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November 11, 2025Journal of sickle cell disease.Open Access

Inpatient and emergency healthcare utilization and payments for care of sickle cell disease: an analysis of all payers in Florida 2010-2019

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Authors

LDLinda DynanRSRichard B. SmithCQCharles T Quinn

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Overview

Analysis shows increased emergency department visits and healthcare utilization among adults with sickle cell disease, suggesting shifting treatment needs as populations age.

Key Points

  • To analyze the patterns of healthcare utilization and payments for patients with sickle cell disease in Florida.
  • Analyzed all-payer emergency department and inpatient hospitalization data from 2010 to 2019.
  • Calculated payment estimates using charge-to-payment conversion methods.
  • Stratified outcomes by age, insurance status, and income quartile.
  • ED visits for sickle cell disease increased by 95.7%, particularly among adults (106.3%).
  • Mean ED payments rose across all age groups, with adults generating the highest average payments.
  • Inpatient admissions increased by 13%, exclusively among adults, while mean length of stay decreased across all age groups.

Cite This Study

Dynan et al. (2025) studied this question.

synapsesocial.com/papers/69252e90c0ce034ddc355ef7https://doi.org/10.1093/jscdis/yoaf039
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Improvement of sickle cell disease care mitigates the healthcare utilization induced by increased prevalence: Experience of a tertiary pediatric center2025
  2. 2Standardized Management of Sickle Cell Disease Patients and the Effects on Care Utilization and Costs2024 · 1 citations
  3. 3Emergency department utilization before and during the COVID-19 pandemic among individuals with sickle cell disease2024 · 8 citations
  4. 4The highest-cost Medicaid enrollees with sickle cell disease had annual health care expenditures nearing $200 0002024 · 3 citations
  5. 5Bridging the Gap in Emergency Care for Sickle Cell Disease (SCD): A Call for Quality Measures and Collaborative Solutions2026