Health plan paid cost of epilepsy in 2009 in the U.S.

Andrew Wilner, Bal K. Sharma, Alison Soucy, Andrew Krueger

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Our objectives were to estimate the health plan paid cost of epilepsy and to show major cost driver(s) of these costs. The health insurance claims and membership data from six U.S. health plans were analyzed. To prepare two comparison groups, individuals with epilepsy (n = 5810) were match-paired with individuals without epilepsy (n = 5810) using propensity scores derived from logistic regression using gender, age group, health plan product, and length of enrollment in the health plans. Total health plan paid cost per member per year (PMPY) was $11,232 for the epilepsy group and $3026 for the controls (p < 0.001). The estimated cost PMPY for treatment of epilepsy was $8206. Relative distribution (%) of health plan paid costs ($) by cost driver category based on place of service (POS) indicated that the treatment of epilepsy places a larger cost burden in inpatient POS than in outpatient hospital or MD office POS compared to controls.

Original languageEnglish (US)
Pages (from-to)412-416
Number of pages5
JournalEpilepsy and Behavior
Volume25
Issue number3
DOIs
StatePublished - Nov 1 2012

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Epilepsy
Costs and Cost Analysis
Health
Propensity Score
Health Insurance
Ambulatory Care
Inpatients
Age Groups
Logistic Models
Control Groups
Therapeutics

All Science Journal Classification (ASJC) codes

  • Neurology
  • Clinical Neurology
  • Behavioral Neuroscience

Cite this

Health plan paid cost of epilepsy in 2009 in the U.S. / Wilner, Andrew; Sharma, Bal K.; Soucy, Alison; Krueger, Andrew.

In: Epilepsy and Behavior, Vol. 25, No. 3, 01.11.2012, p. 412-416.

Research output: Contribution to journalArticle

Wilner, Andrew ; Sharma, Bal K. ; Soucy, Alison ; Krueger, Andrew. / Health plan paid cost of epilepsy in 2009 in the U.S. In: Epilepsy and Behavior. 2012 ; Vol. 25, No. 3. pp. 412-416.
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