Curtis S. Florence

The impact of obesity on rising medical spending.

Obese people incur higher health care costs at a given point in time, but how rising obesity rates affect spending growth over time is unknown. We estimate obesity-attributable health care spending increases between 1987 and 2001. Increases in the proportion of and spending on obese people relative to people of normal weight account for 27 percent of the rise in inflation-adjusted per capita spending between 1987 and 2001; spending for diabetes, 38 percent; spending for hyperlipidemia, 22 percent; and spending for heart disease, 41 percent. Increases in obesity prevalence alone account for 12 percent of the growth in health spending.

Health Care Costs Associated With Child Maltreatment: Impact on Medicaid

OBJECTIVE: To estimate the increased Medicaid expenditures associated with child maltreatment. METHODS: Data on child maltreatment were collected from the National Survey of Child and Adolescent Well-Being, a nationally representative sample of cases investigated or assessed by local Child Protective Services agencies between October 1999 and December 2000. Medicaid claims data for 2000 to 2003 were obtained from the Medicaid Analytic Extract (MAX). Children from the National Survey of Child and Adolescent Well-Being who had Medicaid were matched to the MAX data by Social Security number or birthdate, gender, and zip code. Propensity score matching was used to select a comparison group from the MAX data. Two-part regression models were used to estimate the impact of child maltreatment on expenditures. Data with individual identifiers were obtained under confidentiality agreements with the collecting agencies. RESULTS: Children who were identified as maltreated or as being at risk of maltreatment incurred, on average, Medicaid expenditures that were >

Medical costs attributable to child maltreatment a systematic review of short- and long-term effects

2600 higher per year compared with children not so identified. This finding accounted for ∼9% of all Medicaid expenditures for children. CONCLUSIONS: Child maltreatment imposes a substantial financial burden on the Medicaid system. These expenses could be partially offset by increased investment in child maltreatment prevention.

The Breast and Cervical Cancer Prevention and Treatment Act in Georgia : Effects on Time to Medicaid Enrollment

CONTEXT Child maltreatment is a serious and prevalent public health problem, which has been shown to be associated with numerous short- and long-term effects on mental and physical health. Few estimates of the medical costs of these effects have been published to date. To determine the range and quality of currently available estimates and identify the gaps and needs for future research, this article reviews research on medical costs of child maltreatment. EVIDENCE ACQUISITION Peer-reviewed literature on child maltreatment and medical costs was identified by searching major databases. Twelve articles on the medical costs of child maltreatment were identified. EVIDENCE SYNTHESIS Eight studies describe short-term costs among children; four describe adult, long-term costs. Most studies used convenience samples, captured a partial share of the total costs, and did not follow best practices for econometric analysis of medical costs. CONCLUSIONS Child maltreatment is associated with substantial medical costs in childhood and adulthood, but estimates vary widely because of differences in research designs, types of cost data, and study quality. Econometric estimates of the annual medical costs in adulthood range from zero to about

Covering Uninsured Children and their Parents: Estimated Costs and Number of Newly Insured

800. Per-episode estimates of child costs, based on mean comparisons, range from

Medical Costs of Fatal and Nonfatal Falls in Older Adults

0 to >

Health Plan Switching Among Members of the Federal Employees Health Benefits Program

24,000.

The Impact of Medicaid Primary Care Case Management on Office-Based Physician Supply in Alabama and Georgia

Implementation of the Breast and Cervical Cancer Prevention and Treatment Act of 2000 (BCCPTA) allowed states to extend Medicaid to any woman aged <65 without insurance screened and found to need treatment either for breast or cervical cancer or for a precancerous cervical condition through the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) or in Georgia, other provider sites.

Effects of Primary Care Case Management (PCCM) on Medicaid Children in Alabama and Georgia: Provider Availability and Race/Ethnicity

The Child Health Insurance Program (CHIP) supplies

SCHIP's Impact on Dependent Coverage in the Small-Group Health Insurance Market

20.4 billion over 5 years and nearly