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The myth regarding the high cost of end-of-life care

Author

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  • Aldridge, M.D.
  • Kelley, A.S.

Abstract

Health care reform debate in the United States is largely focused on the highly concentrated health care costs among a small proportion of the population and policy proposals to identify and target this "high-cost" group. To better understand this population, we conducted an analysis for the Institute of Medicine Committee on Approaching Death using existing national data sets, peer-reviewed literature, and published reports. We estimated that in 2011, among those with the highest costs, only 11% were in their last year of life, and approximately13% of the $ 1.6 trillion spenton personal healthcare costs in the United States was devoted to care of individuals in their last year of life. Public health interventions to reduce health care costs should target those with long-term chronic conditions and functional limitations.

Suggested Citation

  • Aldridge, M.D. & Kelley, A.S., 2015. "The myth regarding the high cost of end-of-life care," American Journal of Public Health, American Public Health Association, vol. 105(12), pages 2411-2415.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2015.302889_3
    DOI: 10.2105/AJPH.2015.302889
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    Cited by:

    1. Harold Braswell, 2017. "From Disability Rights to the Rights of the Dying (and Back Again)," Laws, MDPI, vol. 6(4), pages 1-17, December.
    2. Eric French & John Bailey Jones & Elaine Kelly & Jeremy McCauley, 2018. "End-of-Life Medical Expenses," Working Paper 18-18, Federal Reserve Bank of Richmond.
    3. M. Devaux & A. Lerouge & Bruno Ventelou & Y. Goryakin & A. Feigl & S. Vuik & M. Cecchini, 2019. "Assessing the potential outcomes of achieving the World Health Organization global non-communicable diseases targets for risk factors by 2025: is there also an economic dividend?," Post-Print hal-02475129, HAL.
    4. Kasteridis, Panagiotis & Rice, Nigel & Santos, Rita, 2022. "Heterogeneity in end of life health care expenditure trajectory profiles," Journal of Economic Behavior & Organization, Elsevier, vol. 204(C), pages 221-251.

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