Aperçu: G.M.
Résumé:
Medicaid fournit une assurance maladie aux personnes handicapées qui remplissent leurs critères de revenus. Nous avons évalué les schémas d'inscription et d'utilisation des services chez les adultes autistes et les adultes ayant une déficience intellectuelle à Wisconsin Medicaid.
Nous avons constaté un afflux constant de nouveaux jeunes adultes autistes sans déficience intellectuelle dans le système Medicaid, avec moins de visites et des montants payés inférieurs à ceux des autres groupes de personnes ayant une déficience intellectuelle.
L'évolution de la population d'autistes utilisant Medicaid a des conséquences sur la fourniture de soins de santé aux adultes autistes à l'avenir.
Il est urgent d'identifier les besoins en matière de santé et de services de santé des adultes autistes, du début de l'âge adulte au troisième âge. Nos conclusions ont des implications pour assurer une couverture sanitaire adéquate tout au long de la vie et soulignent l'importance d'un système de santé solide et accessible pour les personnes autistes
Autism Res. 2019 Jul 17. doi: 10.1002/aur.2173.
Is the Autism Boom Headed for Medicaid? Patterns in the Enrollment of Autistic Adults in Wisconsin Medicaid, 2008-2018
Rubenstein E1, Fitzpatrick LB1,2.
Author information
- 1
- Waisman Center, University of Wisconsin-Madison, Madison, Wisconsin.
- 2
- School of Social Work, University of Wisconsin-Madison, Madison, Wisconsin.
Abstract
Our
primary objective was to describe demographic characteristics and
enrollment patterns in a unique 11-year full sample of adult Wisconsin
Medicaid beneficiaries with identified autism spectrum disorder
(ASD) or intellectual disability (ID). We obtained de-identified
Medicaid claims data for adults with a recorded ASD or ID diagnosis aged
21 and older with any Medicaid fee-for-service claims between January
1, 2008 and December 31, 2018. We assessed enrollment, age, number of
visits, and paid amount per year using generalized linear models with a
random intercept for each beneficiary. We identified claims for 4,775 autistic adults without ID, 2,738 autistic
adults with ID, 14,945 adults with ID, and 3,484 adults with Down
syndrome. The age distribution of the diagnostic group with ASD
diagnoses was right skewed with a majority of beneficiaries less than
age 30. The ASD without ID diagnostic group had the least visits and
paid amount per person per year compared to other groups. In each age
category, the ASD with ID diagnostic group had the most paid amount per
person per year compared to other groups. It is urgent that we identify
the health and health service needs of autistic
adults from young adulthood through old age. Our findings have
implications for ensuring adequate health coverage across the lifespan
and highlight the importance of a strong and accessible health care
system for autistic people. Autism Res 2019, 00: 1-10. © 2019 International Society for Autism
Research, Wiley Periodicals, Inc. LAY SUMMARY: Medicaid provides health
insurance to disabled people who meet income requirements. We assessed
patterns of enrollment and service use among autistic adults and adults with developmental disabilities in Wisconsin Medicaid. We found a consistent influx of new young autistic
adults without intellectual disability into the Medicaid system, with
fewer visits and lower paid amounts compared to other developmental
disability groups. The changing population of autistic people using Medicaid has implications for providing health care to autistic adults in the future.
© 2019 International Society for Autism Research, Wiley Periodicals, Inc.
- PMID: 31317639
- DOI: 10.1002/aur.2173
