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. 2023 May 18;30(3):taad013.
doi: 10.1093/jtm/taad013.

Costs of malaria treatment in the United States

Joohyun Park  1 , Heesoo Joo  1 , Brian A Maskery  1 , Jonathan D Alpern  2   3   4 , Michelle Weinberg  1 , William M Stauffer  1   3
Affiliations

Costs of malaria treatment in the United States

Joohyun Park et al. J Travel Med. .

Abstract

We estimated inpatient and outpatient payments for malaria treatment in the USA. The mean cost per hospitalized patient was significantly higher than for non-hospitalized patients (e.g. $27 642 vs $1177 among patients with private insurance). Patients with severe malaria payed two to four times more than those hospitalized with uncomplicated malaria.

Keywords: Malaria; United States; inpatient; outpatient; treatment cost.

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Conflict of interest statement

Conflict of Interest/Disclosure

Dr Stauffer reported receiving partial chapter royalties from UpToDate and an honorarium from Haymarket Education outside the submitted work and acting as a consultant for BCTPartners. All remaining authors have declared no conflicts of interest.

Figures

Figure 1.
Figure 1.
Estimated mean costs of malaria treatment per person among those with private insurance and those with Medicaid, October 2015–December 2019 Merative® MarketScan® Commercial Claims and Encounters Database and Multi-state Medicaid Database (2019 USD). * Inpatients with malaria diagnosis codes as primary diagnosis. † Inpatients with malaria diagnosis codes as non-primary diagnosis; top five primary diagnoses were sepsis, unspecified organism (30%), other specified sepsis (11%), fever (6%), urinary tract infection (3%) and human immunodeficiency virus disease (3%). ** Those with severe malaria were defined as having one or more of the following diagnoses or procedures: neurologic symptoms, severe anaemia with blood transfusion, renal failure, acute respiratory distress syndrome, jaundice, exchange transfusion and in-hospital death. †† Due to the small sample size of the Medicaid sample, costs were not further examined by the status of malaria severity and type of service. Error bars denote 95% confidence intervals. Abbreviations: OOP, out-of-pocket; Dx, diagnosis; Rx, prescription; CI, confidence interval; Rx, prescription; detailed cost data are available in Supplementary Appendix 5.
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