Table 3.
Number, rate and associated costs* of ACSC ED visits resulting in an inpatient admission or ED discharge for South Carolina Medicaid members with ID aged 22–64 years, 2001–2011
| Study year |
# members enrolled |
# ED visits
|
# ED visits due to
ACSC |
Calculated variables
|
||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Total | Admitted | Discharged | Total | Admitted | Discharged | Admitted cost |
Discharged cost |
ED rate/ member |
ACSC rate/ member |
% ACSC admitted |
ACSC admitted cost*/ member |
ACSC admitted cost*/visit |
ACSC discharged cost*/ member |
ACSC discharged cost*/visit |
||
| Total | 107 032 | 106 919 | 16 176 | 90 743 | 21 214 | 3 630 | 17 584 | 27 174 005 | 10 389 829 | 0.9989 | 0.1982 | 17.1 | 254 | 7486 | 97 | 591 |
| 2001 | 8 889 | 7 643 | 1 445 | 6 198 | 1 563 | 350 | 1 213 | 2 163 276 | 516 406 | 0.8598 | 0.1758 | 22.4 | 243 | 6181 | 58 | 426 |
| 2002 | 9 103 | 7 976 | 1 370 | 6 606 | 1 575 | 279 | 1 296 | 2 048 769 | 594 720 | 0.8762 | 0.1730 | 17.7 | 225 | 7343 | 65 | 459 |
| 2003 | 9 273 | 8 435 | 1 494 | 6 941 | 1 682 | 303 | 1 379 | 2 519 301 | 711 467 | 0.9096 | 0.1814 | 18.0 | 272 | 8315 | 77 | 516 |
| 2004 | 9 470 | 8 759 | 1 488 | 7 271 | 1 609 | 302 | 1 307 | 2 153 321 | 745 337 | 0.9249 | 0.1699 | 18.8 | 227 | 7130 | 79 | 570 |
| 2005 | 9 586 | 9 225 | 1 542 | 7 683 | 1 829 | 336 | 1 493 | 2 469 544 | 817 813 | 0.9623 | 0.1908 | 18.4 | 258 | 7350 | 85 | 548 |
| 2006 | 9 671 | 9 639 | 1 461 | 8 178 | 1 916 | 315 | 1 601 | 2 212 252 | 903 037 | 0.9967 | 0.1981 | 16.4 | 229 | 7023 | 93 | 564 |
| 2007 | 9 763 | 10 295 | 1 446 | 8 849 | 2 074 | 334 | 1 740 | 2 201 920 | 1 053 581 | 1.0545 | 0.2124 | 16.1 | 226 | 6593 | 108 | 606 |
| 2008 | 9 906 | 10 352 | 1 467 | 8 885 | 2 083 | 324 | 1 759 | 2 633 370 | 1 172 787 | 1.0450 | 0.2103 | 15.6 | 266 | 8128 | 118 | 667 |
| 2009 | 10 175 | 11 152 | 1 512 | 9 640 | 2 273 | 375 | 1 898 | 3 302 519 | 1 302 938 | 1.0960 | 0.2234 | 16.5 | 325 | 8807 | 128 | 686 |
| 2010 | 10 430 | 11 544 | 1 496 | 10 048 | 2 168 | 341 | 1 827 | 2 533 497 | 1 197 448 | 1.1068 | 0.2079 | 15.7 | 243 | 7430 | 115 | 655 |
| 2011 | 10 766 | 11 899 | 1 455 | 10 444 | 2 442 | 371 | 2 071 | 2 936 237 | 1 374 295 | 1.1052 | 0.2268 | 15.2 | 273 | 7914 | 128 | 664 |
| Average | 9 730 | 9 720 | 1 471 | 8 249 | 1 929 | 330 | 1 599 | 2 470 364 | 944 530 | 0.9943 | 0.1973 | 17.3 | 253 | 7474 | 96 | 578 |
| 11-year averages by ID subgroup and residence | # members enrolled |
# ED
visits
|
# ED visits due
to ACSC
|
Calculated
variables
|
||||||||||||
| All visits | Admitted | Discharged | All visits | Admitted | Discharged | Admitted cost | Discharged cost | ED rate/member | ACSC rate/member | % ACSC admitted | ACSC admitted cost/member | ACSC admitted cost/visit | ACSC discharged cost/member | ACSC discharged cost/visit | ||
|
| ||||||||||||||||
| Down syndrome and other genetic | 1 165 | 703 | 137 | 566 | 163 | 43 | 119 | 385 543 | 81 613 | 0.5992 | 0.1386 | 26.6 | 328 | 8 911 | 69 | 659 |
| Mild ID | 2 989 | 4 192 | 606 | 3 586 | 769 | 119 | 650 | 854 028 | 362 199 | 1.3931 | 0.2552 | 15.9 | 286 | 7 174 | 119 | 549 |
| Moderate-to-profound ID | 3 980 | 2 678 | 390 | 2 288 | 567 | 92 | 475 | 716 411 | 288 387 | 0.6716 | 0.1421 | 16.3 | 180 | 7 756 | 72 | 596 |
| Unspecified ID | 1 596 | 2 147 | 338 | 1 809 | 431 | 76 | 354 | 514 382 | 212 332 | 1.3471 | 0.2701 | 18.0 | 322 | 6 809 | 134 | 587 |
| Nursing home, ICF/ID, hospital | 757 | 414 | 135 | 279 | 93 | 37 | 56 | 353 992 | 48 802 | 0.5607 | 0.1271 | 38.9 | 479 | 9 634 | 69 | 855 |
| Group home and community supervised living | 1 289 | 977 | 210 | 767 | 197 | 45 | 153 | 338 171 | 107 514 | 0.7616 | 0.1544 | 22.7 | 264 | 7 770 | 81 | 680 |
| Home with health services | 4 494 | 4 517 | 689 | 3 828 | 849 | 139 | 711 | 1 031 255 | 406 198 | 1.0143 | 0.1907 | 16.3 | 233 | 7 505 | 93 | 573 |
| Home with no health services | 3 190 | 3 811 | 436 | 3 376 | 789 | 110 | 679 | 746 945 | 382 016 | 1.1711 | 0.2416 | 14.8 | 238 | 6 760 | 114 | 546 |
ACSC, ambulatory care sensitive condition; ED, emergency department; ICF, intermediate care facility.