Exhibit 2. Additional 6-month cost of care among Medicaid cancer patients <65 years old with select comorbid conditions compared with cancer patients without these conditions1.
Cardiac | Respiratory | Diabetes | Mental health2 | One Condition | Two Conditions | Three/Four Conditions | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
AC3 | P-value | AC | P-value | AC | P-value | AC | P-value | AC | P-value | AC | P-value | AC | P-value | |
Including those who died during the 6-month follow-up | ||||||||||||||
Hospital stays | $2,732 | 0.028 | $4,618 | 0.001 | $4,678 | 0.000 | $4,979 | 0.000 | $1,824 | 0.142 | $7,000 | <.0001 | $14,596 | <.0001 |
Prescpt. drug | $168 | 0.179 | $345 | 0.016 | $1,037 | <.0001 | $546 | 0.000 | $373 | 0.003 | $967 | <.0001 | $1,715 | <.0001 |
Long-term care | $362 | 0.038 | -$28 | 0.888 | $601 | 0.001 | $1,722 | <.0001 | $335 | 0.054 | $861 | <.0001 | $2,066 | <.0001 |
Amb.care svcs. | $156 | 0.622 | $105 | 0.771 | $1,167 | 0.000 | $756 | 0.045 | $646 | 0.040 | $976 | 0.013 | $1,787 | 0.001 |
Total | $3,418 | 0.011 | $5,040 | 0.001 | $7,483 | <.0001 | $8,004 | <.0001 | $3,177 | 0.018 | $9,804 | <.0001 | $20,165 | <.0001 |
Excluding those who died during the 6-month follow-up (continuous follow-up for 6 months) | ||||||||||||||
Hospital stays | $3,311 | 0.020 | $6,714 | <.0001 | $5,112 | 0.000 | $6,883 | 0.000 | $2,727 | 0.046 | $9,891 | <.0001 | $18,211 | <.0001 |
Prescpt. drug | $288 | 0.060 | $488 | 0.006 | $1,011 | <.0001 | $715 | <.0001 | $435 | 0.003 | $1,033 | <.0001 | $2,199 | <.0001 |
Long-term care | $525 | 0.028 | $147 | 0.594 | $683 | 0.003 | $2,214 | <.0001 | $416 | 0.070 | $1,126 | 0.000 | $2,933 | <.0001 |
Amb.care svcs. | $261 | 0.501 | $807 | 0.073 | $909 | 0.015 | $1,198 | 0.008 | $1,006 | 0.007 | $1,319 | 0.005 | $2,396 | 0.000 |
Total | $4,385 | 0.005 | $8,155 | <.0001 | $7,714 | <.0001 | $11,009 | <.0001 | $4,584 | 0.002 | $13,369 | <.0001 | $25,739 | <.0001 |
Regression analysis controlled for differences in age, sex, race, state, stage at diagnosis and cancer site. All measures reported are per person. Medicaid cost is reported for the six month period after diagnosis in 2003 dollars.
Includes schizophrenic disorders, episodic mood disorders, delusional disorders, anxiety/personality disorders, and depressive disorders.
AC–Additional cost of chronic conditions among cancer patients; that is, increased cost of cancer care due to the presence of the comorbid condition.