Burden of Comorbidities and Healthcare Resource Utilization Among Medicaid-Enrolled Extremely Premature Infants

Meredith E Mowitz1, Wei Gao2, Heather Sipsma2

  • 1Division of Neonatology, University of Florida, Gainesville.

Insights

Healthcare costs and resource use rise significantly with decreasing gestational age in premature infants. Extremely premature infants incur 2-3 times higher costs than moderate to late premature infants within their first two years.

Area of Science:

  • Neonatal Medicine
  • Health Economics
  • Public Health

Background:

  • Gestational age (GA) significantly impacts comorbidity prevalence, healthcare resource utilization (HCRU), and costs for extremely premature (EP) infants.
  • Understanding these effects is crucial for managing healthcare resources and costs associated with preterm birth.

Purpose of the Study:

  • To analyze real-world patient characteristics, comorbidity prevalence, HCRU, and costs in US Medicaid programs for premature infants.
  • To stratify findings by gestational age and the presence of respiratory comorbidities.

Main Methods:

  • Retrospective analysis of diagnosis and medical claims data from 6 state Medicaid databases (1997-2018).
  • Inclusion of infants born at less than 37 weeks gestational age (wGA).
  • Data analyzed from birth up to 2 years corrected age, stratified by GA (EP ≤28 wGA, VP >28 to <32 wGA, M-LP ≥32 to <37 wGA).

Main Results:

  • A total of 25,573 premature infants were analyzed.
  • Comorbidity prevalence, HCRU, and all-cause costs increased with decreasing GA, being highest for EP infants.
  • Total healthcare charges and societal costs were 2-3 times higher for EP infants compared to M-LP infants.

Conclusions:

  • Complications of preterm birth, including comorbidities, HCRU, and costs, escalate as gestational age decreases.
  • Extremely premature infants incur the highest burden of comorbidities, HCRU, and costs during the first two years of life in the US.

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