Abstract

To determine the net direct medical cost of asthma and to investigate factors influencing costs, a case-control study using data from North Carolina Medicaid (May 1996–April 1998) was used. Comparison subjects were matched 1:1 on age, gender, and race. Multivariate generalized least-squares models were estimated. The adjusted net cost of asthma (N = 27,493) was $1250. The number of β-agonist and oral corticosteroid prescriptions was significantly associated with higher costs. The adjusted net cost of asthma to North Carolina Medicaid is approximately $1250, and the cost of asthma is influenced by β-agonist and oral corticosteroid exposure.

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