Table 1.
Descriptive Statistics of Monthly/Quarterly Health Care Use and Spending Among Children with ASD, 2008–2012
| Children with ASD | Children in Mandate States (29 states as of 2012) | Children in Non-Mandate States (22 states as of 2012) | |||
|---|---|---|---|---|---|
| Fully-Insured | Self-Insured | Fully-Insured | Self-Insured | ||
| Any ASD Outpatient Utilization (%) | 99.0 | 99.4 | 98.9 | 99.3 | 98.9 |
| conditional spending: 5th percentile | $55 | $55 | $55 | $55 | $55 |
| conditional spending: 50th percentile | $219 | $240 | $220 | $225 | $200 |
| conditional spending: 95th percentile | $2,125 | $3,839 | $2,146 | $5,753 | $1,766 |
| Any ASD Inpatient Utilization (%) | 7.1 | 7.2 | 7.0 | 6.9 | 7.2 |
| conditional spending: 5th percentile | $873 | $850 | $893 | $1,125 | $825 |
| conditional spending: 50th percentile | $6,082 | $6,011 | $5,926 | $6,799 | $6,340 |
| conditional spending: 95th percentile | $23,541 | $22,955 | $22,846 | $24,518 | $25,734 |
| Any Psychotropic Prescriptions (%) | 61.4 | 59.7 | 60.1 | 63.1 | 66.7 |
| conditional spending: 5th percentile | $21 | $23 | $21 | $19 | $20 |
| conditional spending: 50th percentile | $479 | $484 | $479 | $469 | $475 |
| conditional spending: 95th percentile | $2,835 | $2,840 | $2,905 | $2,721 | $2,735 |
| Number of Children | 106,977 | 23,105 | 55,511 | 7,985 | 20,376 |
Notes: Fully-insured children are subject to state-level mandates if they meet other eligibility criteria, but self-insured children are not due to ERISA. Subsamples are based on a child’s status in the first month/quarter they entered the dataset. Psychotropic measures exclude children without Rx coverage.