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Author Spotlight: Advancements and Challenges in Hepatitis B Virus Detection

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The hepatitis B care cascade using administrative claims data, 2016.

Aaron M Harris¹, Ademola Osinubi, Noele P Nelson

¹Division of Viral Hepatitis, CDC, 1600 Clifton Rd NE, US 12-3, Atlanta, GA 30329.

The American Journal of Managed Care

|August 25, 2020

Summary

Insurance claims data reveal significant gaps in chronic hepatitis B (CHB) care and treatment among commercially insured adults. Many individuals with CHB are not linked to care or receiving necessary treatment.

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Published on: May 10, 2022

Area of Science:

Hepatology
Public Health
Health Services Research

Background:

Monitoring chronic hepatitis B (CHB) care is crucial for national elimination goals.
Insurance claims data offer a potential avenue for tracking CHB care cascade progression.

Purpose of the Study:

To evaluate the utility of insurance claims data for monitoring the CHB care cascade.
To describe the CHB care cascade from diagnosis to treatment in commercially insured individuals.

Main Methods:

Longitudinal analysis of insurance claims data (2008-2016) for adults (≥18 years) with CHB.
Defined linkage to care by specific procedure codes and treatment by CHB prescription claims.
Used logistic regression to analyze factors associated with care linkage and treatment.

Main Results:

Out of 16,644 individuals with CHB, only 36% were linked to care and 18% received treatment.
Coinfection with HIV or hepatitis C significantly reduced the likelihood of linkage to care and treatment.
While CHB diagnoses decreased, the proportions linked to care and treatment remained stagnant from 2009-2015.

Conclusions:

Significant gaps exist in linking commercially insured adults with CHB to care and treatment.
Insurance claims data can identify deficiencies in the CHB care cascade.
Further interventions are needed to improve CHB patient management and outcomes.