Skip Navigation LinksHome > August 2008 - Volume 50 - Issue 8 > Health Care Expenditures in Ulcerative Colitis: The Perspect...
Journal of Occupational & Environmental Medicine:
doi: 10.1097/JOM.0b013e31816fd663
Original Articles

Health Care Expenditures in Ulcerative Colitis: The Perspective of a Self-Insured Employer

Hillson, Eric PhD; Dybicz, Sharon PharmD; Waters, Heidi C. MBA; Stuart, Bruce PhD; Schaneman, Justin MS; Dabbous, Omar MD; Erwin, W Gary PharmD; Kersh, Andrew BS; Broussard, Delma MD

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Objective: This study was designed to investigate the incidence, prevalence, treatment patterns, disease severity, and direct costs associated with ulcerative colitis (UC) for claimants in health plans offered by a large self-insured employer in the United States.

Methods: Retrospective analysis of medical claims with and without UC identified from a population of approximately 500,000 employees, retirees, and dependents.

Results: Costs for UC claimants were more than twice those for the comparator group ($14,486 vs $6158; P < 0.005). Total health care costs for the severe disease cohort were double those of the mild or moderate cohorts ($26,875 vs $12,154 and $12,731), as were inpatient costs ($13,516 vs $3235 and $2244). The annual incremental cost of treating severe disease was $6812 (P < 0.005) compared with mild UC.

Conclusion: UC is a significant predictor of increased medical costs with severe disease, driven mainly by inpatient costs.

©2008The American College of Occupational and Environmental Medicine


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