ERIC Number: EJ1000576
Record Type: Journal
Publication Date: 2013-May
Abstractor: As Provided
Reference Count: 43
Healthcare Service Use and Costs for Autism Spectrum Disorder: A Comparison between Medicaid and Private Insurance
Wang, Li; Mandell, David S.; Lawer, Lindsay; Cidav, Zuleyha; Leslie, Douglas L.
Journal of Autism and Developmental Disorders, v43 n5 p1057-1064 May 2013
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 less than 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.
Descriptors: Behavior Modification, Physical Therapy, Autism, Speech Therapy, Health Insurance, Access to Health Care, Pervasive Developmental Disorders, Comparative Analysis, Costs, Child Health, Social Services, Drug Therapy, Occupational Therapy, Social Development
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Publication Type: Journal Articles; Reports - Evaluative
Education Level: N/A
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