Ethan Rhodes
Hospital stays vary by age, income, and other factors. In the United States, data shows that the percentage of people aged 1-64 with a hospital stay decreased from 2009 to 2018. Interestingly, those living below 100% of the federal poverty line (FPL) were the most likely to have had a hospital stay in the past year, while those at 400% or more of FPL were the least likely. In 2019, the overall age-adjusted percentage of people aged 1-64 with a hospital visit returned to 5.9%, similar to the percentage in 2009.
| Characteristics | Values |
|---|---|
| Age group | 1-64 years |
| Percentage with hospital stay (2009) | 5.9% |
| Percentage with hospital stay (2014) | 5.1% |
| Percentage with hospital stay (2018) | 5.1% |
| Percentage with hospital stay (2019) | 5.9% |
| Percentage with hospital stay by income (below 100% FPL) | 10.1% |
| Percentage with hospital stay by income (100%-199% FPL) | 6.8% |
| Percentage with hospital stay by income (200%-399% FPL) | 5.7% |
| Percentage with hospital stay by income (400% or more FPL) | 4.4% |
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What You'll Learn
- People aged 1-64 living below 100% FPL most likely to stay in hospital
- Hospital stays for people living at 100%-199% FPL
- People living at 400%+ FPL least likely to stay in hospital
- Age-adjusted percentages of people aged 1-64 with hospital stays
- Average adjusted cost of inpatient stays at community hospitals
People aged 1-64 living below 100% FPL most likely to stay in hospital
In the United States, the likelihood of hospital stays varies across different age groups and income levels. Data from 2019 indicates that people aged 1 to 64 living below 100% of the Federal Poverty Level (FPL) were the most likely to have had a hospital stay in the past year, with an age-adjusted rate of 10.1%. This group experienced higher rates of hospitalisation compared to those living at 100%-199% (6.8%), 200%-399% (5.7%), and 400% or more of the FPL (4.4%).
The disparity in hospital stays by income level is notable, with a decreasing trend in hospitalisations as income increases. People living at 400% or more of the FPL were the least likely to have had a hospital stay, indicating a potential correlation between higher income and better health outcomes or access to alternative healthcare options.
From 2009 to 2018, there was an overall decrease in the age-adjusted percentage of people aged 1 to 64 with a hospital stay in the past year, regardless of their income level. However, the rate of decrease varied across different income groups. The data suggests that the percentage of hospital stays decreased in 2013 and 2014 for people living at 100% to 399% of the FPL, while the percentage remained relatively stable for those living below 100% of the FPL during those years.
While the data provides insights into the relationship between age, income, and hospital stays, it is important to consider other factors that may influence hospitalisation rates. These factors could include access to primary and preventive care, health literacy, social determinants of health, and the presence of underlying health conditions. Additionally, the data may not capture the full complexity of healthcare utilisation, as it focuses solely on hospital stays and does not include outpatient or emergency room visits. Nonetheless, understanding the demographics of hospital stays is crucial for informing healthcare policies, allocating resources, and improving health outcomes for vulnerable populations.
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Hospital stays for people living at 100%-199% FPL
In 2019, people aged 1–64 living between 100%-199% of the Federal Poverty Level (FPL) were the second most likely to have had a hospital stay in the past year, with 6.8% having done so. This is compared to 10.1% of people living below 100% of FPL, 5.7% of people living between 200%-399% of FPL, and 4.4% of people living at 400% or more of FPL.
The Federal Poverty Level (FPL) helps determine eligibility for government health insurance savings and assistance programs. A lower FPL percentage indicates lower earnings compared to what the government considers basic living costs. People with a lower FPL are more likely to qualify for assistance. Those with an income below 100% of FPL may qualify for Medicaid, SNAP (food stamps), TANF (cash assistance), TEFAP (emergency food), Lifeline (for phone or internet bills), and Section 8 Housing Vouchers. People with an income between 100%-400% of FPL may qualify for a premium tax credit that lowers monthly premiums for a Marketplace plan.
From 2009 to 2018, the age-adjusted percentage of people aged 1–64 with a hospital stay in the past year decreased for those living between 100%-199% of FPL. In 2013 and 2014, the percentage decreased, and then did not change significantly through 2018. In 2019, the age-adjusted percentage of people aged 1–64 with a hospital visit in the past year was 5.9%.
Hospitalization is one of the most expensive types of healthcare, with an average adjusted cost of $14,101 per inpatient stay at community hospitals in 2019. The most frequent diagnoses resulting in hospitalizations are septicemia, heart failure, osteoarthritis, pneumonia, and diabetes mellitus.
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People living at 400%+ FPL least likely to stay in hospital
In the United States, the Federal Poverty Level (FPL) is a measure of income that is updated annually by the Department of Health and Human Services (HHS). It is used to determine eligibility for certain programs and benefits, such as Medicaid and the Children's Health Insurance Program (CHIP). The FPL is based on family income, size, and composition, and it varies across states.
From 2009 to 2018, the age-adjusted percentage of individuals aged 1-64 who had a hospital stay in the past year decreased for those living below 100% and above 400% of the FPL. Specifically, in 2019, people aged 1-64 living below 100% of the FPL (10.1%, age-adjusted) were the most likely to have had a hospital stay in the previous year. This was followed by those in the 100%-199% (6.8%, age-adjusted) and 200%-399% (5.7%, age-adjusted) income brackets. Notably, individuals living at 400% or more above the FPL were the least likely to have had a hospital stay in the past year (4.4%, age-adjusted).
Similar trends were observed in emergency department (ED) visits. In 2019, adults living below 100% of the FPL were the most likely to have visited an ED in the past year (34.1%, age-adjusted), followed by those in the 100%-199% (27.9%, age-adjusted) and 200%-399% (20.8%, age-adjusted) income categories. Again, adults living at or above 400% of the FPL were the least likely to have had an ED visit in the previous year (16.0%, age-adjusted).
These findings highlight the relationship between income level and healthcare utilization in the United States. Individuals with lower incomes tend to have higher rates of hospital stays and ED visits, while those at higher income levels, specifically above 400% of the FPL, are less likely to utilize these healthcare services. It is important to consider the impact of access to healthcare, insurance coverage, and social determinants of health on these trends.
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Age-adjusted percentages of people aged 1-64 with hospital stays
Age is a significant factor in hospital stays, with older individuals generally facing a higher risk of hospitalisation. Notably, from 2009 to 2018, the age-adjusted percentage of people aged 1-64 with a hospital stay in the previous year decreased for those living below 100% of the Federal Poverty Level (FPL) and those living at 400% or more of FPL.
In 2019, individuals aged 1-64 living below 100% of FPL were most likely to have had a hospital stay in the past year, with an age-adjusted rate of 10.1%. This was followed by those living at 100%-199% of FPL (6.8%, age-adjusted) and 200%-399% of FPL (5.7%, age-adjusted). People living at 400% or higher of FPL were the least likely to have had a hospital stay, with an age-adjusted rate of 4.4%.
The age-adjusted percentage of people aged 1-64 with a hospital stay showed a decreasing trend from 2009 to 2014, dropping from 5.9% in 2009 to 5.1% in 2014. However, it remained relatively stable from 2014 to 2018, with no significant changes. In 2019, the age-adjusted percentage of people in this age group with a hospital visit in the previous year increased slightly to 5.9%.
These statistics highlight the impact of socioeconomic factors, as measured by the FPL, on hospital stays within the age group of 1-64. People living below the FPL or at lower percentages of it faced higher chances of hospitalisation, indicating potential disparities in access to preventive care or underlying health conditions associated with lower socioeconomic statuses.
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Average adjusted cost of inpatient stays at community hospitals
Hospital stays are one of the most expensive types of healthcare, and these costs have been rising over the years. Between 1999 and 2022, the average daily hospital cost in the US rose from $1,101 to $3,025, marking a 175% increase over 23 years. This increase is attributed to factors such as inflation, technological advancements, healthcare infrastructure, and economic conditions.
In 2019, the average adjusted cost of an inpatient stay at community hospitals was $14,101. The most common reasons for these hospitalizations were septicemia, heart failure, osteoarthritis, pneumonia, and diabetes mellitus. While the cost of inpatient stays has generally increased, the age-adjusted percentage of people aged 1-64 with a hospital stay in the past year decreased from 5.9% in 2009 to 5.1% in 2014. This decrease continued through 2018, with the percentage remaining stable at 5.1%.
The likelihood of a hospital stay also varies with income levels. In 2019, people aged 1-64 living below 100% of the federal poverty line (FPL) were the most likely to have had a hospital stay in the past year (10.1%, age-adjusted). This percentage decreased as income levels increased, with those living at 400% or more of FPL being the least likely to have had a hospital stay (4.4%, age-adjusted).
The cost of hospital stays also varies depending on the patient's age. In 2009, stays for patients under one year of age cost $3,700 on average, while the average cost for patients aged 1-17 years was $7,400. Stays for patients aged 45-64 and 65-84 incurred higher costs, with these age groups accounting for larger shares of aggregate costs (31% and 35%, respectively). Medicare was the largest payer for hospitalizations in 2009, covering 46% of aggregate inpatient costs, while private insurance covered 30%.
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Frequently asked questions
People aged 1-64 had the highest number of hospital stays in 2019.
In 2019, people living below 100% of the FPL were most likely to have had a hospital stay in the past year, while those at 400% or more of the FPL were the least likely.
Yes, the age-adjusted percentage of people aged 1-64 with a hospital stay decreased from 5.9% in 2009 to 5.1% in 2014 and remained relatively stable through 2018, with a slight increase to 5.9% in 2019.
