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Table 3 Estimated Weighted Proportions of Neuropsychiatric Disorders in the Medicare Population by Data Source and the effect of combining sources

From: Identifying neuropsychiatric disorders in the Medicare Current Beneficiary Survey: the benefits of combining health survey and claims data

Diagnostic Category or Disorder

Sample

Health Survey* Proportion

Claims Proportion

Health Survey & Claims Proportion

deltaall-survey**(relative % increase)

Any Neuropsychiatric Disorder

Community Only

36.5

30.5

47.6

11.1 (30.3 %)

Facility Only

79.8

79.4

91.6

11.9 (14.9 %)

Overall

38.9

33.2

50.0

11.1 (28.6 %)

Neuropsychiatric Diagnoses Categories

 Intellectual/ Developmental Disorder

Community Only

2.6

1.5

3.5

0.9 (34.8 %)

Facility Only

6.2

10.9

13.8

7.6 (121.5 %)

Overall

2.8

2.0

4.1

1.3 (45.2 %)

 Psychiatric Disorders

Community Only

27.4

16.9

32.8

5.4 (19.9 %)

Facility Only

51.1

48.2

64.4

13.3 (25.9 %)

Overall

28.7

18.7

34.5

5.9 (20.5 %)

 NeuroCNS Disorders

Community Only

12.2

16.0

22.8

10.7 (87.4 %)

Facility Only

27.5

46.4

53.4

25.8 (93.8 %)

Overall

13.0

17.7

24.5

11.5 (88.2 %)

 Dementia

Community Only

2.0

4.3

5.0

3 (147.6 %)

Facility Only

40.4

48.0

57.7

17.2 (42.6 %)

Overall

4.1

6.7

7.9

3.8 (91.6 %)

Individual Neuropsychiatric Disorders

 Depression

Community Only

25.7

10.6

28.6

2.9 (11.2 %)

Facility Only

39.8

33.8

50.2

10.5 (26.3 %)

Overall

26.5

11.8

29.8

3.3 (12.4 %)

 Stroke

Community Only

10.6

11.0

17.7

7.1 (67.3 %)

Facility Only

12.3

23.5

28.4

16.2 (131.9 %)

Overall

10.7

11.7

18.3

7.6 (71.3 %)

 Parkinson's Disease

Community Only

1.0

1.0

1.4

0.4 (37.1 %)

Facility Only

5.3

9.0

9.9

4.6 (87.4 %)

Overall

1.2

1.4

1.8

0.6 (48.9 %)

Non-Neuropsychiatric Disorders

 Diabetes

Community Only

19.7

27.0

29.5

9.8 (49.4 %)

Facility Only

24.9

34.7

37.3

12.4 (49.8 %)

Overall

20.0

27.4

29.9

9.9 (49.4 %)

 Arthritis

Community Only

56.3

48.4

70.5

14.2 (25.2 %)

Facility Only

19.3

62.7

67.6

48.3 (249.6 %)

Overall

54.3

49.2

70.4

16 (29.5 %)

  1. *For ID/DD and the overall neuropsychiatric categories, the facility "Health Survey" prevalence contains ID/DD cases identified through the MDS (panels 2007, 2008, 2009) and facility interview files (all panels) in addition to those identified in the facility health status and functioning file
  2. **Delta = difference between all sources prevalence and health survey only prevalence; Relative % is the percent increase in prevalence from adding claims (delta/health survey prevalence)
  3. Delta may not exactly equal difference of presented numbers because of rounding error
  4. Source: Authors' analysis using the Medicare Current Beneficiary Survey, 2010