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Committee on Approaching Death: Addressing Key End of Life Issues; Institute of Medicine. Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life. Washington (DC): National Academies Press (US); 2015 Mar 19.

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Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life.

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TABLE E-1Population and Health Care Costs by Existence of Chronic Conditions and Functional Limitations

 No. of People%Health Care Costs%
Total Population312,514,999 $1,627,372,719,765 
 No chronic conditions or functional limitations149,340,36448186,301,532,39311
 Chronic conditions only112,005,27336505,675,587,92531
 Functional limitations only    6,222,515226,614,504,6282
 Chronic conditions and functional limitations  44,946,84714908,781,094,81956

SOURCE: The percentage distribution of population and costs by chronic condition/functional limitation category was obtained from The Lewin Group (2010); total population and health care costs were obtained from the 2011 Medical Expenditure Panel Survey data (AHRQ and HHS, 2011), adjusted to include the nursing home population (CMS, 2014; National Center for Health Statistics, 2013; Sing et al., 2006).

From: Appendix E, Epidemiology of Serious Illness and High Utilization of Health Care

Copyright 2015 by the National Academy of Sciences. All rights reserved.

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