Hepatitis C Treatment Among Commercially or Medicaid-Insured Individuals, 2014-2018.
In: American Journal of Preventive Medicine, Jg. 61 (2021-11-01), Heft 5, S. 716-723
academicJournal
Zugriff:
Introduction: The proportion of individuals infected with hepatitis C virus that receive direct-acting antiviral treatment is unclear. Methods: The proportion of commercially or Medicaid-insured patients receiving hepatitis C virus treatment was estimated using administrative claims data obtained from MarketScan and Multi-State Medicaid obtained on January 6, 2020. Validated algorithms derived from standardized procedures and International Classification of Diseases diagnosis codes were used to identify enrollees with chronic hepatitis C; analysis (performed November 30, 2020) was restricted to adults continuously enrolled with prescription drug coverage for >6 months before and after their index hepatitis C viral load test claim date from January 2014 through December 2018. Prescription drug claims using National Drug Codes were used for hepatitis C virus drugs. The proportion of treated patients by demographic and clinical characteristics was described, and associations with treatment were modeled using multivariable-adjusted hazard ratios and 95% CIs by insurance status. Results: Of patients with chronic hepatitis C, 12,090 of 17,562 (69%) with commercial insurance and 8,112 of 27,328 (30%) with Medicaid were treated. Commercially insured patients with opioid use disorder (hazard ratio=0.78, 95% CI=0.72, 0.85), alcohol use disorder (hazard ratio=0.85, 95% CI=0.79, 0.91), severe mental illness (hazard ratio=0.92, 95% CI=0.87, 0.98), chronic kidney disease (hazard ratio=0.75, 95% CI=0.69, 0.82), or HIV infection (hazard ratio=0.74, 95% CI=0.66, 0.82) were less likely to be treated. Medicaid patients with opioid (hazard ratio=0.64, 95% CI=0.61, 0.68) or alcohol use disorders (hazard ratio=0.83, 95% CI=0.79, 0.88) were less likely to be treated. Conclusions: Hepatitis C virus treatment gaps were identified using administrative claims data among patients with commercial and Medicaid insurance. [ABSTRACT FROM AUTHOR]
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Hepatitis C Treatment Among Commercially or Medicaid-Insured Individuals, 2014-2018.
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Autor/in / Beteiligte Person: | Harris, Aaron M. ; Khan, Mohammed A. ; Osinubi, Ademola ; Nelson, Noele P. ; Thompson, William W. |
Zeitschrift: | American Journal of Preventive Medicine, Jg. 61 (2021-11-01), Heft 5, S. 716-723 |
Veröffentlichung: | 2021 |
Medientyp: | academicJournal |
ISSN: | 0749-3797 (print) |
DOI: | 10.1016/j.amepre.2021.05.017 |
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