Prevalence and Medical Costs of Chronic Diseases Among Adult Medicaid Beneficiaries

Details

• Alternative Title:
  Am J Prev Med
• Personal Author:
  Chapel, John M. ; Ritchey, Matthew D. ; Zhang, Donglan ; Wang, Guijing
• Description:
  Introduction ; This review summarizes the current literature for the prevalence and medical costs of noncommunicable chronic diseases among adult Medicaid beneficiaries to inform future program design. ; Methods ; The databases MEDLINE and CINAHL were searched in August 2016 using keywords, including Medicaid, health status, and healthcare cost, to identify original studies that were published during 2000-2016, examined Medicaid as an independent population group, examined prevalence or medical costs of chronic conditions, and included adults within the age group 18-64 years. The review and data extraction was conducted in Fall 2016-Spring 2017. Disease-related costs (costs specifically to treat the disease) and total costs (all-cause medical costs for a patient with the disease) are presented separately. ; Results ; Among the 29 studies selected, prevalence estimates for enrollees aged 18-64 years were 8.8%-11.8% for heart disease, 17.2%-27.4% for hypertension, 16.8%-23.2% for hyperlipidemia, 7.5%-12.7% for diabetes, 9.5% for cancer, 7.8%-19.3% for asthma, 5.0%-22.3% for depression, and 55.7%-62.1% for one or more chronic conditions. Estimated annual per patient disease-related costs (2015 U.S. dollars) were $3,219-$4,674 for diabetes, $3,968-$6,491 for chronic obstructive pulmonary disease, and $989-$3,069 for asthma. Estimated hypertension-related costs were $687, but total costs per hypertensive beneficiary ranged much higher. Estimated total annual healthcare costs were $29,271-$51,937 per beneficiary with heart failure and $11,446-$20,585 per beneficiary with schizophrenia. Costs among beneficiaries with cancer were $29,384-$46,194 for the 6 months following diagnosis. ; Conclusions ; These findings could help inform the evaluation of interventions to prevent and manage noncommunicable chronic diseases and their potential to control costs among the vulnerable Medicaid population.
• Keywords:
  • Adult
  • Chronic Disease
  • Cost of Illness
  • Female
  • Health Care Costs
  • Health Expenditures
  • Health Status
  • Humans
  • Male
  • Medicaid
  More +
• Source:
  Am J Prev Med. 53(6 Suppl 2):S143-S154
• Pubmed ID:
  29153115
• Pubmed Central ID:
  PMC5798200
• Document Type:
  Text
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; U36 OE000005/OE/OSELS CDC HHSUnited States/
• Genre:
  Journal Article
• Volume:
  53
• Download URL:
  https://stacks.cdc.gov/view/cdc/51426/cdc_51426_DS1.pdf
• File Type:
  [PDF - 230.74 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:c5f850fe03a732af6ed3e66fca61b0b6b8035d653595eee859f3b0e47dc8f31ecda3482368e01e26a8f01bbe38a164138479bc9dcc55adabcfaed7bdb8662bff