Health plan paid cost of epilepsy in 2009 in the US

被引:16
作者
Wilner, Andrew N. [1 ]
Sharma, Bal K. [2 ]
Soucy, Alison [2 ]
Krueger, Andrew [2 ]
机构
[1] Lawrence Mem Hosp, New London, CT USA
[2] A CVS Caremark Co, Accordant Hlth Serv, Greensboro, NC USA
关键词
Epilepsy; Seizures; Health care costs; Cost driver; Incremental cost; Disease cost; ECONOMIC BURDEN; UNITED-STATES; CARE COSTS; SURVEILLANCE; STANDARDS; IMPACT;
D O I
10.1016/j.yebeh.2012.08.029
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
Our objectives were to estimate the health plan paid cost of epilepsy and to show major cost driver(s) of these costs. The health insurance claims and membership data from six U.S. health plans were analyzed. To prepare two comparison groups, individuals with epilepsy (n=5810) were match-paired with individuals without epilepsy (n=5810) using propensity scores derived from logistic regression using gender, age group, health plan product, and length of enrollment in the health plans. Total health plan paid cost per member per year (PMPY) was $11,232 for the epilepsy group and $3026 for the controls (p<0.001). The estimated cost PMPY for treatment of epilepsy was $8206. Relative distribution (%) of health plan paid costs ($) by cost driver category based on place of service (POS) indicated that the treatment of epilepsy places a larger cost burden in inpatient POS than in outpatient hospital or MD office POS compared to controls. (C) 2012 Elsevier Inc. All rights reserved.
引用
收藏
页码:412 / 416
页数:5
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