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A matched-cohort study of utilization outcomes for an adult medicaid population enrolled in an asthma disease
Alan Johnson1, Gregory D Berg, John Long
1Research Department, McKesson Health Solutions, Broomfield, CO 80021, USA. aej-johnson@hotmail.com
Abstract:
Few studies have examined the clinical and utilization impact of asthma disease management programs for Medicaid beneficiaries. This study examines utilization and clinical outcomes for an adult group of low- to moderate-risk patients with asthma. Propensity scores are used to construct matched samples of treated-control pairs in order to establish equivalent comparison groups and evaluate the effects of program participation. During the program period, the participants experienced 33.3% fewer hospitalizations, 42% fewer bed days, 87% fewer asthma-related admissions, fewer ED visits, and higher rates of medication usage than those for matched controls, suggesting the beneficial impact of participation for Medicaid program participants.
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