Introduction to the Chronic Disease Cost Calculator
description
Transcript of Introduction to the Chronic Disease Cost Calculator
Introduction to the Chronic Disease Cost CalculatorPresented by Diane Orenstein, Ph.D., and Justin Trogdon, Ph.D.
April 1, 2010
Purpose of the CDCC (1 of 2) Estimate medical expenditures at the state level separately by
insured population for the following select chronic diseases: Arthritis Asthma Cancer Cardiovascular disease (CVD), including
Congestive heart failure (CHF) Coronary heart disease (CHD) Hypertension Stroke Other CVD (including other cerebrovascular disease)
Depression Diabetes
Estimates of medical expenditures are provided for the entire state population (all payers, including the uninsured) and separately for Medicaid, Medicare, and privately insured.
Purpose of the CDCC (2 of 2)
Estimate absenteeism costs for the above chronic diseases at the state level.
Allow the user to generate estimates of the costs of selected chronic diseases using customized inputs.
Project estimates of the medical costs of selected chronic diseases in the near future.
Accessing the CDCC Download Version 1 of the software at
http://www.cdc.gov/nccdphp/resources/calculator.htm
What’s New in Version 2 Estimates of the prevalence and costs of
Asthma, Arthritis and Depression Expanded estimates of the medical costs
from Medicaid only to Medicare, private insurance, and “all payers”
Estimates of absenteeism costs Projections of future medical costs (10
years) Charts
Intended Audience Chronic disease directors State Medicaid directors Other state and federal policy and
decision makers Federal agencies and others interested
in reviewing the burden of chronic disease across states and across the nation
Intended Use Provide estimates of medical expenditures and
absenteeism costs due to select chronic diseases at the state level. Many states do not have the resources
(financial and personnel) to do this themselves
Help policymakers quantify and understand the financial impact caused by chronic diseases
Inform decisions on investments in chronic disease prevention and disease management programs
DRAFT—Please do not cite
What the Calculator Does
Estimates for arthritis, asthma, cancer, cardiovascular disease (CHF, CHD, hypertension, stroke, and other CVD), depression, and diabetes at the state level: 1) prevalence, 2) medical costs by payer, and 3) absenteeism costs
Minimizes double-counting of Medicaid dollars going to multiple diseases
Creates sound estimates with no additional data required
Allows users to input their own data in place of default estimates
What the Calculator Does Not Do
Does not provide exact prevalence or medical and absenteeism costs of the chronic diseases for each state—only estimates
Not designed for comparisons across states
Does not include other costs of chronic disease, including productivity losses and reductions in the quality of life
Does not make policy or value judgments on spending for chronic disease
Next Steps Update source data (e.g., MEPS)
through 2007, the most recent year available
Expected release—Summer 2010
Investigators CDC Investigators
Diane Orenstein (DHDSP) Isaac Nwaise (DHDSP) Brett Miner (DHDSP) Nicole Blair (DHDSP) Florence Tangka (DCPC) Donatus Ekwueme (DCPC) Rui Li (DDT) Tursynbek Nurmagambetov (NCEH) Louise Murphy (DACH) Daniel Chapman (DACH)
RTI Investigators Susan Haber Eric Finkelstein Justin Trogdon
Other Collaborators
Agency for Healthcare Research and Quality (AHRQ)
National Association of Chronic Disease Directors (NACDD) Especially Chris Maylahn and John Robitscher
National Pharmaceutical Council (NPC) External Review Panel
Ken Thorpe (Emory) Steve Teutsch (Merck) Allison Rosen (U. of Michigan)