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THE AMERICAN GERIATRICS SOCIETY FOUNDATION FOR HEALTH IN AGING PROFILE OF OLDER AMERICANS May 2013 THE FUTURE GROWTH OF THE OLDER POPULATION The 65+ population has increased from 35 million in 2000 to 41.4 million in 2011 and is projected to increase to 79.7 million in 2040. People 65 and older represented 13.3% of the population in 2011 but are expected to grow to 19.3% by 2030. The 85+ population is projected to increase from 5.7 million in 2011 to 14.1 million in 2040. RACIAL AND ETHNIC COMPOSITION Minority populations have increased from 5.7 million in 2000 to 8.5 million in 2011 (21% of elders) and is projected to increase to 20.2 million in 2030 (28% of the elderly). In 2011, 21% of persons 65+ were minorities (9% African-Americans, 7% persons of Hispanic origin, 4% Asian or Pacific Islander, and less than 1% American Indian or Native Alaskan). Between 2012 and 2030, the white population 65+ is projected to increase by 54% compared with 125% of other older minorities including: Hispanics (155%), African-Americans (104%), American Indians, Eskimos, and Aleuts (116%), and Asians and Pacific Islanders (119%). GENERAL HEALTH In 2012, 44% of non-institutionalized older persons rated their heath as excellent or very good. Older African-Americans, older American Indians/Alaska Natives and older Hispanics were less likely to rate their health as excellent or very good than were older Whites or older Asians. The most frequently occurring chronic conditions among older persons in 2009-2011 were: hypertension (high blood pressure or taking antihypertensive) (72% in 2007-2010), diagnosed arthritis (51%), all types of heart disease (31%), any cancer (24%) and diabetes (20%). About 28% of older persons reported height/weight combinations that classified them as obese; 9.5% reported that they are current smokers; and 5% reported excessive alcohol consumption. Almost 35% of persons aged 65-74 and 24% of persons 75+ reported that they engage in regular physical activity. HOSPITAL VISITS AND HEALTH CARE COSTS The average length of stay for people ages 65-74 was 5.4 days; for ages 75-84 it was 5.7 days; and for ages 85 and over it was 5.6 days. The average stay for people has decreased by 5 days since 1980. In 2011, older persons averaged more office visits with doctors: 21% of older adults aged 75 and over had 10 or more visits to a doctor or other health care provider in the past 12 months in comparison to 14% of people ages 45 to 64. th 40 Fulton Street ● 18 Floor ● New York, NY 10038 ● 212-308-1414 www.americangeriatrics.org ● www.healthinaging.org Older Americans spent 12.2% of their total expenditures on health, almost twice the proportion spent by all consumers (6.7%). Average health costs incurred by older consumers in 2011 consisted of $3,074 (64%) for insurance, $786 (16%) for medical services, $714 (15%) for drugs, and $193 (4.0%) for medical supplies. HEALTH INSURANCE In 2011, almost all (93%) non-institutionalized persons 65+ were covered by Medicare. Medicare covers mostly acute care services and requires beneficiaries to pay part of the cost, leaving about half of health spending to be covered by other sources. Among other sources of coverage, 58% had private health insurance; over 9% had military-based health insurance; and 9% of the non-institutionalized elderly were covered by Medicaid. Less than 2% did not have coverage of some kind. Approximately 86% of non-institutionalized Medicare beneficiaries in 2009 had some type of supplementary coverage. Among Medicare beneficiaries residing in nursing homes, about half were covered by Medicaid. DISABILITY AND ACTIVITY LIMITATIONS In 2011, 35% of older persons reported some type of disability, many of whom needed some type of assistance as a result. The most frequently reported limitation across the aging spectrum is walking. Reported disability increases with age. SOURCE: The data reported in this document were retrieved from the Administration on Aging’s 2012 issue of A Profile of Older Americans. th 40 Fulton Street ● 18 Floor ● New York, NY 10038 ● 212-308-1414 www.americangeriatrics.org ● www.healthinaging.org