Tuberculosis Test Usage and Medical Expenditures from Outpatient Insurance Claims Data, 2013
Joint Authors
Miramontes, Roque
Owusu-Edusei, Kwame
Winston, Carla A.
Marks, Suzanne M.
Langer, Adam J.
Source
Tuberculosis Research and Treatment
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-10-23
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Objective.
To evaluate TB test usage and associated direct medical expenditures from 2013 private insurance claims data in the United States (US).
Methods.
We extracted outpatient claims for TB-specific and nonspecific tests from the 2013 MarketScan® commercial database.
We estimated average expenditures (adjusted for claim and patient characteristics) using semilog regression analyses and compared them to the Centers for Medicare and Medicaid Services (CMS) national reimbursement limits.
Results.
Among the TB-specific tests, 1.4% of the enrollees had at least one claim, of which the tuberculin skin test was most common (86%) and least expensive ($9).
The T-SPOT® was the most expensive among the TB-specific tests ($106).
Among nonspecific TB tests, the chest radiograph was the most used test (78%), while chest computerized tomography was the most expensive ($251).
Adjusted average expenditures for the majority of tests (≈74%) were above CMS limits.
We estimated that total United States medical expenditures for the employer-based privately insured population for TB-specific tests were $53.0 million in 2013, of which enrollees paid 17% ($9 million).
Conclusions.
We found substantial differences in TB test usage and expenditures.
Additionally, employer-based private insurers and enrollees paid more than CMS limits for most TB tests.
American Psychological Association (APA)
Owusu-Edusei, Kwame& Winston, Carla A.& Marks, Suzanne M.& Langer, Adam J.& Miramontes, Roque. 2017. Tuberculosis Test Usage and Medical Expenditures from Outpatient Insurance Claims Data, 2013. Tuberculosis Research and Treatment،Vol. 2017, no. 2017, pp.1-9.
https://search.emarefa.net/detail/BIM-1205238
Modern Language Association (MLA)
Owusu-Edusei, Kwame…[et al.]. Tuberculosis Test Usage and Medical Expenditures from Outpatient Insurance Claims Data, 2013. Tuberculosis Research and Treatment No. 2017 (2017), pp.1-9.
https://search.emarefa.net/detail/BIM-1205238
American Medical Association (AMA)
Owusu-Edusei, Kwame& Winston, Carla A.& Marks, Suzanne M.& Langer, Adam J.& Miramontes, Roque. Tuberculosis Test Usage and Medical Expenditures from Outpatient Insurance Claims Data, 2013. Tuberculosis Research and Treatment. 2017. Vol. 2017, no. 2017, pp.1-9.
https://search.emarefa.net/detail/BIM-1205238
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1205238