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Table 6 ALD-related PPPM healthcare costs among Medicaid beneficiaries with HCV and ALD (cases), by ALD type at index ALD diagnosis

From: The economic burden of advanced liver disease among patients with Hepatitis C Virus: a large state Medicaid perspective

 

Index diagnosis

Variables

All ALD-related costs1

Decompensated cirrhosis

Hepatocellular carcinoma

P-value2

N

1193

1098

73

 

Inpatient

    

Mean (SD)

$1,272 ($2,926)

$1,242 ($2,806)

$2,093 ($4,539)

0.624

Median

$0

$0

$0

 

IQR

$0-$1,006

$0-$1,056

$0-$1,155

 

Outpatient

    

Mean (SD)

$83 ($184)

$76 ($168)

$202 ($341)

0.051

Median

$23

$23

$37

 

IQR

$6-$79

$7-$78

$8-$157

 

Other costs3

    

Mean (SD)

$1 ($11)

$1 ($11)

$2 ($10)

<.001

Median

$0

$0

$0

 

IQR

$0-$0

$0-$0

$0-$0

 

Total costs4

    

Mean (SD)

$1,356 ($2,981)

$1,319 ($2,848)

$2,297 ($4,700)

0.807

Median

$88

$96

$67

 
  1. Source: Florida Medicaid database: claims with dates of service between July 1, 1998 and June 30, 2008.
  2. Notes: All costs are inflated to 2009 USD using the Medical Care component of the CPI. Costs over the entire follow-up period were divided by the number of eligible patient months to create the PPPM cost estimates.
  3. 1 “ALD-Related Costs” includes all patients with HCV and ALD, including 22 patients whose index ALD diagnosis was a transplant procedure or history of transplant.
  4. 2 Calculated with the Wilcoxon test for comparison of means.
  5. 3 "Other" costs include nursing home, home health, hospice, and other services.
  6. 4 "Total costs" include inpatient, outpatient, pharmacy, and other (nursing home, home health, hospice, and other services) costs. Pharmacy and other costs comprised < $5 of mean total ALD-related costs in each cohort.
  7. ALD advanced liver disease, HCV hepatitis C virus, PPPM per-patient-per-month.