Patterns of Medicaid expenditures after AIDS diagnosis.
Markson, Leona E
Date of Pub
Fanning, Thomas R; Houchens, Robert; Mauskopf, Josephine; McKee, Linda; Turner, Barbara J
This article examines average monthly Medicaid expenditures after diagnosis of acquired immunodeficiency syndrome (AIDS) for
the diagnosis, mid-illness, and death intervals, as well as Kaplan-Meier estimates of expenditures from AIDS diagnosis to
death. A clinical severity measure (the Severity Index for Adults with AIDS [SIAA]) designed to be predictive of patient survival
was applied to a population of continuously enrolled New York State Medicaid patients who survived at least 6 months after
being diagnosed with AIDS. Our findings suggest that groups of more seriously ill patients who appear to have more intense
demand for health care services, especially over the diagnosis and mid-illness intervals, can be identified using the SIAA.
Severity of Illness Index : Acquired Immunodeficiency Syndrome/classification/complications/economics/mortality : Adult :
Data Collection : Episode of Care : Female : Health Expenditures/statistics & numerical data : Health Services Research :
Human : Male : Medicaid/statistics & numerical data/utilization : New York : Substance-Related Disorders/economics/epidemiology
: Support, U.S. Gov't, P.H.S. : Survival Analysis : United States/epidemiology