PMID: 9437615Jan 23, 1998Paper

Do individuals with substance abuse diagnoses incur higher charges than individuals with other chronic conditions?

Journal of Substance Abuse Treatment
D W GarnickC M Horgan

Abstract

Concerns about high costs have led to limits on the services covered by most insurance plans for substance abuse treatment. But, the commonly used comparison group for cost analyses, all enrollees in a health-care plan, may not be appropriate because addiction is a chronic condition. Therefore, to determine whether substance abusers incur higher charges than patients with other serious chronic conditions, we used health insurance information for employees and dependents over 3 years (1989 to 1991) for two firms with a total of almost 40,000 employees to do alternate comparisons. We compared average annual charges for patients with the following diagnoses: substance abuse, substance abuse with mental illness, arthritis, asthma, and diabetes. Patients who undergo treatment for abusing alcohol, drugs, or both often (but not always) incur higher charges than people with other chronic conditions. Clear differences in average charges emerge between patients with and without mental health claims.

References

Dec 1, 1991·American Journal of Public Health·J O Blose, H D Holder
Jan 1, 1991·Health Affairs·R G FrankS S Sharfstein
Jun 29, 1995·The New England Journal of Medicine·P M MarzukM I Iqbal
Feb 1, 1995·American Journal of Public Health·L M Verbrugge, D L Patrick
Dec 3, 1994·Lancet·D P Rice
Jan 27, 1996·Lancet·C P O'Brien, A T McLellan
Jul 1, 1996·Journal of Mental Health Administration·D W GarnickC Comstock
Sep 1, 1996·Medical Care Research and Review : MCRR·D W GarnickC Comstock

❮ Previous
Next ❯

Citations

May 31, 2008·The Journal of Behavioral Health Services & Research·Ranjana BanerjeaLeonard M Pogach
Feb 19, 2002·Journal of Substance Abuse Treatment·Deborah W GarnickConstance M Horgan
Dec 29, 2000·The Australian and New Zealand Journal of Psychiatry·R P MarshallB I O'Toole
Feb 24, 1999·Alcoholism, Clinical and Experimental Research·J C FortneyG M Curran
Mar 1, 2011·Journal of Substance Abuse Treatment·Kele DingAnne Helene Skinstad
Nov 29, 2005·Journal of Substance Abuse Treatment·Shadi S Saleh, Steve E Szebenyi
Oct 20, 2011·Substance Abuse Treatment, Prevention, and Policy·Sharon ReifRichard Saitz
Jul 7, 2007·Substance Use & Misuse·Lauren M JanssonHendrée E Jones
Aug 9, 2007·Medical Care Research and Review : MCRR·Paul J NietertBrenda M Booth
Jun 1, 2008·Journal of Addiction Medicine·Jeffrey D BaxterRobin E Clark

❮ Previous
Next ❯

Related Concepts

Related Feeds

Asthma

This feed focuses in Asthma in which your airways narrow and swell. This can make breathing difficult and trigger coughing, wheezing and shortness of breath.

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.