Asthma Costs for the Medicaid Managed Care (MMC) Asthma Universe Population in New York State, 2013
- About Asthma Costs for Medicaid Managed Care
- Costs for the Asthma Universe Population, New York State, 2013
- 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, 2013
- 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, 2013
- Average Asthma-Related Service Cost per Enrollee by Gender and Type of Asthma-Related Service for the MMC Asthma Universe Population, New York State, 2013
- 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, 2013
- Average Asthma-Related Service Cost per Enrollee by Region and Type of Asthma-Related Service for the MMC Asthma Universe Population, New York State, 2013
- Total Asthma-Related Service Cost and Number of Enrollees by Region for the MMC Asthma Universe Population, New York State, 2013
Costs for the Medicaid Managed Care Asthma Universe* Population, New York State, 2013
Asthma Universe | Asthma-Related Cost | Total Cost (Asthma-Related and Unrelated Services) | Percent of Total Cost | Asthma-Related Cost per Member per Year |
---|---|---|---|---|
314,473 | $295,622,614 | $2,495,426,808 | 12% | $940 |
*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, 2013
Asthma-Related Service | Total Costs | Percent Total | Number of Services | Average Cost per Service | Number of Enrollees | Average Cost per Enrollee |
---|---|---|---|---|---|---|
Outpatient Visit | $50,139,935 | 17.0% | 483,930 | $104 | 169,349 | $296 |
ED Visit | $11,128,615 | 3.8% | 49,320 | $226 | 34,615 | $321 |
Hospitalization | $60,804,526 | 20.6% | 8,655 | $7,025 | 6,832 | $8,900 |
Pharmacy | $173,549,539 | 58.7% | 1,724,630 | $101 | 228,965 | $758 |
*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, 2013
Asthma-Related Service | 0-4 | 5-11 | 12-50 | 51-64 |
---|---|---|---|---|
Outpatient Visit | $283 | $292 | $274 | $394 |
ED Visit | $304 | $293 | $338 | $368 |
Hospitalization | $7,491 | $7,357 | $9,705 | $11,552 |
Pharmacy | $279 | $422 | $726 | $1,402 |
*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, 2013
0-4 | 5-11 | 12-50 | 51-64 | Total (0-64) | |
---|---|---|---|---|---|
Average Asthma-Related Service Cost per Enrollee | $717 | $668 | $873 | $1,676 | $940 |
*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, 2013
Asthma-Related Service | Male | Female |
---|---|---|
Outpatient Visit | $285 | $305 |
ED Visit | $320 | $323 |
Hospitalization | $8,377 | $9,338 |
Pharmacy | $679 | $815 |
*12 months continuous enrollment
Average Asthma-Related Service Cost per Enrollee by Gender for the Medicaid Managed Care Asthma Universe* Population, New York State, 2013
Male | Female | |
---|---|---|
Average Asthma-Related Service Cost per Enrollee | $861 | $1,001 |
*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, 2013
Asthma-Related Service | Non-Hispanic White | Non-Hispanic Black | Non-Hispanic Other | Hispanic |
---|---|---|---|---|
ED Visit | $340 | $354 | $294 | $301 |
Hospitalization | $7,515 | $9,242 | $8,176 | $9,186 |
Outpatient Visit | $257 | $305 | $271 | $323 |
Pharmacy | $843 | $709 | $724 | $758 |
*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, 2013
Non-Hispanic White | Non-Hispanic Black | Non-Hispanic Other | Hispanic | |
---|---|---|---|---|
Average Asthma-Related Service Cost per Enrollee | $875 | $1,042 | $813 | $973 |
*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, 2013
Service Category | New York City | Rest of State |
---|---|---|
Outpatient Visit | $33,646,059 | $16,493,876 |
ED Visit | $7,439,479 | $3,689,137 |
Hospitalization | $49,380,291 | $11,424,235 |
Pharmacy | $111,354,294 | $62,195,245 |
*12 months continuous enrollment
MMC Average Asthma-Related Service Cost per Enrollee by Region for the Asthma Universe* Population, New York State, 2013
New York City | Rest of State | |
---|---|---|
Average Asthma-Related Service Cost per Enrollee | $1,016 | $810 |
*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, 2013
New York City | Rest of State | New York State | |
---|---|---|---|
Total Asthma-Related Service Cost | $201,820,122 (68%) | $93,802,492 (32%) | $295,622,614 |
Number of Enrollees | 198,704 (63%) | 115,769 (37%) | 314,473 |
*12 months continuous enrollment