title: A matched-cohort study of utilization outcomes for an adult medicaid population enrolled in an asthma disease management program.
abstract: Few studies have examined the clinical and utilization impact of asthma disease management programs for Medicaid beneficiaries. This study examines utilization and clinical outcomes for an adult group of low- to moderate-risk patients with asthma. Propensity scores are used to construct matched samples of treated-control pairs in order to establish equivalent comparison groups and evaluate the effects of program participation. During the program period, the participants experienced 33.3% fewer hospitalizations, 42% fewer bed days, 87% fewer asthma-related admissions, fewer ED visits, and higher rates of medication usage than those for matched controls, suggesting the beneficial impact of participation for Medicaid program participants.
authors.affiliation: Research Department, McKesson Health Solutions, Broomfield, CO 80021, USA. aej-johnson@hotmail.com
authors.forename: Alan
authors.initials: A
authors.lastname: Johnson
authors.forename: Gregory D
authors.initials: GD
authors.lastname: Berg
authors.forename: John
authors.initials: J
authors.lastname: Long
authors.forename: Sandeep
authors.initials: S
authors.lastname: Wadhwa
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001249:Asthma / Q000628:therapy*; D015331:Cohort Studies; D019468:Disease Management; D005260:Female; D006801:Humans; D008297:Male; D008484:Medicaid; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D012189:Retrospective Studies; D014481:United States