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Health Care
156
Highlights
Medical Services Use & Health Insurance
Coverage
• Inpatient Medicare admissions in Nevada stayed
relatively constant between 2007 and 2010,
while the number of admissions nationally
decreased.
• Although the number of outpatient Medicare
hospital visits increased nationally between 2007
and 2010, they remained relatively constant in
Nevada.
• Of Nevadans 65 and older, an estimated 96.6%
indicated that they have health care coverage.
• Just over a fifth (22.1%) of Nevada adults and
3.4% of Nevadans 65 and older are either
uninsured or under-insured.
Health Policy Reform
• Title I Quality, Affordable Health Care for All
Americans will be an important improvement
for older adults with chronic conditions such
as hypertension and diabetes, or with previous
conditions such as cancer.
• Older adults will benefit from the 2010 Patient
Protection and Affordable Care Act’s (PPACA)
geriatric and rural-physician workforce
development and training.
• The PPACA lowered the cost of prescription
drugs for Nevadans reaching the Medicare Part
D coverage gap for out-of-pocket expenses. This
saved Nevadans an average of $585 in 2012.
Medicare & Medicaid Enrollment
• In 2012, an estimated 13.9% (379,860) of the
Nevada population and 16% (over 49 million) of
the U.S. population were Medicare beneficiaries.
• Between 2010 and 2011, an estimated 13%
(39.9 million) of the U.S. population and 13%
(341,800) of Nevadans received Medicare.
• Between 2010 and 2011, 16% (50.6 million)
of the U.S. population and 10% (261,200) of
Nevadans received Medicaid health insurance.
• Nevada is one of 17 states that do not
provide a “medically needy program” to cover
possible gaps in coverage for those above the
“categorically needy income levels.”
• When compared with the United States as a
whole, Nevada spent a larger share on acute
care (68.1% vs. 64%) and hospital payments
(6.3% vs. 4.5%).
Workforce Resources
• From 2000 to 2010, the number of new students
enrolled in Nevada medical schools grew by
273.7%, while nationally enrollment grew by
22.9%. In spite of this encouraging news, the
current number of active physicians in Nevada is
discouraging.
• In 2010, Nevada’s rate of student enrollment in
medical or osteopathic school (29.4 per 100,000)
was lower than the national enrollment rate of
31.4 per 100,000.
• Between 2000 and 2010, the rate for Nevada
residents/fellows in ACGME programs increased
by 77.8%, compared with a 15.3% increase
nationally.
• The percentage of physicians retained in Nevada
upon graduation (39.2%) was slightly higher in
2010 than found nationally (38.6%).
• The percentage retained from a graduate
medical education program in Nevada (57.8%)
was higher than found nationally (47.8%).
• In spite of the encouraging news, the current
number of active physicians in Nevada is
discouraging. In 2010, Nevada ranked 45th in
the nation for the number of active physicians
per 100,000 in population (198.3).
Caregivers
• The number of caregivers in Nevada during
2009 ranged from a snapshot of 364,000 (in last
month) to a total 532,000 annually.
• These caregivers provided 348 million hours of
care at an average of $11.48 per hour.
• The total value of care provided by Nevada
caregivers in 2009 was an estimated $4 billion.
Prescription Drugs
• In 2009, drug-induced deaths ranked as
Nevada’s sixth-leading cause of death.
• In 2010, Nevada ranked fourth in the nation in
drug-poisoning deaths with an age-adjusted
rate of 20.7 per 100,000.
• Between 2009 and 2010, nonmedical use and
abuse of prescription pain relievers by Nevada
adults 26 and older was higher (4.6%) than
found nationally (3.5%).