Multiple Sclerosis is the most widespread disabling neurological condition of young adults around the world. The Multiple Sclerosis Foundation estimates that more than 400,000 people in the United States and about 2.5 million people around the world have MS. Due to their condition, patients with Multiple Sclerosis have many health, social and environmental needs that Utilize Health aims to address. Addressing these needs ultimately increases the patient satisfaction and saves the health plan money.
Indirect and direct MS costs per patient per year $8,528-$54,244.
In terms of cost, compared with other chronic conditions, MS ranks second only to congestive heart failure in terms of conditions.
The average person who suffers a multiple sclerosis relapse sees an average cost of $12,870.
At discharge, 36% required inpatient sub-acute care, rehabilitation or home care, which drives up costs for the health plan.
Multiple Sclerosis is an unpredictable disease that affects the central nervous system which is made up of the brain, spinal cord and optic nerves. Members might have mild symptoms that are hardly noticeable or more severe symptoms which make it difficult for them to complete daily tasks such as brushing their teeth or preparing a meal. Multiple sclerosis occurs when the immune system attacks the fatty material or myelin that surrounds the nerve fibers to protect them. Without the myelin to protect the nerves, they can become damaged and scar tissue can form.
An exacerbation or relapse can range from mild to severe and cause new symptoms to develop. Inflammation or swelling within the brain, spinal cord or optic nerves can cause an exacerbation. Mild exacerbations can usually be left to get better on their own but severe exacerbations usually require a high dose of corticosteroids to reduce the swelling.