Asthma Costs for the Medicaid Managed Care (MMC) Asthma Universe Population in New York State, 2011
- About Asthma Costs for Medicaid Managed Care
- Costs for the Asthma Universe Population, New York State, 2011
- Total Cost, Average Cost per Service and Average Cost per Enrollee by Type of Asthma-Related Service for the MMC Asthma Universe Population, New York State, 2011
- Average Asthma-Related Service Cost per Enrollee by Age Group and Type of Asthma-Related Service for the MMC Asthma Universe Population, New York State, 2011
- Average Asthma-Related Service Cost per Enrollee by Gender and Type of Asthma-Related Service for the MMC Asthma Universe Population, New York State, 2011
- Average Asthma-Related Service Cost per Enrollee by Race and Ethnicity and Type of Asthma-Related Service for the MMC Asthma Universe Population, New York State, 2011
- Average Asthma-Related Service Cost per Enrollee by Region and Type of Asthma-Related Service for the MMC Asthma Universe Population, New York State, 2011
- Total Asthma-Related Service Cost and Number of Enrollees by Region for the MMC Asthma Universe Population, New York State, 2011
Costs for the Medicaid Managed Care Asthma Universe* Population, New York State, 2011
Asthma Universe | Asthma-Related Cost | Total Cost (Asthma-Related and Unrelated Services) | Percent of Total Cost | Asthma-Related Cost per Member per Year |
---|---|---|---|---|
267,581 | $312,169,066 | $2,156,091,590 | 14% | $1,167 |
*12 months continuous enrollment
Total Cost, Average Cost per Service and Average Cost per Enrollee by Type of Asthma-Related Service for the Medicaid Managed Care Asthma Universe* Population, New York State, 2011
Asthma-Related Service | Total Costs | Percent Total | Number of Services | Average Cost per Service | Number of Enrollees | Average Cost per Enrollee |
---|---|---|---|---|---|---|
Outpatient Visit | $46,068,717 | 14.8% | 350,546 | $131 | 158,934 | $290 |
ED Visit | $8,481,564 | 2.7% | 39,187 | $216 | 28,368 | $299 |
Hospitalization | $53,150,430 | 17.0% | 7,717 | $6,887 | 6,132 | $8,668 |
Pharmacy | $204,468,354 | 65.5% | 1,851,618 | $110 | 233,370 | $876 |
*12 months continuous enrollment
Average Asthma-Related Service Cost per Enrollee by Age Group and Type of Asthma-Related Service for the Medicaid Managed Care Asthma Universe* Population, New York State, 2011
Asthma-Related Service | 0-4 | 5-11 | 12-50 | 51-64 |
---|---|---|---|---|
Outpatient Visit | $269 | $268 | $287 | $395 |
ED Visit | $286 | $264 | $321 | $339 |
Hospitalization | $7,212 | $7,464 | $9,175 | $11,625 |
Pharmacy | $550 | $673 | $890 | $1,571 |
*12 months continuous enrollment
Average Asthma-Related Service Cost per Enrollee by Age Group for the Medicaid Managed Care Asthma Universe* Population, New York State, 2011
0-4 | 5-11 | 12-50 | 51-64 | Total (0-64) | |
---|---|---|---|---|---|
Average Asthma-Related Service Cost per Enrollee | $997 | $925 | $1,097 | $1,985 | $1,167 |
*12 months continuous enrollment
Average Asthma-Related Service Cost per Enrollee by Gender and Type of Asthma-Related Service for the Medicaid Managed Care Asthma Universe* Population, New York State, 2011
Asthma-Related Service | Male | Female |
---|---|---|
Outpatient Visit | $283 | $296 |
ED Visit | $300 | $299 |
Hospitalization | $8,101 | $9,119 |
Pharmacy | $800 | $935 |
*12 months continuous enrollment
Average Asthma-Related Service Cost per Enrollee by Gender for the Medicaid Managed Care Asthma Universe* Population, New York State, 2011
Male | Female | |
---|---|---|
Average Asthma-Related Service Cost per Enrollee | $1,092 | $1,225 |
*12 months continuous enrollmen
Average Asthma-Related Service Cost per Enrollee by Race and Ethnicity and Type of Asthma-Related Service for the Medicaid Managed Care Asthma Universe* Population, New York State, 2011
Asthma-Related Service | Non-Hispanic White | Non-Hispanic Black | Non-Hispanic Other | Hispanic |
---|---|---|---|---|
ED Visit | $340 | $324 | $266 | $277 |
Hospitalization | $7,237 | $9,278 | $7,690 | $8,752 |
Outpatient Visit | $248 | $298 | $258 | $315 |
Pharmacy | $905 | $821 | $842 | $896 |
*12 months continuous enrollment
Average Asthma-Related Service Cost per Enrollee by Race and Ethnicity for the Medicaid Managed Care Asthma Universe* Population, New York State, 2011
Non-Hispanic White | Non-Hispanic Black | Non-Hispanic Other | Hispanic | |
---|---|---|---|---|
Average Asthma-Related Service Cost per Enrollee | $1,025 | $1,252 | $1,017 | $1,239 |
*12 months continuous enrollment
Total Asthma-Related Service Cost and Number of Enrollees by Region for the Medicaid Managed Care Asthma Universe* Population, New York State, 2011
Service Category | New York City | Rest of State |
---|---|---|
Outpatient Visit | $32,786,710 | $13,282,008 |
ED Visit | $5,515,757 | $2,965,808 |
Hospitalization | $43,112,504 | 10,037,927 |
Pharmacy | $145,499,764 | $58,968,590 |
*12 months continuous enrollment
MMC Average Asthma-Related Service Cost per Enrollee by Region for the Asthma Universe* Population, New York State, 2011
New York City | Rest of State | |
---|---|---|
Average Asthma-Related Service Cost per Enrollee | $1,246 | $998 |
*12 months continuous enrollment
Total Asthma-Related Service Cost and Number of Enrollees by Region for the Medicaid Managed Care Asthma Universe* Population, New York State, 2011
New York City | Rest of State | New York State | |
---|---|---|---|
Total Asthma-Related Service Cost | $226,914,733 (73%) | $85,254,332 (27%) | $312,169,065 |
Number of Enrollees | 182,125 (68%) | 85,456 (32%) | 267,581 |
*12 months continuous enrollment