Volume 52 | Number 5 | October 2017

Abstract List

Geoffrey J. Hoffman Ph.D., Ron D. Hays, Martin F. Shapiro M.D., Steven P. Wallace Ph.D., Susan L. Ettner Ph.D.


To estimate expenditures for fall‐related injuries (s) among older Medicare beneficiaries.

Data Sources

The 2007–2009 Medicare claims and 2008 Health and Retirement Study () data for 5,497 (228 and 5,269 non‐) beneficiaries.

Study Design

s were indicated by inpatient/outpatient ‐9 diagnostic codes for fractures, trauma, dislocations, and by e‐codes. A pre‐post comparison group design was used to estimate the differential change in pre‐post expenditures for the relative to the non‐ cohort ( expenditures). Out‐of‐pocket () costs, service category total annual ‐related Medicare expenditures, expenditures related to the type of initial treatment (inpatient, , outpatient), and the risk of persistently high expenditures (4th quartile for each post‐ quarter) were estimated.

Principal Findings

Estimated expenditures were $9,389 (95 percent : $5,969–$12,808). Inpatient, physician/outpatient, skilled nursing facility, and home health comprised 31, 18, 39, and 12 percent of the total. costs were $1,363.0 (95 percent : $889‐$1,837). Expenditures for s initially treated in inpatient//outpatient settings were $21,424/$6,142/$8,622. The cohort had a 64 percent increased risk of persistently high expenditures. Total Medicare expenditures were $13 billion (95 percent : $9–$18 billion).


s are associated with substantial, persistent Medicare expenditures. Cost‐effectiveness of multifactorial falls prevention programs should be assessed using these expenditure estimates.