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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%).

Prevalence & Incidence, Age - A Major Risk Factor, Today's Older Population

Osteoporosis

Fact image
Preventing Secondary Osteoporotic Fractures Yields Big Medicare Savings
Economic Burden, Economic Value

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.

Prevalence & Incidence, Human Burden

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

  • Characteristics of hospitalizations citing an osteoporosis diagnosis compared to hospitalizations for all conditions, 2006  
  • In 2006, treatments of hip and leg fractures and dislocations were performed in 16.4% of all injurious osteoporosis hospital stays, and 8.1% of these stays noted a hip replacement.  
  • In 2006, there were about 254,000 hospital stays that involved an injury likely due to osteoporosis–a 55% increase since 1995. In 2006, the related hospital costs totaled $2.4 billion.  
  • Patients hospitalized with osteoporosis and injury were 4 times as likely to be discharged to a long-term care facility, such as a nursing home or rehabilitation center (56.5% versus 15.9%)…  
  • By 2020, an estimated 10.7 million American adults will have osteoporosis.