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Comparing super-utilizers and lower-utilizers among commercial- and Medicare-insured adults with sickle cell disease.


ABSTRACT:

Abstract

Sickle cell disease (SCD) is a rare but costly condition in the United States. Super-utilizers have been defined as a subset of the population with high health care encounters or expenditures. Although super-utilizers have been described in other disease states, little is known about super-utilizers among adults with SCD. This study aimed to characterize the differences in expenditures, overall health care encounters, and pain episode encounters between super-utilizers (top 10% expenditures) and lower-utilizers with SCD (high, top 10%-24.9%; moderate, 25%-49.9%; and low, bottom 50% expenditures). A retrospective longitudinal cohort of adults with SCD were identified using validated algorithms in MarketScan and Medicare claim databases from 2016 to 2020. Encounters and expe

SUBMITTER: MacEwan SR 

PROVIDER: S-EPMC10805643 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature