Abstract
This investigation assessed changes in direct medical costs, from the perspective of a public payer, associated with a comprehensive, field-based disease management programme for adult Medicaid clients with schizophrenia in the US State of Colorado. A propensity score-matching algorithm was employed in this retrospective analysis owing to the inherent non-randomisation of enrollees. Of the 126 clients initially enrolled, 73 (58%) remained within the programme continuously for 6-12 months. These participants were associated with 30% lower overall per member per month medical costs (p<0.001), although no differences were noted for overall pharmacy costs. Provision of the disease management programme was through an external vendor and cost $31,250 per month regardless of the number enrolled. Future research should seek to assess long-term clinical, humanistic and economic outcomes in this population and to develop methods that increase programme participation.
Original language | English (US) |
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Pages (from-to) | 411-426 |
Number of pages | 16 |
Journal | Journal of medical economics |
Volume | 10 |
Issue number | 4 |
DOIs | |
State | Published - 2007 |
Keywords
- Disease management
- Medicaid
- Pharmacoeconomics
- Schizophrenia
- United States
ASJC Scopus subject areas
- Health Policy