Health care expenditures for children with autism spectrum disorders in medicaid

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

Objective To study trends in health care expenditures associated with autism spectrum disorders (ASDs) in state Medicaid programs. Method Using Medicaid data from 42 states from 2000 to 2003, patients aged 17 years and under who were continuously enrolled in fee-for-service Medicaid were studied. Patients with claims related to autistic disorder (autism) were identified, as were patients with claims for any ASD other than autism. Total expenditures per treated patient consisted of Medicaid reimbursements from inpatient, outpatient, and long-term care and prescription drugs. Inflation-adjusted expenditures were compared over time and with expenditures associated with other mental health disorders. Results A total of 2,184,677 children were diagnosed with some type of mental disorder during the study period. Of these children, 69,542 had an ASD, with 49,921 having autism and the rest having another ASD. Mean total health care expenditures per child with ASD were $22,079 in 2000 (in 2003 US dollars), and rose by 3.1% to $22,772 in 2003. The treated prevalence of autism per 10,000 covered lives rose by 32.2% from 40.6 to 53.6, the highest rate of increase among all mental disorders. Total health care expenditures for ASDs per 10,000 covered lives grew by 32.8% from $1,270,435 in 2000 (in 2003 dollars) to $1,686,938 in 2003. Conclusions Medicaid-reimbursed health care expenditures for ASD were quite substantial. Although the per patient expenditures grew slightly over time, the large increase in treated prevalence caused a considerable rise in total ASD-associated health care expenditures.

Original languageEnglish (US)
Pages (from-to)1165-1171
Number of pages7
JournalJournal of the American Academy of Child and Adolescent Psychiatry
Volume49
Issue number11
DOIs
StatePublished - Nov 1 2010

Fingerprint

Medicaid
Health Expenditures
Delivery of Health Care
Autistic Disorder
Mental Disorders
Autism Spectrum Disorder
Fee-for-Service Plans
Prescription Drugs
Economic Inflation
Long-Term Care
Inpatients
Mental Health
Outpatients

All Science Journal Classification (ASJC) codes

  • Developmental and Educational Psychology
  • Psychiatry and Mental health

Cite this

@article{cbe5a790f1d84a30b99a8d3b067f4c62,
title = "Health care expenditures for children with autism spectrum disorders in medicaid",
abstract = "Objective To study trends in health care expenditures associated with autism spectrum disorders (ASDs) in state Medicaid programs. Method Using Medicaid data from 42 states from 2000 to 2003, patients aged 17 years and under who were continuously enrolled in fee-for-service Medicaid were studied. Patients with claims related to autistic disorder (autism) were identified, as were patients with claims for any ASD other than autism. Total expenditures per treated patient consisted of Medicaid reimbursements from inpatient, outpatient, and long-term care and prescription drugs. Inflation-adjusted expenditures were compared over time and with expenditures associated with other mental health disorders. Results A total of 2,184,677 children were diagnosed with some type of mental disorder during the study period. Of these children, 69,542 had an ASD, with 49,921 having autism and the rest having another ASD. Mean total health care expenditures per child with ASD were $22,079 in 2000 (in 2003 US dollars), and rose by 3.1{\%} to $22,772 in 2003. The treated prevalence of autism per 10,000 covered lives rose by 32.2{\%} from 40.6 to 53.6, the highest rate of increase among all mental disorders. Total health care expenditures for ASDs per 10,000 covered lives grew by 32.8{\%} from $1,270,435 in 2000 (in 2003 dollars) to $1,686,938 in 2003. Conclusions Medicaid-reimbursed health care expenditures for ASD were quite substantial. Although the per patient expenditures grew slightly over time, the large increase in treated prevalence caused a considerable rise in total ASD-associated health care expenditures.",
author = "Li Wang and Douglas Leslie",
year = "2010",
month = "11",
day = "1",
doi = "10.1016/j.jaac.2010.08.003",
language = "English (US)",
volume = "49",
pages = "1165--1171",
journal = "Journal of the American Academy of Child and Adolescent Psychiatry",
issn = "0890-8567",
publisher = "Elsevier Limited",
number = "11",

}

TY - JOUR

T1 - Health care expenditures for children with autism spectrum disorders in medicaid

AU - Wang, Li

AU - Leslie, Douglas

PY - 2010/11/1

Y1 - 2010/11/1

N2 - Objective To study trends in health care expenditures associated with autism spectrum disorders (ASDs) in state Medicaid programs. Method Using Medicaid data from 42 states from 2000 to 2003, patients aged 17 years and under who were continuously enrolled in fee-for-service Medicaid were studied. Patients with claims related to autistic disorder (autism) were identified, as were patients with claims for any ASD other than autism. Total expenditures per treated patient consisted of Medicaid reimbursements from inpatient, outpatient, and long-term care and prescription drugs. Inflation-adjusted expenditures were compared over time and with expenditures associated with other mental health disorders. Results A total of 2,184,677 children were diagnosed with some type of mental disorder during the study period. Of these children, 69,542 had an ASD, with 49,921 having autism and the rest having another ASD. Mean total health care expenditures per child with ASD were $22,079 in 2000 (in 2003 US dollars), and rose by 3.1% to $22,772 in 2003. The treated prevalence of autism per 10,000 covered lives rose by 32.2% from 40.6 to 53.6, the highest rate of increase among all mental disorders. Total health care expenditures for ASDs per 10,000 covered lives grew by 32.8% from $1,270,435 in 2000 (in 2003 dollars) to $1,686,938 in 2003. Conclusions Medicaid-reimbursed health care expenditures for ASD were quite substantial. Although the per patient expenditures grew slightly over time, the large increase in treated prevalence caused a considerable rise in total ASD-associated health care expenditures.

AB - Objective To study trends in health care expenditures associated with autism spectrum disorders (ASDs) in state Medicaid programs. Method Using Medicaid data from 42 states from 2000 to 2003, patients aged 17 years and under who were continuously enrolled in fee-for-service Medicaid were studied. Patients with claims related to autistic disorder (autism) were identified, as were patients with claims for any ASD other than autism. Total expenditures per treated patient consisted of Medicaid reimbursements from inpatient, outpatient, and long-term care and prescription drugs. Inflation-adjusted expenditures were compared over time and with expenditures associated with other mental health disorders. Results A total of 2,184,677 children were diagnosed with some type of mental disorder during the study period. Of these children, 69,542 had an ASD, with 49,921 having autism and the rest having another ASD. Mean total health care expenditures per child with ASD were $22,079 in 2000 (in 2003 US dollars), and rose by 3.1% to $22,772 in 2003. The treated prevalence of autism per 10,000 covered lives rose by 32.2% from 40.6 to 53.6, the highest rate of increase among all mental disorders. Total health care expenditures for ASDs per 10,000 covered lives grew by 32.8% from $1,270,435 in 2000 (in 2003 dollars) to $1,686,938 in 2003. Conclusions Medicaid-reimbursed health care expenditures for ASD were quite substantial. Although the per patient expenditures grew slightly over time, the large increase in treated prevalence caused a considerable rise in total ASD-associated health care expenditures.

UR - http://www.scopus.com/inward/record.url?scp=77958472650&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77958472650&partnerID=8YFLogxK

U2 - 10.1016/j.jaac.2010.08.003

DO - 10.1016/j.jaac.2010.08.003

M3 - Article

VL - 49

SP - 1165

EP - 1171

JO - Journal of the American Academy of Child and Adolescent Psychiatry

JF - Journal of the American Academy of Child and Adolescent Psychiatry

SN - 0890-8567

IS - 11

ER -