Cost and Utilization with Enrollment in a Medical Home for Individuals with an Autism Spectrum Disorder and/or Intellectual Disability.

This study will evaluate the health care costs and utilization of individuals during their first year of enrollment in HOME and identify factors associated with higher cost and utilization. Secondary analysis of claims data were used to identify cost and utilization. Generalized linear regression and negative binomial regression were used to calculate utilization and cost. The mean total cost of care during the initial year of enrollment (n=239) per individual was $11,095.87, with $4,640.83 attributed to inpatient care. Those with diabetes (p=0.01), epilepsy (p=0.02), or mood disorders (p=0.03) were more likely to be admitted to the hospital and utilize the emergency department. These findings will enable systems and payers to better construct health care delivery reforms for this high-need population. PMID: 31422989 [PubMed - in process]
Source: Journal of Health Care for the Poor and Underserved - Category: International Medicine & Public Health Authors: Tags: J Health Care Poor Underserved Source Type: research

Related Links:

[The Conversation Africa] Healthy hearing and vision in early childhood are the foundation for success at school. Hearing and vision difficulties are the most common developmental disabilities in children younger than 5 years, with more than 40 million affected globally. But more than 90% of children with hearing or vision loss live in low and middle-income countries where services to detect problems early are unavailable.
Source: AllAfrica News: Health and Medicine - Category: African Health Source Type: news
To evaluate the risk of postoperative complications among diabetic and nondiabetic patients stratified by hemoglobin A1c (HbA1c).
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Virtual Poster Session 2: Basic Science/Research/Education (1:20 PM – 1:30 PM) 1:20 PM: STATION R Source Type: research
Discussion We have found that, in the human genome, the promoter regions of ID-associated genes are uniquely enriched in MER41 LTRs. More specifically, nine ID-associated genes that are putatively important in cognitive evolution exhibit MER41 LTRs in their promoter regions. As more than 100 families of HERV are integrated into our genome, it was important to determine whether our findings are specific to MER41 and to ID-associated genes, and if so to what extent. Among the 133 families of HERV explored here, MER41 is the only family whose LTRs were found with statistically high frequency in the promoter regions of ID-ass...
Source: Frontiers in Genetics - Category: Genetics & Stem Cells Source Type: research
We described comorbidities and the prevalence of multimorbidity in this population. We explored the relationship between multimorbidity and age, gender, ethnicity, severity of ID, socio‐economic status, physical activity, sedentary behaviour, fruit and vegetable consumption and smoking status using multiple logistic regression.ResultsThe prevalence of multimorbidity was 61.2% (95% CI 57.7 –64.7). Multimorbidity was independently associated with being female (P 
Source: Journal of Intellectual Disability Research - Category: Disability Authors: Tags: Original Manuscript Source Type: research
When Nichelle Obar learned she was pregnant with her second child last year, she never expected that her pregnancy, or her baby, would make history. But when the 40-year-old food-and-beverage coordinator from Hawaii and her fiancé Christopher Constantino went to their 18-week ultrasound, they learned something was wrong. The heart was larger than it should have been, and there was evidence that fluid was starting to build up around the organ as well. Both were signs that the fetus was working extra hard to pump blood to its fast-growing body and that its heart was starting to fail. Obar’s doctor knew what coul...
Source: TIME: Science - Category: Science Authors: Tags: Uncategorized medicine Source Type: news
Publication date: Available online 6 March 2017 Source:Molecular Genetics and Metabolism Author(s): Deborah A. Bilder, Joyce A. Kobori, Jessica L. Cohen-Pfeffer, Erin M. Johnson, Elaina R. Jurecki, Mitzie L. Grant Adults with phenylketonuria (PKU) may experience neurologic and psychiatric disorders, including intellectual disability, anxiety, depression, and neurocognitive dysfunction. Identifying the prevalence and prevalence ratios of these conditions will inform clinical treatment. This nested, case-controlled study used International Classification of Diseases, Ninth Revision (ICD-9) codes from the MarketScan® ins...
Source: Molecular Genetics and Metabolism - Category: Genetics & Stem Cells Source Type: research
In conclusion, mirDNMR (https://www.wzgenomics.cn/mirdnmr/) can be widely used to identify the genetic basis of sporadic genetic diseases.
Source: Nucleic Acids Research - Category: Research Authors: Tags: Database Issue Source Type: research
Conclusion Many parents are unaware that doctors’ reasons for recommending dozens of vaccinations may not be tied to the health of children, but to other reasons, such as financial incentives, paid meals, lack of unbiased information about vaccines, and negative peer pressure. Moms and dads trust their health care providers to help them make the best choices about their little ones’ health, but physicians are unable to do so when their job security and financial bonuses are tied to the the widespread use of vaccines. Informed parents must take the threat of vaccine injury seriously and do their own research wel...
Source: vactruth.com - Category: Allergy & Immunology Authors: Tags: Logical Missy Fluegge Recent Articles Top Picks truth about vaccine vaccine injury Vaccine Injury Compensation Program VAERS VICP Source Type: blogs
Placental insufficiency is the leading cause of intrauterine growth restriction in the western world. The fetus, when exposed to a compromised environment, is vulnerable to a number of disorders later in life, as a consequence of the reduction in oxygen and nutrition during gestation and the resulting fetal growth restriction. These conditions include neurological disabilities such as cerebral palsy (CP), intellectual disability, epilepsy, and mental health issues in childhood (Autism and ADHD) and in later life (schizophrenia). Certainly, fetal growth restriction as a result of placental insufficiency has been strongly as...
Source: Springer protocols feed by Neuroscience - Category: Neuroscience Source Type: news
AimThe aim of this study was to describe the incidence of morbidities and the prevalence of medical prescriptions in a large Down syndrome population. MethodA retrospective cohort study was carried out using the UK Clinical Practice Research Datalink from 1 January 2004 to 31 December 2013. We matched individuals with Down syndrome to randomly selected control participants by practice site, sex, birth year, and recording period. ResultsA total of 6430 individuals with Down syndrome (3009 females, 3421 males) and 19 176 controls (8966 females, 10 210 males) were included in the study. The incidence of cardiovascul...
Source: Developmental Medicine and Child Neurology - Category: Child Development Authors: Tags: Original Article Source Type: research
More News: Autism | Brain | Diabetes | Disability | Emergency Medicine | Endocrinology | Epilepsy | Health Management | Hospitals | International Medicine & Public Health | Medical Homes | Neurology | Study