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• W2153089496 abstract "Previous studies have shown that the majority of Medicare patients with HCV are under age 65. This study examines how patient characteristics and cost differ between Medicare patient age groups. An analysis of HCV patients was conducted using the 2010-2011 Centers for Medicare and Medicaid Services Parts A and B fee-for-service claims. Patients with an HCV ICD-9 code and 6 months of follow-up were included. Patient characteristics, resource utilization and 6-month costs were compared between patients age<65 and age≥65. The impact of age on medical costs adjusting for demographics, reason for entitlement(OREC), Medicaid status, and overall health status (measured by CCI) was assessed using generalized linear models fit with a gamma distribution and log link function. 16,417 HCV patients with complete data were identified. Patients under 65 (n=11,286) were more likely to have an OREC of disability (89%), while patients 65+ OREC was primarily due to old age and survivors insurance (80%). ESRD accounted for 8.8% of patients age<65 and 1.7% aged 65+. Medicaid dual-eligibility was twice as common among younger patients (38.0% vs. 66.8%, p<0.01). Younger patients had a higher prevalence of alcoholism (35.6% vs. 30.6%, p<0.01) and drug abuse (43.3% vs. 12.2%, p<0.01), comorbidities that are also risk factors for HCV. Yet overall health, as measured by CCI, was higher for younger patients (1.82 vs. 2.51, p<0.01). Younger patients had more hospitalizations (0.48 vs 0.33, p<0.01) and emergency department visits (2.04 vs. 1.77, p<0.01). 6-month medical costs for patients age<65 were $1,285 higher than those 65+ (p=0.01). After adjusting for OREC, HCV-related comorbidities, CCI, demographics and Medicaid status, age was no longer associated with cost. Medicare HCV patients under 65 are more expensive to treat. However, this appears to be due to higher rates of disability, ESRD and comorbidities, rather than age itself." @default.
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• W2153089496 date "2014-05-01" @default.
• W2153089496 modified "2023-09-26" @default.
• W2153089496 title "Medicare hepatitis C patients – are patients under 65 different?" @default.
• W2153089496 doi "https://doi.org/10.1016/j.jval.2014.03.220" @default.
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