ArticlePediatrics2017
Employer-Sponsored Plan Expenditures for Infants Born Preterm.
Article in Pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 53 citations in OpenAlex.
- Using national in vitro fertilization registries to validate clinical outcomes after in vitro fertilization covered by health insurance.Fertility and sterility · 2025Article
- Speculum-free portable preterm imaging system.Journal of biomedical optics · 2024Article
- Incremental cost of premature birth - a public health care payer perspective from Hungary.BMC health services research · 2023Article
- A Data Mining Approach Reveals Chemicals Detected at Higher Levels in Non-Hispanic Black Women Target Preterm Birth Genes and Pathways.Reproductive sciences (Thousand Oaks, Calif.) · 2022Article
- Medicaid and moms: the potential impact of extending medicaid coverage to mothers for 1 year after delivery.Journal of perinatology : official journal of the California Perinatal Association · 2022Review
- Medicaid healthcare expenditures for infants with birth defects potentially related to Zika virus infection in North Carolina, 2011-2016.Birth defects research · 2022Article
- Maternal Health Services Set Toolkit for Pharmacists.American journal of pharmaceutical education · 2021Article
- Racial and ethnic disparities in birth Outcomes: A decomposition analysis of contributing factors.Preventive medicine reports · 2021Article
- Future roles of artificial intelligence in early pain management of newborns.Paediatric & neonatal pain · 2021Review
- Identification of congenital CMV cases in administrative databases and implications for monitoring prevalence, healthcare utilization, and costs.Current medical research and opinion · 2021Article
- Preterm birth lifetime costs in the United States in 2016: An update.Seminars in perinatology · 2021Article
- Protocol for implementation of an evidence based parentally administered intervention for preterm infants.BMC pediatrics · 2021Article
- Trends in Costs of Birth Hospitalization and Readmissions for Late Preterm Infants.Children (Basel, Switzerland) · 2021Article
- Multimodal spatio-temporal deep learning approach for neonatal postoperative pain assessment.Computers in biology and medicine · 2021Article
- Risk assessment of preterm birth through identification and stratification of pregnancies using a real-time scoring algorithm.SAGE open medicine · 2021Article
- Low Omega-3 intake is associated with high rates of depression and preterm birth on the country level.Scientific reports · 2020Article
- Estimates of healthcare spending for preterm and low-birthweight infants in a commercially insured population: 2008-2016.Journal of perinatology : official journal of the California Perinatal Association · 2020Article
- Precision medicine in perinatal depression in light of the human microbiome.Psychopharmacology · 2020Review
- Medication Utilization at School Age for Children Born Preterm.The Journal of pediatrics · 2020Article
- Toxicant Disruption of Immune Defenses: Potential Implications for Fetal Membranes and Pregnancy.Frontiers in physiology · 2020Article
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundCare for infants born preterm or with major birth defects is costly. Specific estimates of financial burden for different payers are lacking, in part because use of administrative data to identify preterm infants and costs is challenging.
methodsWe used private health insurance claims data and billing codes to identify live births during 2013 and calculated first-year expenditures for employer-sponsored health plans for infants born preterm, both overall and stratified by major birth defects.
resultsWe conservatively estimated that 7.7% of insured infants born preterm accounted for 37% of $2.0 billion spent by participating plans on the care of infants born during 2013. With a mean difference in plan expenditures of ∼$47 100 per infant, preterm births cost the included plans an extra $600 million during the first year of life. Extrapolating to the national level, we projected aggregate employer-sponsored plan expenditures of $6 billion for infants born preterm during 2013. Infants with major birth defects accounted for 5.8% of preterm births but 24.5% of expenditures during infancy. By using an alternative algorithm to identify preterm infants, it was revealed that incremental expenditures were higher: $78 000 per preterm infant and $14 billion nationally.
conclusionPreterm births (especially in conjunction with major birth defects) represent a substantial burden on payers, and efforts to mitigate this burden are needed. In addition, researchers need to conduct studies using linked vital records, birth defects surveillance, and administrative data to accurately and longitudinally assess per-infant costs attributable to preterm birth and the interaction of preterm birth with major birth defects.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.