Economic Burden of Osteoporosis-Related Fractures in Medicaid
| Autor: | Shaohung Wang, Matthew D. Rousculp, Eric S. Meadows, Michael J. Schoenfeld, Stacey R. Long |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Gerontology
Male Matching (statistics) claims analysis State Health Plans Population Osteoporosis MEDLINE Centers for Medicare and Medicaid Services U.S Direct Service Costs Fractures Bone Cost of Illness Medicine Humans education health care economics and organizations Aged Demography Retrospective Studies Aged 80 and over education.field_of_study business.industry Medicaid Health Policy Public Health Environmental and Occupational Health Retrospective cohort study Middle Aged medicine.disease United States Databases as Topic fracture Cohort Propensity score matching Health Resources Female Health Expenditures business |
| Zdroj: | Value in Health. 10(2):144-152 |
| ISSN: | 1098-3015 |
| DOI: | 10.1111/j.1524-4733.2006.00161.x |
| Popis: | ObjectivesThere are limited studies concerning the economic burden of osteoporosis in the Medicaid population. This study estimated the direct cost of osteoporosis-related fractures (OPFx) to state Medicaid budgets.MethodsThis retrospective analysis utilized Medicaid claims databases from three states, which included approximately 8 million Medicaid recipients. The study sample had at least one claim for an osteoporosis diagnosis (733.0x) between January 1, 2000 and December 31, 2001. Beneficiaries with a fracture and a diagnosis of osteoporosis were assigned to the case cohort. A propensity score-based matching method was used to select a cohort of controls with osteoporosis but without a fracture. An exponential conditional mean model was used to estimate the incremental annual cost associated with fractures.ResultsThe study cohort (n = 7626) and a 1:1 matched control group were identified. The study cohort was 85.8% female, had an average age of 65 years, were 53.2% white, and 48.9% were eligible for Medicare. There were significant increases (all P < 0.05) from the preperiod to study period for this cohort in the proportion that had at least one hospital admission (14.0% vs. 26.5%), nursing home admission (9.2% vs. 17.2%), home health (39.1% vs. 49.3%), or emergency room visit (21.3% vs. 31.9%). In contrast, the control cohort had very little increase in utilization. The regression-adjusted incremental cost for osteoporosis-related expenses in the year after fracture was estimated at $4007 per patient. The estimated incremental cost was $5370 for the subset of patients who were eligible for Medicare.ConclusionThe economic burden of osteoporosis-related fractures on state Medicaid budgets is substantial. |
| Databáze: | OpenAIRE |
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