Table 2.
MS charges a in 2011
| N | % of Total | Mean [SD] charge per patient ($) | P Value | |
|---|---|---|---|---|
| All patients |
15,902 |
100.0 |
26,520 [38,478] |
|
| By patient characteristics |
|
|
|
|
| Gender |
|
|
|
<0.001b |
| Female |
12,100 |
76.1 |
26,224 [38,716] |
|
| Male |
3,801 |
23.9 |
27,445 [37,691] |
|
| Unknown |
1 |
0.0 |
90,704 [NA] |
|
| Age in years |
|
|
|
<0.001 |
| 17 or younger |
126 |
0.8 |
14,142 [40,310] |
|
| 18 to 25 |
405 |
2.6 |
25,731 [44,296] |
|
| 26 to 35 |
2,009 |
12.6 |
26,324 [36,224] |
|
| 36 to 45 |
4,021 |
25.3 |
27,430 [36,866] |
|
| 46 to 55 |
5,030 |
31.6 |
27,558 [39,653] |
|
| 56 to 64 |
3,499 |
22.0 |
25,876 [38,022] |
|
| 65 or older |
812 |
5.1 |
21,167 [42,005] |
|
| Region |
|
|
|
|
| Northeast |
1,861 |
11.7 |
27,035 [38,558] |
0.646 |
| Midwest |
4,480 |
28.2 |
25,820 [32,754] |
|
| South |
6,730 |
42.3 |
26,604 [40,196] |
|
| West |
2,827 |
17.8 |
27,093 [42,457] |
|
| Other |
4 |
0.0 |
23,745 [28,601] |
|
| Insurance product |
|
|
|
0.032 |
| EPO |
2,088 |
13.1 |
27,933 [42,360] |
|
| HMO |
1,474 |
9.3 |
24,628 [33,046] |
|
| Indemnity |
329 |
2.1 |
22,127 [39,181] |
|
| POS |
11,336 |
71.3 |
26,648 [38,173] |
|
| PPO |
641 |
4.0 |
26,622 [41,918] |
|
| Other |
34 |
0.2 |
19,353 [28,310] |
|
|
Charge components |
Utilization
c
Mean [SD] |
Mean [SD] Cost ($) |
% of Total Cost |
|
| Inpatientd |
0.48 [2.75] |
3,179 [17,860] |
12.0 |
|
| Outpatientd |
6.05 [8.04] |
9,355 [24,523] |
35.3 |
|
| Emergency Roomd |
0.03 [0.39] |
33 [522] |
0.1 |
|
| DMD | 3.17 [4.87] | 13,953 [21,704] | 52.6 | |
aSum of the charges for (1) medical claims with an MS diagnosis (ICD-9-CM = 340.xx in any diagnosis field or a DRG code for MS and cerebellar ataxia [DRG = 058, 059, or 060]) plus (2) medical or pharmacy claims indicating a DMD (Table 1).
bExcluding the patient with unknown gender (i.e., t-test for female versus male).
cNumber of claims. Claims counts for DMDs include both medical and pharmacy claims.
dCharges for medical claims with an MS diagnosis (ICD-9-CM = 340.xx in any diagnosis field or a DRG code for MS and cerebellar ataxia [DRG = 058, 059, or 060]).
DMD = disease-modifying drug; DRG = Diagnosis-Related Group; EPO = exclusive provider organization; HMO = health maintenance organization; MS = multiple sclerosis; NA = not applicable; POS = point of service; PPO = preferred provider organization; SD = standard deviation.