TITLE

Analysis of Michigan Medicaid Costs to Treat HIV Infection

AUTHOR(S)
Solomon, David J.; Hogan, Andrew J.; Bouknight, Reynard A.; Solomon, Carolyn T.
PUB. DATE
September 1989
SOURCE
Public Health Reports;Sep/Oct89, Vol. 104 Issue 5, p416
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
To obtain better understanding of the nature and cost of health care related to human immunodeficiency virus (HIV) infection, medical payment records were analyzed for 204 men, women, and children older than 60 months who had indications of HIV infection. The records were those of Michigan Medicaid, the General Assistance Medical Program, and the Resident County Hospitalization Program, with service dates on or after January 1, 1984, and which were processed by November 30, 1987. Patient payment records were coded according to whether the patient's condition was considered to be pre-HIV, HIV unrelated, possibly HIV related, or HIV related. Average monthly payments were found to be $150 for pre-HIV patient payment records, $114 for those HIV unrelated, $57 for those possibly related, and $1,213 for those related to HIV infection. HI V-related monthly payments rose from about $1,500 per month in the period 3 months prior to the patient's death to more than $8,000 in the last month of life. Men were found to have twice as many claims as women, and men's claims cost about three times as much. A higher percentage of women than men (91 percent versus 37 percent) received pre-HIV paid services, indicating a higher percentage of women were at least initially receiving Medicaid for reasons other than an HIV-related disability. Diagnostic categories that accounted for the bulk of the HI V-related health care utilization included infectious and parasitic diseases, acquired immunodeficiency syndrome, diseases of the respiratory system, and non-HI V-specific immunity disorders. Inpatient hospitalization accounted for more than 75 percent of the payments, followed by physician costs (11 percent), pharmacy costs (5 percent), and outpatient costs (3 percent). A total of 45, or about 22 percent of the recipients, received zidovudine (AZT) prescriptions at an average monthly cost of $404.
ACCESSION #
24449194

 

Related Articles

  • HIV/AIDS and institutions of higher education: An impact and response framework. van der Merwe, A.; Gouws, S. // South African Journal of Higher Education;2005, Vol. 19 Issue 1, p45 

    It is generally accepted in sub-Saharan Africa that HIV/AIDS will seriously affect the higher education sector. Impact assessments for university and technikon students indicated on infection level between 21-36 per cent by 2005. The disease will affect every institution of higher education in...

  • Risk network structure in the early epidemic phase of HIV transmission in Colorado Springs. J J Potterat // Sexually Transmitted Infections;Apr2002, Vol. 78 Issue 0, pi159 

    This study describes the risk network structure of persons with HIV infection during its early epidemic phase in Colorado Springs, USA, using analysis of community-wide HIV/AIDS contact tracing records (sexual and injecting drug partners) from 1985 to 1999. Paired partner information from other...

  • The AIDS Epidemic: Personal and Social Consequences.  // Annals of Internal Medicine;2/15/92, Vol. 116 Issue 4, p339 

    Editorial. Deals with the personal and social consequences of the AIDS epidemic. Background on the publication of articles on HIV infection; Range of topics discussed in articles on the disease.

  • HIV's raw aggression. Cowley, Geoffrey // Newsweek;1/23/1995, Vol. 125 Issue 4, p58 

    Cites two new studies that look at how the AIDS virus kills. Finding that HIV is not a subtle intruder that lies dormant in the cells but a rabid aggressor that battles the body from the first day of infection; Report in the journal `Nature'; Details; Why researchers should focus on crippling...

  • HIV Infections in SF May Be Dropping but More Must Be Done.  // Bay Area Reporter;10/20/2005, Vol. 35 Issue 42, Special section p3 

    Comments on the decrease in HIV infection rates in San Francisco, California. Impetus of the decline; Implication of the trend to the GLBT community; Assertion on the need for an enhanced focus on the factors that are driving new HIV infections despite the positive trend.

  • HIV/AIDS not just a Third World issue. Rozycki, Bob // Fairfield County Business Journal;8/7/2006, Vol. 45 Issue 32, p15 

    The article discusses the issue regarding cases of AIDS and human immunodeficiency virus (HIV) infections in Fairfield County, Connecticut. Accordingly, these viruses infects people from all walks of life either professional, black and white people. In Fairfield County, HIV became the subject of...

  • The Acquired Immunodeficiency Syndrome (AIDS) and Infection with the Human Immunodeficiency Virus (HIV).  // Annals of Internal Medicine;Mar88, Vol. 108 Issue 3, p460 

    Provides information on AIDS and infection with HIV. Overview of AIDS in the U.S.; Impact of AIDS on the economy; Risk of transmission of HIV infection from patients to health care worker.

  • The early years of HIV research: integrating clinical and basic research. Barre-Sinoussi, Francoise // Nature Medicine;Jul2003, Vol. 9 Issue 7, p844 

    Between the first analysis of patient samples in early 1983 and the determination of the sequence of HIV-1 in 1985, a vast amount of data was accumulated on HIV through the integrated efforts of clinicians, virologists, immunologists, molecular biologists and epidemiologists. These early years...

  • HIV and AIDS: 20 years of science. Fauci, Anthony S // Nature Medicine;Jul2003, Vol. 9 Issue 7, p839 

    From the identification of HIV as the agent that causes AIDS, to the development of effective antiretroviral drugs, the scientific achievements in HIV research in the past 20 years have been formidable. Some of the other important areas of accomplishment include the development of blood tests...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics