HealthDay News — Medicare could save billions of dollars if secondary fractures could be prevented with improved osteoporosis screening, according to a new National Osteoporosis Foundation report conducted by Milliman.
Milliman used administrative medical claims data from a Medicare Limited Data Set to identify new osteoporotic fractures not associated with a high-trauma event among Medicare fee-for-service beneficiaries in 2015. The postfracture follow-up period to assess the economic and clinical burden associated with fractures lasted 2 to 3 years.
The researchers found that about 4 % of Medicare beneficiaries suffered a fracture in 2015. Spine and hip fractures were the most common types identified, accounting for 40% of all osteoporotic fractures. More than 40% of patients with a new osteoporotic fracture were hospitalized within 1 week after the fracture (among those with a hip fracture, 90% were hospitalized). More than 1 in 7 Medicare patients with a new osteoporotic fracture suffered another fracture within 12 months of the initial fracture, and nearly 1 in 5 with a new osteoporotic fracture developed a pressure ulcer during follow-up. 1 in 5 Medicare beneficiaries died within 12 months following a new osteoporotic fracture. In the year after a new osteoporotic fracture, medical costs were more than twice the costs incurred in the 12-month period prior to the fracture for the same beneficiary, yielding an incremental annual medical cost of $21,800 for a new osteoporotic fracture. An estimated 307,000 Medicare fee-for-service beneficiaries had a subsequent fracture during 2- to 3-year follow-up, which the researchers estimated accounted for $6.3 billion in allowed cost to Medicare. Fewer than 1 in 10 female Medicare beneficiaries were evaluated for osteoporosis with a bone mineral density test within six months of a new fracture.
“Increased focus on the identification and management of individuals who have experienced an osteoporotic fracture through a secondary fracture prevention program may lead to reduced rates of subsequent fractures and result in cost savings to payers, such as Medicare,” the authors write.