Volume I, Issue 3 March/April 2003
Maine’s aging population
impacts health care
Maine’s aging population appears to
be impacting utilization and cost of
health services across the state. In a new
analysis by the Maine Health
Information Center of the state’s
Hospital Discharge Database, it was
found that the average age of Maine
residents admitted to Maine hospitals
increased from 53.1 years old in 1995 to
55.4 years old in 2001. Over that same
period of time, Medicare, which paid for
44.9% of admissions in 1995, covered
48.4% in 2001.
According to the 2000 US Census,
Maine has one of the oldest populations
in the country. Maine’s mean age is 3.3
years higher than the national mean.
From 1990 to 2000, the state’s
population increased 3.8%. During that
same period, the number of Mainers 65
In This Issue
1
1
2
Aging population
impacts health costs
Hospital Discharge
Database
EMS database
The average
age of
patients
admitted to
Maine
hospitals is
now 55.4
years.
Hospital Discharge Database
As concern grows over Maine’s health care cost and access issues, the state’s
Hospital Discharge Database is becoming an increasingly important source of health
care data that is used regularly by hospitals, policymakers, and insurance companies.
(Continued on page 2)
0
10000
20000
30000
40000
50000
60000
70000
80000
1995
2001
Medical
Mental or
Substance
Surgical
Procedure
Maternity
Medical admissions to Maine hospitals
increased 5.6% from 1995 to 2001 while both
surgical and maternity admissions declined
Admissions
and over increased 12.3%.
Inpatient admissions in Maine
hospitals increased by 3.1% from 1995
to 2001. Though this may seem a modest
increase, consistent with Maine’s
increase in population, an analysis of
types of admissions reveals age-related
connections. While surgical and
maternity admissions decreased, medical
admissions increased 5.6%. Notable
among the medical admissions are
respiratory, which increased from 10,480
to 12,232 and cardiology, which
increased from 18,520 to 19,495.
Steven Michaud, president of the
Maine Hospital Association, said,
“Along with the advances in medicine
and technology, the aging of the
population represents the prime
contributor to increased use of hospital
services and thus increases in overall
healthcare costs. It is a trend that, while
inexorable, presents us with
extraordinary challenges in providing
affordable healthcare to a population that
needs and demands it.”
Higher numbers of admissions is
coupled with increased charges for
inpatient stays. The average charge for a
hospital stay has increased from $8,365
in 1995 to $11,545 in 2001. The total
Maine people paid for inpatient hospital
care in 2001 was approximately $1.8
billion.