Medical Expenditures for Children with an Autism Spectrum Disorder in a Privately Insured Population

@article{Shimabukuro2008MedicalEF,
  title={Medical Expenditures for Children with an Autism Spectrum Disorder in a Privately Insured Population},
  author={Tom T. Shimabukuro and Scott D. Grosse and Catherine Rice},
  journal={Journal of Autism and Developmental Disorders},
  year={2008},
  volume={38},
  pages={546-552}
}
This study provides estimates of medical expenditures for a subset of children and adolescents who receive employer-based health insurance and have a medical diagnosis of an autism spectrum disorder (ASD). Data analyzed were from the 2003 MarketScan® research databases. Individuals with an ASD had average medical expenditures that exceeded those without an ASD by $4,110–$6,200 per year. On average, medical expenditures for individuals with an ASD were 4.1–6.2 times greater than for those… Expand
Health care expenditures for children with autism spectrum disorders in Medicaid.
  • L. Wang, D. Leslie
  • Medicine
  • Journal of the American Academy of Child and Adolescent Psychiatry
  • 2010
TLDR
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. Expand
A Comparison of Health Care Expenditures for Medicaid-Insured Children with Autism Spectrum Disorder and Asthma in an Expanding Accountable Care Organization
TLDR
Compared to other study groups, children with ASD were more costly, had lower rates of acute care, and had higher rates of “leaked” care provided by home- and community-based mental health agencies outside of the ACO. Expand
Autism Prevalence in the Medicaid Program and Healthcare Utilization and Costs Among Adult Enrollees Diagnosed with Autism
TLDR
A retrospective analysis of 2006–2008 Medicaid claims for 39 states found a 38% increase in the prevalence of autism diagnoses from 2006 to 2008 and total expenditures and outpatient and ER visits varied significantly by demographic variables. Expand
Healthcare Costs of Pediatric Autism Spectrum Disorder in the United States, 2003-2015.
TLDR
In this study, ASD case status was determined using two sources of parent reports among 45,944 children ages 3-17 years in the Medical Expenditure Panel Survey (MEPS) linked to the National Health Interview Survey (NHIS) Sample Child Core questionnaire to represent substantial costs to the US healthcare system. Expand
The difference in medical utilization and associated factors between children and adolescents with and without autism spectrum disorders.
TLDR
Health care utilization among children with ASD is higher than that among children without ASD and significant predictors of health care expenditures were age, parental monthly salary, and severity of comorbidity. Expand
Autism and families' financial burden: the association with health insurance coverage.
TLDR
Evidence of the relative inadequacy of private insurance in meeting the needs of children with ASD is provided, using pooled 2000-2009 Medical Expenditure Panel Survey data. Expand
Autism Spectrum Disorders and Health Care Expenditures: The Effects of Co-Occurring Conditions
TLDR
Among Medicaid-enrolled children with ASD, cost varied substantially based on the presence of another neurodevelopmental disorder, in particular, children with ID had much higher costs than did other children with autism spectrum disorders. Expand
A Survey of Out-of-Pocket Expenditures for Children with Autism Spectrum Disorder in Israel
TLDR
A survey of children with ASD aged 4–10 years found that higher severity of ASD and a parent with an academic degree were associated with higher expenditure and having at least one older sibling, siblings without developmental disorders, regular education setting, lower parent education and low income was associated with lower expenditure. Expand
Changes in Healthcare Expenditures After the Autism Insurance Mandate.
TLDR
Healthcare expenditures increased significantly following the PA autism mandate, with nonexempt, large employer groups had the largest increase in spending. Expand
Systematic Review of Disparities in Health Care for Individuals with Autism Spectrum Disorders in the United States.
TLDR
A review of studies comparing ASD and other groups of children without ASD revealed that children with ASD have higher health care utilization and costs, and worse access to care and medical homes. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 16 REFERENCES
Medicaid Expenditures for Children with Autistic Spectrum Disorders: 1994 to 1999
TLDR
Lack of differences in ambulatory care expenditures suggests that children with ASD are not receiving additional primary care services that would be indicative of appropriately coordinated services as suggested by the medical home model. Expand
Health Care Utilization and Expenditures for Children with Autism: Data from U.S. National Samples
TLDR
Children with ASD had more outpatient visits, physician visits, and medications prescribed than children in general, and spent more time during physician visits than other children. Expand
A Comparison of Health Care Utilization and Costs of Children With and Without Autism Spectrum Disorders in a Large Group-Model Health Plan
TLDR
The utilization and costs of health care are substantially higher for children with autistic spectrum disorders compared with children without autism spectrum disorders and research is needed to evaluate the impact of improvements in the management of children with autism Spectrum disorders on health care utilization and cost. Expand
Prevalence of autism in a US metropolitan area.
TLDR
The rate of autism found in this study was higher than the rates from studies conducted in the United States during the 1980s and early 1990s, but it was consistent with those of more recent studies. Expand
Health care expenditures of children and adults with spina bifida in a privately insured U.S. population.
TLDR
Although per capita medical care utilization and expenditures are highest among children, adults constitute an important and growing share of the population living with spina bifida. Expand
Parental report of health conditions and health care use among children with and without autism: National Survey of Children's Health.
TLDR
D markedly higher reports of concurrent conditions and health care use associated with childhood autism is found in this study. Expand
The Economic Impact of Autism in Britain
  • K. Järbrink, M. Knapp
  • Psychology, Medicine
  • Autism : the international journal of research and practice
  • 2001
TLDR
The economic consequences of autism in the United Kingdom, based on published evidence and on the reanalysis of data holdings at the Centre for the Economics of Mental Health, found that the lifetime cost for a person with autism exceeded £2.4 million. Expand
Exclusions and limitations in children's behavioral health care coverage.
TLDR
The results of the study emphasize a need to address the types of treatment covered by mental health insurance, which commonly had service and diagnostic exclusions that could disrupt children's health care. Expand
Examination of the Time Between First Evaluation and First Autism Spectrum Diagnosis in a Population-based Sample
TLDR
It is found that children with ASD identified by the surveillance system were initially evaluated at a mean of 48 months but were not diagnosed with ASD until a mean age of 61 months, although degree of impairment associated with ASD predicted mean age at first evaluation and mean ageat first ASD diagnosis. Expand
Medication use among children with autism spectrum disorders.
TLDR
The data on other relevant diagnoses indicate that children and youth are frequently treated with medication under an autism-spectrum diagnosis, even though the target symptoms may be commonly associated with other mental disorders. Expand
...
1
2
...