic Conditions
Source: Avalere Health analysis of 2012 Medical Expenditure Panel Survey data.
(1)
The analysis was based on the following study: Anderson, G. (2010). Chronic Care: Making the Case for Ongoing Care. Johns Hopkins
University and the Robert Wood Johnson Foundation. There were two distinct differences between Avalere‘s analysis and the study’s
methodologies. First, Avalere used the Chronic Conditions as defined by the Agency for Healthcare Research and Quality Medical
Expenditure Panel Survey (MEPS) documentation. Second, Avalere solely relied on MEPS 2012 data and did not use the two additional
data sources that were referenced in the Anderson 2010 study (i.e., three opinion telephone surveys commissioned by the Partnership for
Solutions and designed by Johns Hopkins and the 1996 Survey of Income and Program Participation data for characteristics of family
caregivers).
Chart 7.5: Percent of Fee-for-Service Medicare Beneficiaries with Chronic
Conditions, 2012
Hypertension
Hyperlipidemia
Arthritis
Ischemic Heart Disease
Diabetes
Chronic Kidney Disease
15.5%
Depression
15.5%
Heart Failure(1)
14.6%
COPD
11.3%
Alzheimer's Disease/Dementia
9.8%
Cancer
7.9%
Atrial Fibrillation
7.9%
Osteoporosis
6.4%
Asthma
4.9%
Schizophrenia and Other Psychotic Disorders
3.8%
Stroke
3.8%
Autism Disorders 0.1%
0%
10%
20%
55.5%
44.8%
29.0%
28.6%
27.0%
30%
40%
50%
Percent of Fee-for-Service Medicare Beneficiaries
Source: Centers for Medicare & Medicaid Services. Medicare Chronic Condition Dashboard. Data released June 2, 2014.
Available at: https://www.ccwdata.org/web/guest/interactive-data/chronic-conditions-dashboard.
(1)
Chronic obstructive pulmonary disease.
Previously Percent of People with Chronic Conditions by Type, 2006. Source: Anderson, G. (2010). Chronic Care: Making the
Case for Ongoing Care. Johns Hopkins University and the Robert Wood Johnson Foundation.
60%
Chart 7.6: Number of Persons with Asthma, 1980 – 2013
45
Millions of Persons
40
35
30
25
20
15
10
5
1980
1990
2001
2005
2006
2007
2008
2009
2010
2011
2012
Source: Centers for Disease Control and Prevention (2002). Surveillance of Asthma – United States, 1980-1999.
National Center for Health Statistics. National Health Interview Survey 2001, 2005, 2006, 2007, 2008, 2009, 2010,
2011, 2012 and 2013.
2013
Chart 7.7: Percent of Adults with Hypertension by Sex,(1) 1988 – 1994
and 2009 – 2012
Percent of Adults Ages 20+
30.6%
26.4%
29.3%
1988-1994
2009-2012
Male
24.4%
Female
Source: National Center for Health Statistics. (2015). Health, United States, 2014. Hyattsville, MD.
(1)
Data are age-adjusted to 2000 standard population.
Chart 7.8: Percent of Adults Who Are Overweight and Obese,(1)
1960 – 2012
(2)
Overweight
Percent of Adults Ages 20-74
70%
60%
50%
40%
Obese
30%
20%
10%
0%
1960-1962
1976-1980
1988-1994
1999-2002
2003-2006
Source: National Center for Health Statistics. (2015). Health, United States, 2014. Hyattsville, MD.
(1)
Data are age-adjusted to 2000 standard population.
(2)
Overweight includes obese.
2009-2012
Chart 7.9: Percent of Spending by People with Chronic Conditions by
Service Type,(1) 2012
90%
91%
81%
Percent of Spending
84%
Home Health Care Visits
Prescription Drugs
Inpatient Hospital Stays
Physician Visits
Type of Service
Source: Avalere Health analysis of 2012 Medical Expenditure Panel Survey data.
(1)
The analysis was based on the following study: Anderson, G. (2010). Chronic Care: Making the Case for Ongoing Care. Johns Hopkins
University and the Robert Wood Johnson Foundation. There were two distinct differences between Avalere‘s analysis and the study’s
methodologies. First, Avalere used the Chronic Conditions as defined by the Agency for Healthcare Research and Quality Medical
Expenditure Panel Survey (MEPS) documentation. Second, Avalere solely relied on MEPS 2012 data and did not use the two additional
data sources that were referenced in the Anderson 2010 study (i.e., three opinion telephone surveys commissioned by the Partnership for
Solutions and designed by Johns Hopkins and the 1996 Survey of Income and Program Participation data for characteristics of family
caregivers).
Chart 7.10: Percent of Spending for Individuals with Chronic Conditions
by Insurance Status,(1) 2012
Uninsured
76%
Privately Insured
79%
Medicaid Beneficiaries
72%
Ages 65+ with Medicare Only
99%
Ages 65+ with Medicare and
Supplemental Insurance
99%
Ages 65+ with Medicare and
Medicaid
99%
0%
20%
40%
60%
80%
100%
Percent of Spending
Source: Avalere Health analysis of 2012 Medical Expenditure Panel Survey data.
(1)
The analysis was based on the following study: Anderson, G. (2010). Chronic Care: Making the Case for Ongoing Care. Johns Hopkins
University and the Robert Wood Johnson Foundation. There were two distinct differences between Avalere‘s analysis and the study’s
methodologies. First, Avalere used the Chronic Conditions as defined by the Agency for Healthcare Research and Quality Medical
Expenditure Panel Survey (MEPS) documentation. Second, Avalere solely relied on MEPS 2012 data and did not use the two additional
data sources that were referenced in the Anderson 2010 study (i.e., three opinion telephone surveys commissioned by the Partnership for
Solutions and designed by Johns Hopkins and the 1996 Survey of Income and Program Participation data for characteristics of family
caregivers).
Chart 7.11: Percent of Medicare Fee-for-Service Beneficiaries vs. Percent
of Medicare Spending, by Number of Chronic Conditions,(1) 2012
6+ Chronic Conditions, 14%
6+ Chronic Conditions, 48%
4 to 5 Chronic Conditions, 21%
2 to 3 Chronic Conditions, 30%
4 to 5 Chronic Conditions, 26%
0 to 1 Chronic Condition, 34%
2 to 3 Chronic Conditions, 18%
0 to 1 Chronic Condition, 7%
(2)
Percent of Beneficiaries
(2)
Percent of Medicare Spending
Source: Centers for Medicare & Medicaid Services. Medicare Chronic Condition Dashboard. Data released June 2, 2014. Available at:
https://www.ccwdata.org/web/guest/interactive-data/chronic-conditions-dashboard.
(1)
Includes 15 CMS identified chronic conditions.
(2)
Percentages were rounded, so they do not add to 100 percent.
Previously Percent of Population vs. Percent of Spending, by Number of Chronic Conditions, 2006. Source: Anderson, G. (2010).
Chronic Care: Making the Case for Ongoing Care. Johns Hopkins University and the Robert Wood Johnson Foundation.
Chart 7.12: Percent of Medicare Fee-for-Service Spending on Chronic
Conditions by Type of Service,(1) 2010
0 to 1
Chronic
Conditions
19%
2 to 3
Chronic
Conditions
5%
26%
4 to 5
Chronic
Conditions
7%
10%
21%
5%
34%
6+ Chronic
Conditions
19%
16%
41%
12%
3%
24%
13%
11%
15%
9%
10%
10%
2%
8%
7%
10%
8%
11%
$57.2B
9%
$86.0B
6%
4% 4%
0%
Inpatient
$20.0B
14%
7%
$141.8B
100%
(2)
PAC
Hospice
Outpatient
(3)
E&M
Procedures
Imaging and Testing
(4)
DME & All Other Part B
Source: Centers for Medicare & Medicaid Services. Chronic Conditions Among Medicare Beneficiaries Chartbook 2012.
Available at: http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/ChronicConditions/Downloads/2012Chartbook.pdf.
(1)
Includes 15 CMS identified chronic conditions.
(2)
PAC = Post-Acute Care.
(3)
E&M = Evaluation & Management.
(4)
DME = Durable Medical Equipment.
Chart added in Chartbook 2013. Replaced: Working Age Adults with Activity Limitations Due to Chronic
Conditions, by Condition and Age, 2006-2007. Source: National Center for Health Statistics. (2010).
Health, United States, 2009. Hyattsville, MD.
Chart 7.13: Percent Uninsured by Race, 1984 – 2013
Percent of Population Under Age 65
40%
Hispanic
30%
20%
Black(1)
All
Asian(2)
White(1)
10%
1984
1989
1995
2000
2008
2009
2010
2011
Source: National Center for Health Statistics. (2015). Health, United States, 2014. Hyattsville, MD.
(1)
Includes individuals of non-Hispanic origin only.
(2)
Includes individuals of Hispanic and non-Hispanic origin.
2012
2013
Chart 7.14: Percent of Adults with No Usual Source of Care
by Race, 1995 – 2013
Percent of Adults Ages 18-64
40%
35%
Hispanic
30%
25%
20%
15%
Black(1)
Asian(2)
White(1)
10%
1995- 1997- 1999- 2001- 2003- 2005- 2006- 2007- 2008- 2009- 2010- 2011- 20121996 1998 2000 2002 2004 2006 2007 2008 2009 2010 2011 2012 2013
Source: National Center for Health Statistics. (2015). Health, United States, 2014. Hyattsville, MD.
(1)
Includes individuals of non-Hispanic origin only.
(2)
Includes individuals of Hispanic and non-Hispanic origin.
Chart 7.15: Percent of Adults with No Usual Source of Care by
Insurance Status, 1995 – 2013
Percent of Adults Ages 18-64
Insured
47%
Uninsured
49%
49%
50%
53%
53%
52%
54%
56%
54%
54%
54%
42%
11%
11%
11%
9%
9%
10%
10%
10%
10%
11%
10%
1995- 1997- 1999- 2001- 2003- 2005- 2006- 2007- 2008- 2009- 20101996 1998 2000 2002 2004 2006 2007 2008 2009 2010 2011
Source: National Center for Health Statistics. (2015). Health, United States, 2014. Hyattsville, MD.
11%
11%
2011- 20122012 2013
Chart 7.16: Percent of Children with No Usual Source of Care
by Race, 1995 – 2013
Percent of Children Under 18 Years
15%
10%
Hispanic
Asian(1)
Black(2)
5%
White(2)
0%
19951996
19971998
19992000
20012002
20032004
20052006
20062007
20082009
20092010
Source: National Center for Health Statistics. (2015). Health, United States, 2014. Hyattsville, MD.
(1)
Includes individuals of Hispanic and non-Hispanic origin.
(2)
Includes individuals of non-Hispanic origin only.
20102011
20112012
20122013
Percent of Children Under 18 Years
Chart 7.17: Percent of Children with No Usual Source of Care by
Insurance Status, 1995 – 2013
Insured
28%
29%
Uninsured
29%
31%
31%
29%
30%
29%
28%
28%
27%
22%
4%
19951996
4%
19971998
4%
19992000
3%
20012002
3%
20032004
3%
20052006
3%
20062007
3%
3%
20082009
20092010
Source: National Center for Health Statistics. (2015). Health, United States, 2014. Hyattsville, MD.
3%
20102011
2%
20112012
3%
20122013
Chart 7.18: Percent of Individuals with No Health Care Visits by
Race, Insurance Status, 1997 and 2013
39%
Percent of Individuals
1997
2013
34%
25% 24%
23%
17%
18%
15% 14%
15%
White(1)
Black (1)
14%
Asian (2)
Hispanic
13%
Insured
Race
Source: National Center for Health Statistics. (2015). Health, United States, 2014. Hyattsville, MD.
(1)
Includes individuals of non-Hispanic origin only.
(2)
Includes individuals of Hispanic and non-Hispanic origin.
Uninsured
Insurance Status
Percent of Children Under 18 Years
Chart 7.19: Percent of Children with No Health Care Visits by Race,
Insurance Status, 1998 and 2013
1998
2013
29%
27%
19%
16%
15%
11%
8%
White
(1)
10%
8%
12%
10%
10%
8%
Black (1)
(2)
Asian
Race
Hispanic
7%
Any
Private
Insurance Insurance
10%
8%
Medicaid
Insurance Status
Source: National Center for Health Statistics. (2015). Health, United States, 2014. Hyattsville, MD.
(1)
Includes individuals of non-Hispanic origin only.
(2)
Includes individuals of Hispanic and non-Hispanic origin.
Uninsured
Chart 7.20: Percent of Children with No Dental Visits by Race, Poverty
Status, 1997 and 2013
Percent of Children 2-17 Years
1997
2013
39%
31%
38%
38%
30%
24%
20%
19%
19%
22%
22%
24%
15%
15%
14%
11%
White(1)
Black (1)
Race
Asian (2)
Hispanic
<100%
FPL (3)
100-199%
FPL
200-399%
FPL
Poverty Status
Source: National Center for Health Statistics. (2015). Health, United States, 2014. Hyattsville, MD.
(1)
Includes individuals of non-Hispanic origin only.
(2)
Includes individuals of Hispanic and non-Hispanic origin.
(3)
FPL = federal poverty level.
≥ 400%
FPL
Chart 7.21: Percent of Children Vaccinated(1) by Race, Poverty
Status, 2009(2) and 2013
Percent of Children 19-35 Months of Age
2009
2013
80%
74%
73%
72%
69%
70%
65%
64%
60%
50%
46%
45%
40%
41%
39%
40%
30%
White (3)
Asian (3)
Black (3)
Race
46%
Hispanic
(4)
Below FPL
At or Above
FPL
Poverty Status
Source: National Center for Health Statistics. (2015). Health, United States, 2014. Hyattsville, MD.
(1)
Vaccinations include DTP, Polio, MMR, Hib, Hepatitis B, Varicella and PCV.
(2)
Classification methodology changed for the Influenza Type B vaccine—before January 2009, NIS did not distinguish
between Hib vaccine product types, so children who received three doses of the vaccine that required four doses were
misclassified as fully vaccinated.
(3)
Includes individuals of non-Hispanic origin only.
(4)
FPL = federal poverty level.
Chart 7.22: Percent of Women(1) Receiving Mammography(2) by
Race, Poverty Status, 1994 and 2013
Percent of Women Over Age 40
80%
1994
2013
77%
74%
70%
68%
64%
67%
67%
65%
66%
61%
61%
60%
57%
56%
52%
50%
50%
49%
44%
40%
30%
White(3)
Black (3)
Asian (4) Hispanic
Race
<100% 100-199% 200-399% ≥400%
FPL(5)
FPL
FPL
FPL
Poverty Status
Source: National Center for Health Statistics. (2015). Health, United States, 2014. Hyattsville, MD.
(1)
Women over 40 years of age.
(2)
Indicates use of mammography in two years prior to 1994 and 2013.
(3)
Includes individuals of non-Hispanic origin only.
(4)
Includes individuals of Hispanic and non-Hispanic origin.
(5)
FPL = federal poverty level.
Chart 7.23: Percent of Adults(1) with Chronic Conditions by Insurance
Type, 2007 – 2008
No Chronic Conditions
1 Chronic Condition
2+ Chronic Conditions
100%
16.0%
80%
60%
30.6%
32.4%
45.1%
23.3%
19.5%
24.7%
19.6%
40%
64.5%
20%
46.1%
42.9%
All
Private
0%
35.3%
(2)
Public
(3)
Uninsured
Source: Agency for Healthcare Research and Quality. Center for Financing, Access, and Cost Trends. Household Component of the
Medical Expenditure Panel Survey, 2007-2008. Available at: http://meps.ahrq.gov/data_files/publications/st320/stat320.shtml.
(1)
Includes individuals 18-64 years of age.
(2)
Includes individuals who had any private insurance coverage (including TRICARE) anytime between 2007 to 2008.
(3)
Includes individuals who had only public insurance coverage for all or part of the year between 2007 to 2008.
(4)
Includes individuals who were uninsured all of the year between 2007 to 2008.
Chart added in Chartbook 2013.
(4)
Chart 7.24: Total Expenditures on Top 10 Most Costly Conditions Among
Adults(1) by Sex, 2008
$47
Female
$44
$38
Male
$37
$34 $33
Billions of Dollars
$34
$33
$27
$23
$23
$26
$21
$23 $22
$18
$21
$18
$20
$14
Heart
Disease
Cancer
Mental
TraumaDisorders related
Disorders
Osteoarthritis
COPD,
Asthma
Hypertension
Diabetes
Back
HyperProblems lipidemia
Source: Agency for Healthcare Research and Quality. Center for Financing, Access, and Cost Trends. Household Component of the Medical
Expenditure Panel Survey, 2008. Available at: http://meps.ahrq.gov/mepsweb/data_files/publications/st331/stat331.shtml.
(1)
Only includes adults ages 18 and older.
Chart added in Chartbook 2013.
Chart 7.25: 30-Day Readmission Rate for Medicare Fee-for-Service
Beneficiaries by Number of Chronic Conditions,(1) 2012
24.1%
12.6%
8.2%
0 - 1 Chronic Conditions
9.6%
2 - 3 Chronic Conditions
4 - 5 Chronic Conditions
6+ Chronic Conditions
Source: Centers for Medicare & Medicaid Services. Medicare Chronic Condition Dashboard. Data released June 2, 2014. Available
at: https://www.ccwdata.org/web/guest/interactive-data/chronic-conditions-dashboard.
(1)
Includes 15 CMS identified chronic conditions.
Chart added in Chartbook 2013.