Table 2. Budget Impact Analysis, Medicaid Perspective for US and Selected State Programs.
Estimates | US | Alabama | Washington, DC | Florida | Georgia | Louisiana | Maryland | Mississippi | North Carolina | South Carolina | Virginia |
---|---|---|---|---|---|---|---|---|---|---|---|
Total No. eligible for gene therapy | 5464 | 182 | 44 | 521 | 353 | 245 | 170 | 184 | 260 | 203 | 153 |
No. to receive therapy, year 1 | 383 | 13 | 3 | 36 | 25 | 17 | 12 | 13 | 18 | 14 | 11 |
No. treated per 100 000 members, year 1 | 0.52 | 1.41 | 1.18 | 0.96 | 1.36 | 1.11 | 0.90 | 1.99 | 1.02 | 1.37 | 1.04 |
Budget impact, year 1 (million USD), $ | 707.63 | 23.58 | 5.71 | 67.43 | 45.67 | 31.66 | 22.02 | 23.77 | 33.65 | 26.32 | 19.76 |
Budget impact, year 1 (% total Medicaid spending) | 0.12 | 0.42 | 0.20 | 0.29 | 0.41 | 0.29 | 0.19 | 0.45 | 0.25 | 0.42 | 0.21 |
Cost per member per month, year 1, $ | 0.80 | 2.18 | 1.81 | 1.48 | 2.09 | 1.81 | 1.38 | 3.07 | 1.57 | 2.11 | 1.60 |
Cost per member per month, year 5, $ | 0.53 | 1.45 | 1.21 | 0.98 | 1.39 | 1.20 | 0.92 | 2.04 | 1.05 | 1.41 | 1.06 |
Budget impact, year 5 (million USD), $ | 471.25 | 15.70 | 3.80 | 44.91 | 30.42 | 21.09 | 14.67 | 15.83 | 22.41 | 17.53 | 13.16 |
Abbreviation: USD, US dollars.