Shah/Jenkins

• 5% over 65
• 6% 75-84
• 22% 85+

80% family and friends

5 chronic disease: heart dis, cancer, stoke, COPD, diabetes

45%

75% of spending

• 96% Medicare
• 83% Medicaid
• priv insurance prem inc 87%
• $6000/yrs, 5Xs more than non chron's

30% of spending

• 1/3 adults
• 1/5 youths

Because functional status is dependent on a complicated interaction of physical, psychosocial, environmental and motivational factors, the evaluation and management of functional status often requires an approach that differs from the traditional medical model.