Asthma Costs for the Medicaid Managed Care (MMC) Asthma Universe Population in New York State, 2012
- About Asthma Costs for Medicaid Managed Care
- Costs for the Asthma Universe Population, New York State, 2012
- 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, 2012
- 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, 2012
- Average Asthma-Related Service Cost per Enrollee by Gender and Type of Asthma-Related Service for the MMC Asthma Universe Population, New York State, 2012
- 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, 2012
- Average Asthma-Related Service Cost per Enrollee by Region and Type of Asthma-Related Service for the MMC Asthma Universe Population, New York State, 2012
- Total Asthma-Related Service Cost and Number of Enrollees by Region for the MMC Asthma Universe Population, New York State, 2012
Costs for the Medicaid Managed Care Asthma Universe* Population, New York State, 2012
Asthma Universe | Asthma-Related Cost | Total Cost (Asthma-Related and Unrelated Services) | Percent of Total Cost | Asthma-Related Cost per Member per Year |
---|---|---|---|---|
290,614 | $338,834,454 | $2,342,564,447 | 14% | $1,166 |
*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, 2012
Asthma-Related Service | Total Costs | Percent Total | Number of Services | Average Cost per Service | Number of Enrollees | Average Cost per Enrollee |
---|---|---|---|---|---|---|
Outpatient Visit | $48,844,649 | 14.4% | 468,010 | $104 | 164,203 | $297 |
ED Visit | $10,283,626 | 3.0% | 45,422 | $226 | 32,157 | $320 |
Hospitalization | $59,276,885 | 17.5% | 8,650 | $6,853 | 6,800 | $8,717 |
Pharmacy | $220,429,295 | 65.1% | 2,042,764 | $108 | 250,992 | $878 |
*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, 2012
Asthma-Related Service | 0-4 | 5-11 | 12-50 | 51-64 |
---|---|---|---|---|
Outpatient Visit | $278 | $290 | $281 | $395 |
ED Visit | $304 | $294 | $334 | $366 |
Hospitalization | $7,122 | $7,159 | $9,362 | $11,833 |
Pharmacy | $518 | $642 | $854 | $1,570 |
*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, 2012
0-4 | 5-11 | 12-50 | 51-64 | Total (0-64) | |
---|---|---|---|---|---|
Average Asthma-Related Service Cost per Enrollee | $1,010 | $934 | $1,053 | $1,958 | $1,166 |
*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, 2012
Asthma-Related Service | Male | Female |
---|---|---|
Outpatient Visit | $286 | $307 |
ED Visit | $320 | $320 |
Hospitalization | $8,121 | $9,196 |
Pharmacy | $806 | $933 |
*12 months continuous enrollment
Average Asthma-Related Service Cost per Enrollee by Gender for the Medicaid Managed Care Asthma Universe* Population, New York State, 2012
Male | Female | |
---|---|---|
Average Asthma-Related Service Cost per Enrollee | $1,092 | $1,223 |
*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, 2012
Asthma-Related Service | Non-Hispanic White | Non-Hispanic Black | Non-Hispanic Other | Hispanic |
---|---|---|---|---|
ED Visit | $343 | $347 | $305 | $298 |
Hospitalization | $7,557 | $9,412 | $7,547 | $8,834 |
Outpatient Visit | $261 | $305 | $269 | $324 |
Pharmacy | $917 | $836 | $845 | $912 |
*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, 2012
Non-Hispanic White | Non-Hispanic Black | Non-Hispanic Other | Hispanic | |
---|---|---|---|---|
Average Asthma-Related Service Cost per Enrollee | $1,038 | $1,279 | $1,006 | $1,254 |
*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, 2012
Service Category | New York City | Rest of State |
---|---|---|
Outpatient Visit | $33,843,928 | $15,000,721 |
ED Visit | $6,967,667 | $3,315,958 |
Hospitalization | $48,670,636 | $10,606,248 |
Pharmacy | $151,560,512 | $68,868,783 |
*12 months continuous enrollment
MMC Average Asthma-Related Service Cost per Enrollee by Region for the Asthma Universe* Population, New York State, 2012
New York City | Rest of State | |
---|---|---|
Average Asthma-Related Service Cost per Enrollee | $1,255 | $992 |
*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, 2012
New York City | Rest of State | New York State | |
---|---|---|---|
Total Asthma-Related Service Cost | $241,042,743 (71%) | $97,791,711 (29%) | $338,834,454 |
Number of Enrollees | 192,049 (66%) | 98,565 (34%) | 290,614 |
*12 months continuous enrollment