Medicare Beneficiaries With Five or More Chronic Diseases Account for 66% of Program Expenses

OPEN MINDS, The Behavioral Health & Social Service Industry Analyst

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Medicare beneficiaries with five or more chronic diseases represent 20% of Medicare enrollment; however, they account for 66% of total Medicare expenses. More than 50% of workers with health insurance are enrolled in health plans that offer disease management or wellness programs. Many state Medicaid programs require disease management plans. For example, South Dakota penalizes Medicaid beneficiaries who refuse to participate in disease management for chronic conditions. Some states require managed care organizations to offer disease management to their . . .