Genetic services for underserved populations. C. Finance/insurance issues: A study of medical costs associated with selected genetic disorders in Texas

E. R.B. McCabe, P. J. Patterson, H. Botsonis, D. W. Day, L. Lockhart, J. D. Martinec, B. Weber, R. Godbout, D. Malitz

Research output: Contribution to journalArticle

Abstract

We estimated that the payments associated with the 11 selected diseases during 1987 in Texas included $88.2 million from Medicaid and $10.6 million from CIDC for a total of $98.8 million. Patients with these diseases represented 0.83% of Medicaid claims, but 4.68% of Medicaid payments. Medicaid payments for genetic services for patients with these 11 selected disorders in Texas during a nine-month period in 1987 were $10,122, or 0.02% of the total Medicaid payments for these claimants. We conclude that our estimate of the Medicaid payments for these disorders in 1987 of nearly $100 million represents a low estimate of the true medical costs for the care of these patients. This study also indicates that these 11 disorders represent a disproportionate share of Medicaid payments; i.e., these patients show a high ratio of payment per claim. We also conclude from these data that CIDC is a significant source of support for the medical care of these patients in Texas. And, finally, this study suggests that referral for genetic services represents a significant barrier for individuals in need of these services.

Original languageEnglish (US)
Pages (from-to)132-138
Number of pages7
JournalBirth Defects: Original Article Series
Volume26
Issue number2
StatePublished - Sep 28 1990
Externally publishedYes

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ASJC Scopus subject areas

  • Developmental Biology
  • Genetics(clinical)

Cite this

McCabe, E. R. B., Patterson, P. J., Botsonis, H., Day, D. W., Lockhart, L., Martinec, J. D., Weber, B., Godbout, R., & Malitz, D. (1990). Genetic services for underserved populations. C. Finance/insurance issues: A study of medical costs associated with selected genetic disorders in Texas. Birth Defects: Original Article Series, 26(2), 132-138.