A HIDDEN HEALTH CONDITION

Malnutrition

Malnutrition is thought of as a distant issue - but this condition often goes hand-in-hand with eight chronic diseases, and it costs the U.S. $15.5 billion annually in direct medical costs.*

Under $100 million $100 - $500 million $500 million - $1 billion $1 billion - $1.5 billion More than $1.5 billion

Indiana

ANNUAL ESTIMATED MEDICAL COST:

$304,094,912

That equals roughly $45 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Utah

ANNUAL ESTIMATED MEDICAL COST:

$108,943,024

That equals roughly $36 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Tennessee

ANNUAL ESTIMATED MEDICAL COST:

$330,590,784

That equals roughly $50 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

South Carolina

ANNUAL ESTIMATED MEDICAL COST:

$271,378,304

That equals roughly $55 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Louisiana

ANNUAL ESTIMATED MEDICAL COST:

$261,012,528

That equals roughly $55 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Montana

ANNUAL ESTIMATED MEDICAL COST:

$46,296,536

That equals roughly $44 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

West Virginia

ANNUAL ESTIMATED MEDICAL COST:

$87,293,488

That equals roughly $46 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Illinois

ANNUAL ESTIMATED MEDICAL COST:

$630,516,352

That equals roughly $48 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Minnesota

ANNUAL ESTIMATED MEDICAL COST:

$245,311,456

That equals roughly $44 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

New Mexico

ANNUAL ESTIMATED MEDICAL COST:

$92,487,560

That equals roughly $43 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Pennsylvania

ANNUAL ESTIMATED MEDICAL COST:

$636,048,768

That equals roughly $49 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Georgia

ANNUAL ESTIMATED MEDICAL COST:

$549,650,240

That equals roughly $53 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Iowa

ANNUAL ESTIMATED MEDICAL COST:

$137,240,256

That equals roughly $43 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Nevada

ANNUAL ESTIMATED MEDICAL COST:

$135,586,784

That equals roughly $46 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Wyoming

ANNUAL ESTIMATED MEDICAL COST:

$25,271,312

That equals roughly $42 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Arkansas

ANNUAL ESTIMATED MEDICAL COST:

$146,998,480

That equals roughly $49 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Kansas

ANNUAL ESTIMATED MEDICAL COST:

$129,648,296

That equals roughly $43 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Texas

ANNUAL ESTIMATED MEDICAL COST:

$1,212,168,064

That equals roughly $44 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Idaho

ANNUAL ESTIMATED MEDICAL COST:

$67,714,216

That equals roughly $40 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Maine

ANNUAL ESTIMATED MEDICAL COST:

$62,515,084

That equals roughly $46 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Virginia

ANNUAL ESTIMATED MEDICAL COST:

$434,973,696

That equals roughly $51 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Florida

ANNUAL ESTIMATED MEDICAL COST:

$1,061,692,992

That equals roughly $52 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Wisconsin

ANNUAL ESTIMATED MEDICAL COST:

$265,044,816

That equals roughly $45 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

California

ANNUAL ESTIMATED MEDICAL COST:

$1,779,335,552

That equals roughly $44 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

South Dakota

ANNUAL ESTIMATED MEDICAL COST:

$37,129,324

That equals roughly $43 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Ohio

ANNUAL ESTIMATED MEDICAL COST:

$568,419,008

That equals roughly $48 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Missouri

ANNUAL ESTIMATED MEDICAL COST:

$293,064,128

That equals roughly $47 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

New York

ANNUAL ESTIMATED MEDICAL COST:

$1,025,842,688

That equals roughly $51 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Alabama

ANNUAL ESTIMATED MEDICAL COST:

$267,015,920

That equals roughly $54 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

North Dakota

ANNUAL ESTIMATED MEDICAL COST:

$32,036,090

That equals roughly $42 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Washington

ANNUAL ESTIMATED MEDICAL COST:

$323,034,816

That equals roughly $44 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Colorado

ANNUAL ESTIMATED MEDICAL COST:

$236,723,888

That equals roughly $43 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Mississippi

ANNUAL ESTIMATED MEDICAL COST:

$173,332,464

That equals roughly $57 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Arizona

ANNUAL ESTIMATED MEDICAL COST:

$303,535,808

That equals roughly $44 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Michigan

ANNUAL ESTIMATED MEDICAL COST:

$497,511,168

That equals roughly $49 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

North Carolina

ANNUAL ESTIMATED MEDICAL COST:

$525,503,904

That equals roughly $52 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Oregon

ANNUAL ESTIMATED MEDICAL COST:

$181,030,208

That equals roughly $44 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Nebraska

ANNUAL ESTIMATED MEDICAL COST:

$82,157,576

That equals roughly $43 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Oklahoma

ANNUAL ESTIMATED MEDICAL COST:

$183,027,776

That equals roughly $44 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Kentucky

ANNUAL ESTIMATED MEDICAL COST:

$205,388,224

That equals roughly $46 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Hawaii

ANNUAL ESTIMATED MEDICAL COST:

$84,797,592

That equals roughly $45 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Alaska

ANNUAL ESTIMATED MEDICAL COST:

$32,631,558

That equals roughly $41 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Vermont

ANNUAL ESTIMATED MEDICAL COST:

$29,008,612

That equals roughly $45 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

New Hampshire

ANNUAL ESTIMATED MEDICAL COST:

$60,858,696

That equals roughly $45 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Massachusetts

ANNUAL ESTIMATED MEDICAL COST:

$322,609,120

That equals roughly $47 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Rhode Island

ANNUAL ESTIMATED MEDICAL COST:

$50,781,376

That equals roughly $47 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Connecticut

ANNUAL ESTIMATED MEDICAL COST:

$177,031,824

That equals roughly $48 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

New Jersey

ANNUAL ESTIMATED MEDICAL COST:

$448,747,296

That equals roughly $49 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Delaware

ANNUAL ESTIMATED MEDICAL COST:

$50,753,544

That equals roughly $53 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Maryland

ANNUAL ESTIMATED MEDICAL COST:

$340,440,992

That equals roughly $55 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:
COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Dist. of Columbia

ANNUAL ESTIMATED MEDICAL COST:

$44,293,000

That equals roughly $65 per person


COST FOR ADDRESSING MALNUTRITION IN THESE 8 COMMON CONDITIONS:

COPD stands for chronic obstructive pulmonary disease, and CHF stands for coronary heart failure.

Malnutrition Among Older Adults

While malnutrition can affect anyone, up to half of older adults are at risk of malnutrition or already malnourished. Of the $15.5 billion cost of malnutrition associated with diseases, $4.3 billion is on adults 65 and older.

States with the Highest Spending

FOR ADULTS 65+

CALIFORNIA |   $492,571,488
FLORIDA |   $346,982,176
TEXAS |   $287,602,336
NEW MEXICO |   $281,050,912
PENNSYLVANIA |   $190,557,488

States with the Lowest Spending

FOR ADULTS 65+

D.C. |   $9,390,157
VERMONT |   $9,114,263
NORTH DAKOTA |   $9,025,682
WYOMING |   $7,177,984
ALASKA |   $7,091,582

REFERENCES

Source: Abbott


 Goates, S. et al. PLOS ONE. 2016; published online 21 September, 2016. http://dx.plos.org/10.1371/journal.pone.0161833
 *Estimates were pulled using 1000 Monte Carlo simulations and are based using 90% confidence intervals. See the manuscript for full details and confidence levels.
 Norman K et al. Clin. Nutr. 2008; 27:5-15