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1636. Prevention of respiratory syncytial virus hospitalizations (RSVH) in US infants who paid through Medicaid would have a disproportionate benefit for Black, Hispanic, Asian/Pacific Islander, Native American and Other race/ethnicity infants, and have a substantial impact on overall RSVH burden and related costs: Rates of respiratory syncytial virus hospitalization (RSVH) among US infants by race/ethnicity and insurance payer, NIS 2018-2020
BACKGROUND: Respiratory syncytial virus (RSV) is the leading cause of US infant hospitalization [1]. The objective of this work is to describe the rate of US infant RSV hospitalization (RSVH) and related charges by race/ethnicity and type of insurance payer. METHODS: Using the US national Healthcare...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10677888/ http://dx.doi.org/10.1093/ofid/ofad500.1470 |
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author | Nelson, Christopher B Jiang, Xiaohui Suh, Mina Fryzek, Jon |
author_facet | Nelson, Christopher B Jiang, Xiaohui Suh, Mina Fryzek, Jon |
author_sort | Nelson, Christopher B |
collection | PubMed |
description | BACKGROUND: Respiratory syncytial virus (RSV) is the leading cause of US infant hospitalization [1]. The objective of this work is to describe the rate of US infant RSV hospitalization (RSVH) and related charges by race/ethnicity and type of insurance payer. METHODS: Using the US national Healthcare Cost and Utilization Project (HCUP) National Inpatient Sample (NIS) for 2018-2020, we identified US infant RSVH and charges by RSV diagnosis in any position, race and Hispanic origin of the mother (race/ethnicity), and type of insurance payer. RESULTS: RSVH Rates and Burden: Rates of US infant RSVH are highest among Native American infants, are similar for White, Black, and Hispanic infants, and are lower among Other/Unknown and Asian/Pacific Islander infants. The trend of RSVH rates being higher among infants covered by Medicaid is consistent across each race/ethnicity group (Figure 1). This results in a greater proportion of the US infant RSVH burden among Black, Hispanic, Asian/Pacific Islander, Native American, and Other/Unknown infants being among infants covered by Medicaid (Figure 2). Overall, 60% of US infant RSVH is among those covered by Medicaid. RSVH Charges: For White, Black, Native American and Other/Unknown race/ethnicity infants, mean RSVH total charges are higher for Medicaid insurance (Figure 3), despite Medicaid reimbursing at lower levels. For Hispanic and Asian/Pacific Islander race/ethnicity infants the opposite is true, charges are higher for infants with other/unknown insurance (Figure 3). This results in a greater proportion of the US infant RSVH total charges among all infants except White infants being among infants that pay with Medicaid (Figure 4). Overall, 63% of RSVH total charges is among infants that pay with Medicaid (Figure 4). [Figure: see text] [Figure: see text] [Figure: see text] CONCLUSION: The prevention of RSVH in US infants covered by Medicaid would have a disproportionate benefit for Black, Hispanic, Asian/Pacific Islander, Native American and Other/Unknown race/ethnicity infants and contribute towards economic and race/ethnicity equity. Because 60% of US infant RSVHs are covered by Medicaid accounting for 63% of RSVH total charges, the prevention of RSVH among infants who paid through Medicaid would also have a substantial impact on overall RSVH burden and related costs. [Figure: see text] DISCLOSURES: Christopher B. Nelson, PhD MPH, Sanofi: employee|Sanofi: employee|Sanofi: Stocks/Bonds|Sanofi: Stocks/Bonds Xiaohui Jiang, MS, Sanofi: Grant/Research Support Mina Suh, MPH, International Health, AstraZeneca: Grant/Research Support|Sanofi: Grant/Research Support|Sobi: Grant/Research Support Jon Fryzek, PhD, MPH, Sanofi: Grant/Research Support |
format | Online Article Text |
id | pubmed-10677888 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-106778882023-11-27 1636. Prevention of respiratory syncytial virus hospitalizations (RSVH) in US infants who paid through Medicaid would have a disproportionate benefit for Black, Hispanic, Asian/Pacific Islander, Native American and Other race/ethnicity infants, and have a substantial impact on overall RSVH burden and related costs: Rates of respiratory syncytial virus hospitalization (RSVH) among US infants by race/ethnicity and insurance payer, NIS 2018-2020 Nelson, Christopher B Jiang, Xiaohui Suh, Mina Fryzek, Jon Open Forum Infect Dis Abstract BACKGROUND: Respiratory syncytial virus (RSV) is the leading cause of US infant hospitalization [1]. The objective of this work is to describe the rate of US infant RSV hospitalization (RSVH) and related charges by race/ethnicity and type of insurance payer. METHODS: Using the US national Healthcare Cost and Utilization Project (HCUP) National Inpatient Sample (NIS) for 2018-2020, we identified US infant RSVH and charges by RSV diagnosis in any position, race and Hispanic origin of the mother (race/ethnicity), and type of insurance payer. RESULTS: RSVH Rates and Burden: Rates of US infant RSVH are highest among Native American infants, are similar for White, Black, and Hispanic infants, and are lower among Other/Unknown and Asian/Pacific Islander infants. The trend of RSVH rates being higher among infants covered by Medicaid is consistent across each race/ethnicity group (Figure 1). This results in a greater proportion of the US infant RSVH burden among Black, Hispanic, Asian/Pacific Islander, Native American, and Other/Unknown infants being among infants covered by Medicaid (Figure 2). Overall, 60% of US infant RSVH is among those covered by Medicaid. RSVH Charges: For White, Black, Native American and Other/Unknown race/ethnicity infants, mean RSVH total charges are higher for Medicaid insurance (Figure 3), despite Medicaid reimbursing at lower levels. For Hispanic and Asian/Pacific Islander race/ethnicity infants the opposite is true, charges are higher for infants with other/unknown insurance (Figure 3). This results in a greater proportion of the US infant RSVH total charges among all infants except White infants being among infants that pay with Medicaid (Figure 4). Overall, 63% of RSVH total charges is among infants that pay with Medicaid (Figure 4). [Figure: see text] [Figure: see text] [Figure: see text] CONCLUSION: The prevention of RSVH in US infants covered by Medicaid would have a disproportionate benefit for Black, Hispanic, Asian/Pacific Islander, Native American and Other/Unknown race/ethnicity infants and contribute towards economic and race/ethnicity equity. Because 60% of US infant RSVHs are covered by Medicaid accounting for 63% of RSVH total charges, the prevention of RSVH among infants who paid through Medicaid would also have a substantial impact on overall RSVH burden and related costs. [Figure: see text] DISCLOSURES: Christopher B. Nelson, PhD MPH, Sanofi: employee|Sanofi: employee|Sanofi: Stocks/Bonds|Sanofi: Stocks/Bonds Xiaohui Jiang, MS, Sanofi: Grant/Research Support Mina Suh, MPH, International Health, AstraZeneca: Grant/Research Support|Sanofi: Grant/Research Support|Sobi: Grant/Research Support Jon Fryzek, PhD, MPH, Sanofi: Grant/Research Support Oxford University Press 2023-11-27 /pmc/articles/PMC10677888/ http://dx.doi.org/10.1093/ofid/ofad500.1470 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of Infectious Diseases Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Abstract Nelson, Christopher B Jiang, Xiaohui Suh, Mina Fryzek, Jon 1636. Prevention of respiratory syncytial virus hospitalizations (RSVH) in US infants who paid through Medicaid would have a disproportionate benefit for Black, Hispanic, Asian/Pacific Islander, Native American and Other race/ethnicity infants, and have a substantial impact on overall RSVH burden and related costs: Rates of respiratory syncytial virus hospitalization (RSVH) among US infants by race/ethnicity and insurance payer, NIS 2018-2020 |
title | 1636. Prevention of respiratory syncytial virus hospitalizations (RSVH) in US infants who paid through Medicaid would have a disproportionate benefit for Black, Hispanic, Asian/Pacific Islander, Native American and Other race/ethnicity infants, and have a substantial impact on overall RSVH burden and related costs: Rates of respiratory syncytial virus hospitalization (RSVH) among US infants by race/ethnicity and insurance payer, NIS 2018-2020 |
title_full | 1636. Prevention of respiratory syncytial virus hospitalizations (RSVH) in US infants who paid through Medicaid would have a disproportionate benefit for Black, Hispanic, Asian/Pacific Islander, Native American and Other race/ethnicity infants, and have a substantial impact on overall RSVH burden and related costs: Rates of respiratory syncytial virus hospitalization (RSVH) among US infants by race/ethnicity and insurance payer, NIS 2018-2020 |
title_fullStr | 1636. Prevention of respiratory syncytial virus hospitalizations (RSVH) in US infants who paid through Medicaid would have a disproportionate benefit for Black, Hispanic, Asian/Pacific Islander, Native American and Other race/ethnicity infants, and have a substantial impact on overall RSVH burden and related costs: Rates of respiratory syncytial virus hospitalization (RSVH) among US infants by race/ethnicity and insurance payer, NIS 2018-2020 |
title_full_unstemmed | 1636. Prevention of respiratory syncytial virus hospitalizations (RSVH) in US infants who paid through Medicaid would have a disproportionate benefit for Black, Hispanic, Asian/Pacific Islander, Native American and Other race/ethnicity infants, and have a substantial impact on overall RSVH burden and related costs: Rates of respiratory syncytial virus hospitalization (RSVH) among US infants by race/ethnicity and insurance payer, NIS 2018-2020 |
title_short | 1636. Prevention of respiratory syncytial virus hospitalizations (RSVH) in US infants who paid through Medicaid would have a disproportionate benefit for Black, Hispanic, Asian/Pacific Islander, Native American and Other race/ethnicity infants, and have a substantial impact on overall RSVH burden and related costs: Rates of respiratory syncytial virus hospitalization (RSVH) among US infants by race/ethnicity and insurance payer, NIS 2018-2020 |
title_sort | 1636. prevention of respiratory syncytial virus hospitalizations (rsvh) in us infants who paid through medicaid would have a disproportionate benefit for black, hispanic, asian/pacific islander, native american and other race/ethnicity infants, and have a substantial impact on overall rsvh burden and related costs: rates of respiratory syncytial virus hospitalization (rsvh) among us infants by race/ethnicity and insurance payer, nis 2018-2020 |
topic | Abstract |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10677888/ http://dx.doi.org/10.1093/ofid/ofad500.1470 |
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