Ethos Laboratories, a national laboratory specializing in pain diagnostics, recently hired Milliman to explore healthcare costs for individuals with a recorded diagnosis of chronic and other pain conditions, based on prescription fills or opioid-related diagnosis codes. Using claims data, we estimate cost differences among cohorts for members insured under different sources of health benefits coverage—employer-sponsored commercial health insurance plans, Medicare Advantage plans, and Managed Medicaid Illinois plans. In the report, we discuss these key findings:
- Prevalence of chronic and other pain diagnoses and evidence of opioid use
- Healthcare costs for members
This report was commissioned by Ethos Laboratories.