TY - JOUR
KW - Cost Savings/economics/statistics & numerical data
KW - Humans
KW - Infant, Newborn
KW - Medicaid/economics/statistics & numerical data
KW - Models, Economic
KW - Neonatal Abstinence Syndrome/economics/epidemiology/therapy
KW - United States
KW - Medicaid
KW - Cost Savings
KW - Neonatal abstinence syndrome
AU - Lori Dickes
AU - Julie Summey
AU - Rachel Mayo
AU - Jennifer Hudson
AU - Windsor Westbrook Sherrill
AU - Liwei Chen
A1 - 
AB - In recent years, neonatal abstinence syndrome (NAS) rates have increased rapidly across the United States, rising from 1.2 (2000) to 5.8 (2012) per 1000 hospital births annually. Because most NAS infants are treated in an intensive care setting, associated hospital charges are high and continue to escalate, rising on average from $39,400 in 2000 to $66,700 in 2012. An innovative NAS treatment program, which includes early-initiated methadone therapy, rooming-in, and combined inpatient/outpatient weaning in a low-acuity nursery, has been in place since 2003 at a large Southeastern hospital. The program has proven safe, effective and low cost for treating infants of >/=35 weeks gestational age whose mothers used long-acting opioids. Given that 81% of NAS cases in the United States are funded by Medicaid programs and that the cost burden is rising rapidly, researchers considered the potential saved charges associated with implementing the same program in other hospitals state- and nationwide. Researchers used regression models to project state and national NAS birth rates from 2015-2025 and to predict future NAS charges under current treatment protocols. Three scenarios were developed to compare the potential saved charges of implementing the innovative NAS treatment program across the state and nation with assumptions related to the percent of NAS infants eligible for the program, percent funded by Medicaid, and fluctuations in average length of stay. The potential saved charges are substantial, creating a compelling case for policy makers and hospitals in the pursuit of safe, effective, and cost-conscious NAS care.
AD - 1 Public Administration Program-PRTM Department, Clemson University , Clemson, South Carolina.; 2 Department of Public Health Sciences, Clemson University , Clemson, South Carolina.; 2 Department of Public Health Sciences, Clemson University , Clemson, South Carolina.; 3 Department of Pediatrics, Greenville Health System , Greenville, South Carolina.; 2 Department of Public Health Sciences, Clemson University , Clemson, South Carolina.; 2 Department of Public Health Sciences, Clemson University , Clemson, South Carolina.
BT - Population health management
C5 - Financing & Sustainability; Healthcare Disparities; Opioids & Substance Use
CP - 6
CY - United States
DO - 10.1089/pop.2016.0158
IS - 6
JF - Population health management
LA - eng
M1 - Journal Article
N2 - In recent years, neonatal abstinence syndrome (NAS) rates have increased rapidly across the United States, rising from 1.2 (2000) to 5.8 (2012) per 1000 hospital births annually. Because most NAS infants are treated in an intensive care setting, associated hospital charges are high and continue to escalate, rising on average from $39,400 in 2000 to $66,700 in 2012. An innovative NAS treatment program, which includes early-initiated methadone therapy, rooming-in, and combined inpatient/outpatient weaning in a low-acuity nursery, has been in place since 2003 at a large Southeastern hospital. The program has proven safe, effective and low cost for treating infants of >/=35 weeks gestational age whose mothers used long-acting opioids. Given that 81% of NAS cases in the United States are funded by Medicaid programs and that the cost burden is rising rapidly, researchers considered the potential saved charges associated with implementing the same program in other hospitals state- and nationwide. Researchers used regression models to project state and national NAS birth rates from 2015-2025 and to predict future NAS charges under current treatment protocols. Three scenarios were developed to compare the potential saved charges of implementing the innovative NAS treatment program across the state and nation with assumptions related to the percent of NAS infants eligible for the program, percent funded by Medicaid, and fluctuations in average length of stay. The potential saved charges are substantial, creating a compelling case for policy makers and hospitals in the pursuit of safe, effective, and cost-conscious NAS care.
PP - United States
PY - 2017
SN - 1942-7905; 1942-7891
SP - 458
EP - 464
EP - 
T1 - Potential for Medicaid Savings: A State and National Comparison of an Innovative Neonatal Abstinence Syndrome Treatment Model
T2 - Population health management
TI - Potential for Medicaid Savings: A State and National Comparison of an Innovative Neonatal Abstinence Syndrome Treatment Model
U1 - Financing & Sustainability; Healthcare Disparities; Opioids & Substance Use
U2 - 28409699
U3 - 10.1089/pop.2016.0158
VL - 20
VO - 1942-7905; 1942-7891
Y1 - 2017
Y2 - Dec
ER -