New Insights into Healthcare Costs for Children with Autism Spectrum Disorder

Recent research sheds light on the significant healthcare expenses faced by families with children diagnosed with autism spectrum disorder (ASD). The study, based on a nationally representative survey from 2018 to 2022, reveals that families with a child undergoing treatment for ASD incur nearly ten times higher healthcare costs compared to those without ASD treatment. Specifically, families with treated ASD reported average total expenditures of $20,122, in contrast to $2,201 for children without ASD treatment. Notably, up to 70% of these costs for children with treated ASD were directly related to ASD-specific care, although this proportion tended to decrease with age.

Autism spectrum disorder is a neurodevelopmental condition that impacts brain development, influencing social interactions, communication, behaviors, and interests. Symptoms often become evident before age three, including difficulties with social engagement and repetitive behaviors.

The survey also highlighted gender disparities, with treated ASD being three times more common among boys than girls. Additionally, the financial burden varies based on insurance type and socioeconomic status; children with public insurance and families living below the poverty line tend to have lower healthcare spending than those with private insurance and higher-income families.

In terms of healthcare utilization, outpatient visits constituted the largest portion of expenditures at 51% ($10,279), followed by home health care at 36% ($7,168). These costs were substantially higher than those for children without ASD, where outpatient expenses averaged $1,101 and home health care costs averaged $102. The analysis underscores the considerable financial impact of ASD treatment on families, particularly in specific areas of care.

It's important to note that expenses related to behavioral treatments provided in school settings and institutions were not included in this analysis. Additionally, about one-third of children with a diagnosis of ASD are not currently receiving treatment. Various federal and local agencies offer support to families, including early intervention services.

For more on autism spectrum disorder, visit the CDC's site at https://www.cdc.gov/autism/index.html.