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Reducing secondary bone fractures can reduce medicare spending

Reducing 5-20 percent of “secondary” bone fractures in 2015 could have reduced Medicare FFS spending by $310 million to $1.2 billion over a follow-up period that lasted up to 2 to 3 years after a new osteoporotic fracture.

Hansen D, Bazell C, Pelizzari P, Pyenson B. Medicare Cost of Osteoporotic Fractures. Milliman Research Report. 2019; https://static1.squarespace.com/static/5c0860aff793924efe2230f3/t/5d76b949deb7e9086ee3d7dd/1568061771769/Medicare+Cost+of+Osteoporotic+Fractures+20190827.pdf

Reference

Title
Medicare Cost of Osteoporotic Fractures
Publication
Milliman Research Report
Publication Date
2019
Authors
Hansen D, Bazell C, Pelizzari P, Pyenson B
URL
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Categories

  • Cost of Disease
  • Economic Value

Connected Facts

Osteoporosis

Osteoporosis prevalence among Mexican American, Non-Hispanic White, and women >80 years old

Osteoporosis is most common among:

  • Mexican American women (20.4%)
  • Non-Hispanic white women (15.8%)
  • and women aged 80 and older (34.9%).

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Preventing Secondary Osteoporotic Fractures Yields Big Medicare Savings
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Osteoporosis

New osteoporotic fractures, mobidity, and mortality

Over 40% of Medicare FFS beneficiaries with a new osteoporotic fracture were hospitalized within a week after their fracture and nearly 20% died within 12 months following a new osteoporotic fracture.

Human Burden, Life Expectancy
Medicare Patients and Fractures Suffered in 2015

2 million Medicare patients suffered 2.3 Million fractures in 2015.

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Osteoporosis

Americans at risk for osteoporosis

54 million Americans age 50 and over either already have or are at risk of osteoporosis.

Prevalence & Incidence, Human Burden

Related Facts

  • One study found that women age 65 and older who suffered a vertebral fracture were more than twice as likely to suffer back pain than women who hadn’t.  
  • The cumulative cost of incident fractures is predicted to rise from $209 billion during the 10-year period of 2006 to 2015, to $228 for the 10-year period of 2016 to…  
  • About 315,000 Americans aged 45 and older were admitted to hospitals with hip fractures in 2001–a majority with osteoporosis as the underlying cause.  
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  • Women who experience a vertebral fracture are 2 to 3 times more likely to die of pulmonary causes than women without a fracture.