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Healthcare utilization and costs of Veterans screened and assessed for traumatic brain injury

This study explores the healthcare utilization and costs of Veterans who were screened and assessed for traumatic brain injury (TBI) between 2007 and 2008 in the Department of Veterans Affairs (VA) healthcare system. The findings reveal significant differences in healthcare costs between screened positive, screened negative, and no TBI screening groups. Understanding these patterns can inform policy decisions regarding the ongoing and future healthcare needs of returning Veterans.

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Healthcare utilization and costs of Veterans screened and assessed for traumatic brain injury

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  1. Healthcare utilization and costs of Veterans screened and assessed for traumatic brain injury Kevin T. Stroupe, PhD; Bridget M. Smith, PhD; Timothy P. Hogan, PhD; Justin R. St. Andre, MA; Theresa Pape, DrPH, MA; Monica L. Steiner, MD; Eric Proescher, PsyD; Zhiping Huo, MS; Charlesnika T. Evans, MPH, PhD

  2. Aim • Conduct national retrospective study of Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) Veterans receiving Department of Veterans Affairs (VA) care between 2007 and 2008. • Relevance • VA implemented national clinical reminder in 2007 to screen for traumatic brain injury (TBI). • Veterans who screen positive are referred for comprehensive TBI evaluation.

  3. Method • Examined association between TBI screen and healthcare costs in year after initial evaluation. • Sample: • 164,438 Veterans met inclusion criteria. • 31,627 screened positive for TBI. • 118,545 screened negative for TBI. • 14,266 received no screening.

  4. Results • Total healthcare costs (p < 0.001): • Screened positive: $9,610. • Screened negative: $5,184. • No TBI screen: $3,399.

  5. Conclusion • Understanding healthcare utilization and cost patterns will help policy makers address ongoing and future healthcare needs of returning Veterans.

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