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Gepubliceerd in: Journal of Autism and Developmental Disorders 4/2006

01-05-2006

Medicaid Expenditures for Children with Autistic Spectrum Disorders: 1994 to 1999

Auteurs: David S. Mandell, Jun Cao, Richard Ittenbach, Jennifer Pinto-Martin

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 4/2006

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Abstract

This study used data from 1994 to 1999 from one large county in Pennsylvania to estimate the Medicaid expenditures of children diagnosed with autism spectrum disorders (ASD) and to compare these expenditures with those of other Medicaid-eligible children. On average, children diagnosed with ASD had expenditures 10 times those of other children. Differences in expenditures were driven in large part by inpatient psychiatric care. Further research is required to determine whether hospitalized children could be served in less restrictive and less expensive settings. 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.
Literatuur
go back to reference Aman M., Lam K., Collier-Crespin A., (2003). Prevalence and patterns of use of psychoactive medicines among individuals with autism in the Autism Society of America Journal of Autism and Developmental Disorders 33(5): 527–533 CrossRefPubMed Aman M., Lam K., Collier-Crespin A., (2003). Prevalence and patterns of use of psychoactive medicines among individuals with autism in the Autism Society of America Journal of Autism and Developmental Disorders 33(5): 527–533 CrossRefPubMed
go back to reference Aman M., Langworthy K., (2000). Pharmacotherapy for hyperactivity in children with autism and other pervasive developmental disorders Journal of Autism and Developmental Disorders 30(5): 451–459 CrossRefPubMed Aman M., Langworthy K., (2000). Pharmacotherapy for hyperactivity in children with autism and other pervasive developmental disorders Journal of Autism and Developmental Disorders 30(5): 451–459 CrossRefPubMed
go back to reference American Academy of Pediatrics (2001). The pediatrician’s role in the diagnosis and management of autistic spectrum disorder in children Pediatrics 107(5): 1221–1226 CrossRef American Academy of Pediatrics (2001). The pediatrician’s role in the diagnosis and management of autistic spectrum disorder in children Pediatrics 107(5): 1221–1226 CrossRef
go back to reference Barnard L., Young A., Pearson J., Geddes J., O’Brien G., (2002). A systematic review of the use of atypical antipsychotics in autism Journal of Psychopharmacology 16(1):93–101 PubMedCrossRef Barnard L., Young A., Pearson J., Geddes J., O’Brien G., (2002). A systematic review of the use of atypical antipsychotics in autism Journal of Psychopharmacology 16(1):93–101 PubMedCrossRef
go back to reference Birenbaum A., Guyot D., Cohen H., (1990). Health care financing for severe developmental disabilities Monographs of the American Association on Mental Retardation 14:1–150 PubMed Birenbaum A., Guyot D., Cohen H., (1990). Health care financing for severe developmental disabilities Monographs of the American Association on Mental Retardation 14:1–150 PubMed
go back to reference Bonde E., (2000). Comorbidity and subgroups in childhood autism European Child and Adolescent Psychiatry 9:7–10 CrossRefPubMed Bonde E., (2000). Comorbidity and subgroups in childhood autism European Child and Adolescent Psychiatry 9:7–10 CrossRefPubMed
go back to reference Boyle C., Decoufle P., Yeargin-Allsopp M., (1994). Prevalence and health impact of developmental disabilities in US children Pediatrics 93:399–403 PubMed Boyle C., Decoufle P., Yeargin-Allsopp M., (1994). Prevalence and health impact of developmental disabilities in US children Pediatrics 93:399–403 PubMed
go back to reference Braddock D., (2002). Disability at the dawn of the 21st century and the state of states. American Association on Mental Retardation, Washington, DC Braddock D., (2002). Disability at the dawn of the 21st century and the state of states. American Association on Mental Retardation, Washington, DC
go back to reference Bryson S., Rogers S., Fombonne E., (2003). Autism spectrum disorders: Early detection, intervention, education, and psychopharmacological management Canadian Journal of Psychiatry 48(8):506–516 Bryson S., Rogers S., Fombonne E., (2003). Autism spectrum disorders: Early detection, intervention, education, and psychopharmacological management Canadian Journal of Psychiatry 48(8):506–516
go back to reference Bryson S., Smith I., (1998). Epidemiology of autism: Prevalence, associated characteristics, and implications for research and service delivery Mental Retardation and Developmental Disabilities Research Reviews 4:97–103 CrossRef Bryson S., Smith I., (1998). Epidemiology of autism: Prevalence, associated characteristics, and implications for research and service delivery Mental Retardation and Developmental Disabilities Research Reviews 4:97–103 CrossRef
go back to reference Committee on Children with Disabilities (2001). American Academy of Pediatrics: The pediatrician’s role in the diagnosis and management of autistic spectrum disorder in children. Pediatrics. 107(5): 1221–1226 CrossRef Committee on Children with Disabilities (2001). American Academy of Pediatrics: The pediatrician’s role in the diagnosis and management of autistic spectrum disorder in children. Pediatrics. 107(5): 1221–1226 CrossRef
go back to reference Committee on Children with Disabilities (2001a). Role of the pediatrician in family-centered early intervention services Pediatrics 107(5):1155–1157 CrossRef Committee on Children with Disabilities (2001a). Role of the pediatrician in family-centered early intervention services Pediatrics 107(5):1155–1157 CrossRef
go back to reference Committee on Children with Disabilities (2001b). Technical report: The pediatrician’s role in the diagnosis and management of autistic spectrum disorder in children Pediatrics 107(5):E85 CrossRef Committee on Children with Disabilities (2001b). Technical report: The pediatrician’s role in the diagnosis and management of autistic spectrum disorder in children Pediatrics 107(5):E85 CrossRef
go back to reference Couris C. M., Rabilloud M., Colin C., Ecochard R., (2002). Two-phase study to assess the number of cases based on claims databases: Characteristics of the validation data set Methods of Information in Medicine 41(4):349–356 PubMed Couris C. M., Rabilloud M., Colin C., Ecochard R., (2002). Two-phase study to assess the number of cases based on claims databases: Characteristics of the validation data set Methods of Information in Medicine 41(4):349–356 PubMed
go back to reference Dresser M. V. B., Feingold L., Rosenkranz S. L., Coltin K. L., (1997). Clinical quality measurement—Comparing chart review and automated methodologies Medical Care 35(6):539–552 CrossRefPubMed Dresser M. V. B., Feingold L., Rosenkranz S. L., Coltin K. L., (1997). Clinical quality measurement—Comparing chart review and automated methodologies Medical Care 35(6):539–552 CrossRefPubMed
go back to reference Eisenmajer R., Prior M., Leekam S., Wing L., Gould J., Welham M., Ong B., (1996). Comparison of clinical symptoms in autism and Asperger’s disorder Journal of the American Academy of Child and Adolescent Psychiatry 35(11):1523–1531 CrossRefPubMed Eisenmajer R., Prior M., Leekam S., Wing L., Gould J., Welham M., Ong B., (1996). Comparison of clinical symptoms in autism and Asperger’s disorder Journal of the American Academy of Child and Adolescent Psychiatry 35(11):1523–1531 CrossRefPubMed
go back to reference Fombonne E., (2003). Epidemiological surveys of autism and other pervasive developmental disorders: An update Journal of Autism and Developmental Disorders 33(4):365–382 PubMedCrossRef Fombonne E., (2003). Epidemiological surveys of autism and other pervasive developmental disorders: An update Journal of Autism and Developmental Disorders 33(4):365–382 PubMedCrossRef
go back to reference Fujiura G. T., Roccoforte J. A., Braddock D., (1994). Costs of family care for adults with mental retardation and related developmental disabilities American Journal on Mental Retardation 99(3):250–261 PubMed Fujiura G. T., Roccoforte J. A., Braddock D., (1994). Costs of family care for adults with mental retardation and related developmental disabilities American Journal on Mental Retardation 99(3):250–261 PubMed
go back to reference Gallaher M., Christakis D., Connell F., (2002). Health care use by children diagnosed as having developmental delay Archives of Pediatrics and Adolescent Medicine 156(3):246–251 PubMed Gallaher M., Christakis D., Connell F., (2002). Health care use by children diagnosed as having developmental delay Archives of Pediatrics and Adolescent Medicine 156(3):246–251 PubMed
go back to reference Gerlai J., Gerlai R., (2003). Autism: A large unmet medical need and a complex research problem Physiology and Behavior 79:461–470 CrossRefPubMed Gerlai J., Gerlai R., (2003). Autism: A large unmet medical need and a complex research problem Physiology and Behavior 79:461–470 CrossRefPubMed
go back to reference Guevara J., Mandell D., Rostain A., Zhao H., Hadley T., (2003). National estimates of health services expenditures for children with behavioral disorders: An analysis of the medical expenditure panel survey Pediatrics 112(6):e440–e446 CrossRefPubMed Guevara J., Mandell D., Rostain A., Zhao H., Hadley T., (2003). National estimates of health services expenditures for children with behavioral disorders: An analysis of the medical expenditure panel survey Pediatrics 112(6):e440–e446 CrossRefPubMed
go back to reference Hill A., Bolte S., Petrova G., Beltcheva D., Tacheva S., Poustka F., (2001). Stability and interpersonal agreement of the interview-based diagnosis of autism Psychopathology 34(4): 187–191 CrossRefPubMed Hill A., Bolte S., Petrova G., Beltcheva D., Tacheva S., Poustka F., (2001). Stability and interpersonal agreement of the interview-based diagnosis of autism Psychopathology 34(4): 187–191 CrossRefPubMed
go back to reference Hughes J., Grayson R., Stiles F., (1977). Fragmentation of care and the medical home Pediatrics 60(4):559 PubMed Hughes J., Grayson R., Stiles F., (1977). Fragmentation of care and the medical home Pediatrics 60(4):559 PubMed
go back to reference Ireys H., Anderson G., Han C., Neff J., (1996). Cost of care for Medicaid-enrolled children with selected disabilities. US Department of Health and Human Services, Washington, DC Ireys H., Anderson G., Han C., Neff J., (1996). Cost of care for Medicaid-enrolled children with selected disabilities. US Department of Health and Human Services, Washington, DC
go back to reference Jacobson J., Mulick J., (2000). System and cost research issues in treatments for people with autistic disorders Journal of Autism & Developmental Disorders 30(6):585–593 CrossRef Jacobson J., Mulick J., (2000). System and cost research issues in treatments for people with autistic disorders Journal of Autism & Developmental Disorders 30(6):585–593 CrossRef
go back to reference Jacobson J., Mulick J., Green G., (1998). Cost-Benefit Estimates for Early Intensive Behavioral Intervention for Young Children With Autism- General Model and Single State Case Behavioral Interventions 13:201–226 CrossRef Jacobson J., Mulick J., Green G., (1998). Cost-Benefit Estimates for Early Intensive Behavioral Intervention for Young Children With Autism- General Model and Single State Case Behavioral Interventions 13:201–226 CrossRef
go back to reference Jarbrink K., Fombonne E., Knapp M., (2003). Measuring the Parental, Service and Cost Impacts of Children with Autistic Spectrum Disorder: A Pilot Study Journal of Autism & Developmental Disorders 33(4):395–402 CrossRef Jarbrink K., Fombonne E., Knapp M., (2003). Measuring the Parental, Service and Cost Impacts of Children with Autistic Spectrum Disorder: A Pilot Study Journal of Autism & Developmental Disorders 33(4):395–402 CrossRef
go back to reference Jerrell J.. (1998). Utilization management analysis for children’s mental health services Journal of Behavioral Health Services & Research 25(1):35–42 CrossRef Jerrell J.. (1998). Utilization management analysis for children’s mental health services Journal of Behavioral Health Services & Research 25(1):35–42 CrossRef
go back to reference Kashner T.M., (1998). Agreement between administrative files and written medical records-A case of the department of veterans affairs Medical Care 36(9):1324–1336 CrossRefPubMed Kashner T.M., (1998). Agreement between administrative files and written medical records-A case of the department of veterans affairs Medical Care 36(9):1324–1336 CrossRefPubMed
go back to reference Klabunde C.N., Potosky A.L., Legler J.M., Warren J.L., (2000). Development of a comorbidity index using physician claims data Journal of Clinical Epidemiology 53(12):1258–1267 CrossRefPubMed Klabunde C.N., Potosky A.L., Legler J.M., Warren J.L., (2000). Development of a comorbidity index using physician claims data Journal of Clinical Epidemiology 53(12):1258–1267 CrossRefPubMed
go back to reference Krauss M., Gulley S., Sciegaj M., Wells N., (2003). Access to specialty medical care for children wtih mental retardation, autism and other special health care needs Mental Retardation 41(5):329–339 PubMedCrossRef Krauss M., Gulley S., Sciegaj M., Wells N., (2003). Access to specialty medical care for children wtih mental retardation, autism and other special health care needs Mental Retardation 41(5):329–339 PubMedCrossRef
go back to reference Lurie N., Popkin M., Dysken M., Moscovice I., Finch M., (1992). Accuracy of diagnoses of schizophrenia in Medicaid claims Hospital & Community Psychiatry 43:69–71 Lurie N., Popkin M., Dysken M., Moscovice I., Finch M., (1992). Accuracy of diagnoses of schizophrenia in Medicaid claims Hospital & Community Psychiatry 43:69–71
go back to reference Mahoney W., Szatmari P., MacLean J., Bryson S., Bartolucci G., Walter S., Jones M., Zwaigenbaum L., (1998). Reliability and accuracy of differentiating pervasive developmental disorder subtypes Journal of the American Academy of Child & Adolescent Psychiatry 37(3):278–285 CrossRef Mahoney W., Szatmari P., MacLean J., Bryson S., Bartolucci G., Walter S., Jones M., Zwaigenbaum L., (1998). Reliability and accuracy of differentiating pervasive developmental disorder subtypes Journal of the American Academy of Child & Adolescent Psychiatry 37(3):278–285 CrossRef
go back to reference Mandell D., Listerud J., Levy S., Pinto-Martin J., (2002). Race Differences in the Age of Diagnosis among Medicaid-Eligible Children with Autism Journal of the American Academy of Child & Adolescent Psychiatry 41(12):1447–1453 CrossRef Mandell D., Listerud J., Levy S., Pinto-Martin J., (2002). Race Differences in the Age of Diagnosis among Medicaid-Eligible Children with Autism Journal of the American Academy of Child & Adolescent Psychiatry 41(12):1447–1453 CrossRef
go back to reference Marcus L., Rubin J., Rubin M., (2000). Benefit-cost analysis and autism services: a response to Jacobson and Mulick Journal of Autism and Developmental Disorders 30:595–598 CrossRefPubMed Marcus L., Rubin J., Rubin M., (2000). Benefit-cost analysis and autism services: a response to Jacobson and Mulick Journal of Autism and Developmental Disorders 30:595–598 CrossRefPubMed
go back to reference Matson J., Benavidez D., Compton L., Paclawskyj T., Baglio C., (1996). Behavioral treatment of autistic persons: A review of research from 1980 to the present Research in Developmental Disabilities 17(6):433–465 CrossRefPubMed Matson J., Benavidez D., Compton L., Paclawskyj T., Baglio C., (1996). Behavioral treatment of autistic persons: A review of research from 1980 to the present Research in Developmental Disabilities 17(6):433–465 CrossRefPubMed
go back to reference Medicode. (1987). International classification of diseases, 9 Med-Index Publications, Salt Lake City, UT Medicode. (1987). International classification of diseases, 9 Med-Index Publications, Salt Lake City, UT
go back to reference Newschaffer C., Curran L., (2003). Autism: An emerging public health problem Public Health Reports 118(5):393–399 PubMed Newschaffer C., Curran L., (2003). Autism: An emerging public health problem Public Health Reports 118(5):393–399 PubMed
go back to reference Rawson N. S. B., D’Arcy C., (1998). Assessing the validity of diagnostic information in administrative health care utilization data: Experience in Saskatchewan Pharmacoepidemiology and Drug Safety 7(6):389–398 CrossRefPubMed Rawson N. S. B., D’Arcy C., (1998). Assessing the validity of diagnostic information in administrative health care utilization data: Experience in Saskatchewan Pharmacoepidemiology and Drug Safety 7(6):389–398 CrossRefPubMed
go back to reference Rawson N. S. B., Malcolm E., (1995). Validity of the recording of ischaemic heart disease and chronic obstructive pulmonary disease in the Saskatchewan health care datafiles Statistics in Medicine 14(24):2627–2643 PubMedCrossRef Rawson N. S. B., Malcolm E., (1995). Validity of the recording of ischaemic heart disease and chronic obstructive pulmonary disease in the Saskatchewan health care datafiles Statistics in Medicine 14(24):2627–2643 PubMedCrossRef
go back to reference Richdale A., (1999). Sleep problems in autism: Prevalence, cause, and intervention Developmental Medicine and Child Neurology 41(1):60–66 CrossRefPubMed Richdale A., (1999). Sleep problems in autism: Prevalence, cause, and intervention Developmental Medicine and Child Neurology 41(1):60–66 CrossRefPubMed
go back to reference Rinehart N., Bradshaw J., Brereton A., Tonge B., (2002). A clinical and neurobehavioural review of high-functioning autism and Asperger’s disorder Australian and New Zealand Journal of Psychiatry 36(6):762–770 CrossRefPubMed Rinehart N., Bradshaw J., Brereton A., Tonge B., (2002). A clinical and neurobehavioural review of high-functioning autism and Asperger’s disorder Australian and New Zealand Journal of Psychiatry 36(6):762–770 CrossRefPubMed
go back to reference Romano P. S., (2000). Using administrative data to identify associations between implanted medical devices and chronic diseases Annals of Epidemiology 10(4):197–199 CrossRefPubMed Romano P. S., (2000). Using administrative data to identify associations between implanted medical devices and chronic diseases Annals of Epidemiology 10(4):197–199 CrossRefPubMed
go back to reference Ryu S. Y., Park J. K., Suh I., Jee S. H., Park J., Kim C. B., Kim K. S., (2000). The accuracy of myocardial infarction diagnosis in medical insurance claims Yonsei Medical Journal 41(5):570–576 PubMed Ryu S. Y., Park J. K., Suh I., Jee S. H., Park J., Kim C. B., Kim K. S., (2000). The accuracy of myocardial infarction diagnosis in medical insurance claims Yonsei Medical Journal 41(5):570–576 PubMed
go back to reference SAS Version 8.0 (2000). Cary, NC: The SAS Institute SAS Version 8.0 (2000). Cary, NC: The SAS Institute
go back to reference Shatin D., Levin R., Ireys H., Haller V., (1998). Health care utilization by children with chronic illnesses: A comparison of Medicaid and employer-insured managed care Pediatrics 102(4):1–9 CrossRefPubMed Shatin D., Levin R., Ireys H., Haller V., (1998). Health care utilization by children with chronic illnesses: A comparison of Medicaid and employer-insured managed care Pediatrics 102(4):1–9 CrossRefPubMed
go back to reference Shatin D., Schech S. D., Patel K., McHutchison J. G., (2004). Population-based hepatitis C surveillance and treatment in a national managed care organization American Journal of Managed Care 10(4):250–256 PubMed Shatin D., Schech S. D., Patel K., McHutchison J. G., (2004). Population-based hepatitis C surveillance and treatment in a national managed care organization American Journal of Managed Care 10(4):250–256 PubMed
go back to reference Sia C., (1992). Abraham Jacobi Award address, April 14, 1992 the medical home: Pediatric practice and child advocacy in the 1990s Pediatrics 90(3):419–423 PubMed Sia C., (1992). Abraham Jacobi Award address, April 14, 1992 the medical home: Pediatric practice and child advocacy in the 1990s Pediatrics 90(3):419–423 PubMed
go back to reference Sia, C., & Breakey, G. (1985). The role of the medical home in child abuse prevention and positive child development. Hawaii Medical Journal, 44(7), 242–244, 247 Sia, C., & Breakey, G. (1985). The role of the medical home in child abuse prevention and positive child development. Hawaii Medical Journal, 44(7), 242–244, 247
go back to reference Stein R., Silver E., (2003). Patterns of medical, educational and mental health service use in a national sample of US children Ambulatory Pediatrics 3(2):87–92 CrossRefPubMed Stein R., Silver E., (2003). Patterns of medical, educational and mental health service use in a national sample of US children Ambulatory Pediatrics 3(2):87–92 CrossRefPubMed
go back to reference US Department of Education (2003). Twenty-fifth annual report to congress on the implementation of the Individuals with Disabilities Education Act. Bureau of Special Education, Jessup, MD US Department of Education (2003). Twenty-fifth annual report to congress on the implementation of the Individuals with Disabilities Education Act. Bureau of Special Education, Jessup, MD
go back to reference Walkup J. T., Boyer C. A., Kellermann S. L., (2000). Reliability of medicaid claims files for use in psychiatric diagnoses and service delivery Administration and Policy in Mental Health 27(3):129–139 CrossRefPubMed Walkup J. T., Boyer C. A., Kellermann S. L., (2000). Reliability of medicaid claims files for use in psychiatric diagnoses and service delivery Administration and Policy in Mental Health 27(3):129–139 CrossRefPubMed
go back to reference Walsh K., Kastner T., Criscione T., (1997). Characteristics of hospitalizations for people with developmental disabilities: Utilization, costs, and impact of care coordination American Journal of Mental Retardation 101(5):505–520 PubMed Walsh K., Kastner T., Criscione T., (1997). Characteristics of hospitalizations for people with developmental disabilities: Utilization, costs, and impact of care coordination American Journal of Mental Retardation 101(5):505–520 PubMed
go back to reference Woods C. R., (2001). Impact of different definitions on estimates of accuracy of the diagnosis data in a clinical database Journal of Clinical Epidemiology 54(8):782–788 CrossRefPubMed Woods C. R., (2001). Impact of different definitions on estimates of accuracy of the diagnosis data in a clinical database Journal of Clinical Epidemiology 54(8):782–788 CrossRefPubMed
Metagegevens
Titel
Medicaid Expenditures for Children with Autistic Spectrum Disorders: 1994 to 1999
Auteurs
David S. Mandell
Jun Cao
Richard Ittenbach
Jennifer Pinto-Martin
Publicatiedatum
01-05-2006
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 4/2006
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-006-0088-z

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