Clinical and Health Service Characteristics of the Top 5% Children With the Highest Medicaid Spending in 2010 According to Their Trends in Subsequent Spending From 2011–2013

CharacteristicOverall (N = 48 743), %Trends in High Resource UsePa
Transientb (n = 26 428), %Intermittentc (n = 6301), %Persistentd (n = 16 014), %
No. of chronic conditionse<.001
Complex chronic conditionse
  Technology assistance10.96.38.319.7
Health services usef
 Mental health68.563.069.577.2<.001
 Home health8.44.57.615.0
  • a P values are obtained from a χ2 test comparing the prevalence of the characteristic of interest across the spending groups.

  • b Children whose spending fell below the top 5% in a subsequent year and did not return to the top 5% during the study period.

  • c Children whose spending did not meet the top 5% threshold in a subsequent year but did eventually return to the top 5% (eg, below 5% threshold in 2011 and above it in 2012).

  • d Children whose spending remained in the top 5% consistently from 2011–2013.

  • e Clinical characteristics were identified in years 2009 or 2010.

  • f Shown are the percent of children using the health service at least once in 2010.