Osteoarthritis: Health Insurance Perspective

Randall Krakauer, MD, FACP, FACR
Aetna, Princeton, NJ


Introduction

Health care costs for members with osteoarthritis have been estimated as twice the cost of a random population, controlling for comorbid conditions. This population generates approximately 5% of the medical cost of a health plan. As such, patients with osteoarthritis provide opportunity to improve outcomes and are candidates for medical management.

The goals of medical management are improvement in the quality of health care and a reduction in its cost - preferably both simultaneously. Opportunities in osteoarthritis include assurance of a reasonable and appropriate medical plan, support, and education of the patient to promote adherence, reduction of adverse events and drug reactions, and concurrent management of comorbidities and psychosocial barriers. Several domains of effort are available.

This article appears in HSS Journal: Volume 8, Number 1.
View the full article at springerlink.com.

About the HSS Journal

HSS Journal, an academic peer-reviewed journal published three times a year, February, July and October. The Journal accepts and publishes peer reviewed articles from around the world that contribute to the advancement of the knowledge of musculoskeletal diseases and disorders.


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