The course and correlates of high hospital utilization in sickle cell disease: Evidence from a large, urban Medicaid managed care organization.
Publication/Presentation Date
10-1-2009
Abstract
Although most patients with sickle cell disease (SCD) are hospitalized infrequently and manage painful crises at home, a small subpopulation is frequently admitted to emergency departments and inpatient units. This small group accounts for the majority of health care expenses for patients with SCD. Using inpatient claims data from a large, urban Medicaid MCO for 5 consecutive years, this study sought to describe the course of high inpatient utilization (averaging four or more admissions enrolled per year for at least 1 year) in members with a diagnosis of SCD and a history of hospitalizations for vaso-occlusive crisis. High utilizers were compared with the other members with SCD on demographics, medical and psychiatric comorbidity, and use of other health care resources. Members who were high utilizers had more diagnostic mentions of sickle cell complications than low utilizers. However, the pattern of high inpatient utilization was likely to moderate over successive years, and return to the pattern after moderation was uncommon. Despite this, a small subpopulation engaged in exceptional levels of inpatient utilization over multiple years.
Volume
84
Issue
10
First Page
666
Last Page
670
ISSN
1096-8652
Published In/Presented At
Carroll, C. P., Haywood, C., Jr, Fagan, P., & Lanzkron, S. (2009). The course and correlates of high hospital utilization in sickle cell disease: Evidence from a large, urban Medicaid managed care organization. American journal of hematology, 84(10), 666–670. https://doi.org/10.1002/ajh.21515
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
19743465
Department(s)
Administration and Leadership
Document Type
Article