Table 4. Claims and Costs per Person-Year for Adults With Down Syndrome Enrolled in Medicaid by Race and Ethnicity, 2011-2019^a.

Characteristic	Claims		Costs
	Per person-year	Ratio	Per person-year, $	Ratio
Race
Asian	172.9	0.78	40 538	0.87
Black	211.2	0.95	38 445	0.82
Mixed race	190.8	0.86	37 575	0.80
Native American	187.5	0.84	43 269	0.92
Pacific Islander	170.0	0.76	32 912	0.70
White	222.0	1 [Reference]	46 845	1 [Reference]
Ethnicity
Hispanic	183.6	0.83	39 589	0.82
Non-Hispanic	222.1	1 [Reference]	48 182	1 [Reference]

^a Age standardized with White as reference group. Multiple imputation was used for missing race and ethnicity (25% missing race, 12% missing ethnicity).