ArticlePreventing chronic disease2014
State-based Medicaid costs for pediatric asthma emergency department visits.
Article in Preventing chronic disease, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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Who cites it
33 citing papers in PubMed.
- Parental decision making associated with pediatric emergency department use for asthma.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2016Trial
- Stage-dependent interaction between circulating and tissue-resident memory CD4Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026Article
- The Current Use and Future Perspectives of Biosimilars in Pediatric Healthcare: A Narrative Review.Health science reports · 2026Article
- Neighborhood disadvantage and the back-to-school epidemic of viral-associated asthma exacerbations.The Journal of allergy and clinical immunology · 2025Article
- Comparing a Guideline-Based Mobile Health Intervention Versus Usual Care for High-Risk Adolescents With Asthma: Protocol of a Randomized Controlled Trial.JMIR research protocols · 2025Article
- Article
- Pollen and viruses contribute to spatio-temporal variation in asthma-related emergency department visits.Environmental research · 2024Article
- Differences in Health Care Utilization for Asthma by Children with Medicaid versus Private Insurance.Population health management · 2024Article
- Medicaid Coverage of Guidelines-Based Asthma Care Across 50 States, the District of Columbia, and Puerto Rico, 2021-2022.Preventing chronic disease · 2023Article
- Ozone and childhood respiratory health: A primer for US pediatric providers and a call for a more protective standard.Pediatric pulmonology · 2023Review
- Feasibility, Efficacy, and Efficiency of eHealth-Supported Pediatric Asthma Care: Six-Month Quasi-Experimental Single-Arm Pretest-Posttest Study.JMIR formative research · 2021Article
- Asthma-related emergency department (ED) visits and post-ED visit hospital and critical care admissions, National Hospital Ambulatory Medical Care Survey, 2010-2015.The Journal of asthma : official journal of the Association for the Care of Asthma · 2021Article
- Nebulized albuterol delivery is associated with decreased skeletal muscle strength in comparison with metered-dose inhaler delivery among children with acute asthma exacerbations.Journal of the American College of Emergency Physicians open · 2021Article
- Community Pharmacist Telephonic Medication Reviews with Uncontrolled Asthma Patients: A Pilot Study.Pharmacy (Basel, Switzerland) · 2021Article
- A Cloud-connected NOIEEE sensors journal · 2020Article
- Estimating Lifetime Cost of Illness. An Application to Asthma.Annals of the American Thoracic Society · 2020Article
- Statewide Asthma Learning Collaborative Participation and Asthma-Related Emergency Department Use.Pediatrics · 2020Article
- Association of Childhood Asthma With Federal Rental Assistance.JAMA pediatrics · 2020Article
- The Burden and Social Determinants of Asthma Among Children in the State of Georgia.Journal of community health · 2019Article
- Variables Associated with Emergency Department Utilization by Pediatric Patients with Asthma in a Federally Qualified Health Center.Journal of community health · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe prevalence of childhood asthma in the United States increased from 8.7% in 2001 to 9.5% in 2011. This increased prevalence adds to the costs incurred by state Medicaid programs. We provide state-based cost estimates of pediatric asthma emergency department (ED) visits and highlight an opportunity for states to reduce these costs through a recently changed Centers for Medicare and Medicaid Services (CMS) regulation.
methodsWe used a cross-sectional design across multiple data sets to produce state-based cost estimates for asthma-related ED visits among children younger than 18, where Medicaid/CHIP (Children's Health Insurance Program) was the primary payer.
resultsThere were approximately 629,000 ED visits for pediatric asthma for Medicaid/CHIP enrollees, which cost $272 million in 2010. The average cost per visit was $433. Costs ranged from $282,000 in Alaska to more than $25 million in California.
conclusionsCosts to states for pediatric asthma ED visits vary widely. Effective January 1, 2014, the CMS rule expanded which type of providers can be reimbursed for providing preventive services to Medicaid/CHIP beneficiaries. This rule change, in combination with existing flexibility for states to define practice setting, allows state Medicaid programs to reimburse for asthma interventions that use nontraditional providers (such as community health workers or certified asthma educators) in a nonclinical setting, as long as the service was initially recommended by a physician or other licensed practitioner. The rule change may help states reduce Medicaid costs of asthma treatment and the severity of pediatric asthma.
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