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OptiMedium April 2019

Care Report 2018: OptiMedis analyses data on the care-dependent

reportAverage number of hospitalisation cases per 100 care-dependent poli-cy-holders over one year. Illustration: OptiMedisThere exist great regional differences in the care for the care-dependent within Germany. This is the result of an analysis performed by OptiMedis AG for a Care Report titled “On-site care – living a good life while needing care” from the German Health insurance DAK-Gesundheit. For the report, OptiMedis analysed the invoice data of DAK-Gesundheit for all care-dependent policyholders from 2014 to 2017.

The report for example shows that the care-dependent in the eastern states are hospitalised at an above average rate: In Brandenburg, Mecklenburg-Western Pomerania, and Saxony-Anhalt, the rate of hospitalisation exceeds the national average by 15 to 17 cases for each 100 care-dependent individuals; Thuringia even has 20 additional cases. There are differences in the expenses as well: The overall statutory health insurance costs in the eastern states exceeds the national average at over 15,000 euro per patient per year; in Hesse, Lower Saxony, Baden-Wuerttemberg, and Bremen, the costs fall short of the national average at 13,000 euro. The average costs for Germany at large are slightly over 13,500 euro per year.

OptiMedis additionally analysed figures on the first entry into care dependency. This analysis shows that 90 percent of the care-dependent receive outpatient care or care at home at the beginning of their care dependency. This share drops slightly after one year, with 82 percent of people receiving outpatient care or care by relatives; this drop is attributable to a greater share of persons receiving inpatient care. Of all care-dependent individuals, 60 percent are hospitalised at least once in the quarter leading up to their care dependency. Illnesses treated with inpatient care such as cancer, fractures, cardiovascular diseases, pneumonia, and COPD above all immediately precede care dependency. Another interesting result of the analysis: only 5.4 percent of all care-dependent individuals had a registered health service for inpatient rehabilitation in the quarter leading up to their care dependency start. In accordance with § 5 para. 1 SGB XI, such measures should actually be initiated more frequently as they might help in preventing care dependency.

Please contact Timo Schulte, Head of Health Data Analytics & IT, OptiMedis AG with any questions you might have (This email address is being protected from spambots. You need JavaScript enabled to view it., +49 (0) 40 22621149 0).