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Gepubliceerd in: Journal of Autism and Developmental Disorders 5/2013

01-05-2013 | Original Paper

Healthcare Service Use and Costs for Autism Spectrum Disorder: A Comparison Between Medicaid and Private Insurance

Auteurs: Li Wang, David S. Mandell, Lindsay Lawer, Zuleyha Cidav, Douglas L. Leslie

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 5/2013

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Abstract

Healthcare costs and service use for autism spectrum disorder (ASD) were compared between Medicaid and private insurance, using 2003 insurance claims data in 24 states. In terms of costs and service use per child with ASD, Medicaid had higher total healthcare costs ($22,653 vs. $5,254), higher ASD-specific costs ($7,438 vs. $928), higher psychotropic medication costs($1,468 vs. $875), more speech therapy visits (13.0 vs. 3.6 visits), more occupational/physical therapy visits (6.4 vs. 0.9 visits), and more behavior modification/social skills visits (3.8 vs. 1.1 visits) than private insurance (all p < 0.0001). In multivariate analysis, being enrolled in Medicaid had the largest effect on costs, after controlling for other variables. The findings emphasize the need for continued efforts to improve private insurance coverage of autism.
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Metagegevens
Titel
Healthcare Service Use and Costs for Autism Spectrum Disorder: A Comparison Between Medicaid and Private Insurance
Auteurs
Li Wang
David S. Mandell
Lindsay Lawer
Zuleyha Cidav
Douglas L. Leslie
Publicatiedatum
01-05-2013
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 5/2013
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-012-1649-y

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