Asthma in Michigan

Important Terms Prevalence of Asthma Asthma Control Asthma Management Work-Related Asthma Asthma Emergency Department Visits Asthma Hospitalization

Asthma Death Asthma Burden for Children Covered by Medicaid Cost of Asthma Healthy People 2010 Methods Michigan Fact Sheets and Reports Asthma Statistics by County

Asthma Burden for Children Covered by Medicaid

Indicators of asthma burden and management can be measured with Medicaid claims data and compared to the goals of therapy, as outlined by the national guidelines for asthma control and management. The following statistics are for the subpopulation of Medicaid enrolled children (≤18 years) who are continuously enrolled in Medicaid with full coverage and no other insurance.

• About 34,600 children in Medicaid have health care utilization that is consistent with persistent asthma. The prevalence of persistent asthma among children in Medicaid is increasing over time.
  
  
• In 2005, the total number of asthma emergency department visits for children in Medicaid was about 16,100. The rate was 242.5 per 10,000. Rates of asthma emergency department visits are increasing over time among children in Medicaid.
  
  
• Black children in Medicaid experience the greatest burden in asthma prevalence and rates of asthma emergency department visits compared to other children in Medicaid.
  
  
• Recent data suggests that only 70% of children with persistent asthma are filling prescriptions for a long term control medication. Only 55% of children with persistent asthma are filling prescriptions for an inhaled corticosteroid - the preferred, first-line long term control medication to manage asthma.
  
  
• In 2005, 12.7% of children with persistent asthma in Medicaid filled 6 or more prescriptions for a short-acting beta 2-agonist medication during that year – an indicator of overuse of this medication.
  
  
• The goals of asthma therapy are not being met for the pediatric Medicaid population in Michigan, especially for black children and those living in urban areas.
  
  

1. Based on NCQA® HEDIS Definition.
2. Age-adjusted to the 2000 US standard population.
3. Medicaid population of children ≤18 years is restricted to those who are continuously enrolled in Medicaid with full coverage and no other insurance.

1. Age-adjusted to the 2000 US standard population.
2. Medicaid population of children ≤18 years is restricted to those who are continuously enrolled in Medicaid with full coverage and no other insurance.

1. Based on NCQA® HEDIS Definition.
2. Age-adjusted to the 2000 US standard population.
3. Medicaid population of children ≤18 years is restricted to those who are continuously enrolled in Medicaid with full coverage and no other insurance.

1. Based on NCQA® HEDIS Definition.
2. Age-adjusted to the 2000 US standard population.
3. Medicaid population of children ≤18 years is restricted to those who are continuously enrolled in Medicaid with full coverage and no other insurance.

For more information about asthma for the population enrolled in Medicaid in Michigan, please review:

• "Epidemiology of Asthma in Michigan, Asthma Burden for Children in Medicaid", 2007"
• Current Michigan Medicaid HEDIS Statewide Aggregate Report. (http://www.michigan.gov/mdch/0,1607,7-132-2943_4860-39268--,00.html)
• Current Annual Report of the Michigan Quality Improvement Consortium Measurements (http://www.mqic.org/meas.htm)

Last Updated 03/10/2009