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Increase in autism reveals socioeconomic gaps in diagnosis

Merdies Hayes | 4/5/2019, midnight

According to a recent study led by the Health Resources and Services Administration (HRSA), about 1.5 million U.S. children—or 1 in 40—have been diagnosed or are living with autism, a developmental disorder characterized by difficulty in social interaction and communication and restricted or repetitive patterns of thought and behavior.

As prevalence of autism continues to grow, so does the diagnosis gap between children from different socioeconomic backgrounds. According to a report based on data from the National Survey of Children’s Health (NSCH), diagnoses were higher in groups with higher income and more access to insurance. The report identified a dramatic increase—by 36 percent—for children in households with incomes 400 percent or higher above the federal poverty line between 2003 and 2012. Children living below the poverty line saw only a 13.3 percent increase in the same time period.

The delay in getting a diagnosis or even the lack of a diagnosis can have detrimental effects, said James Laughman, president of PerformCare, a full-service managed behavioral health care organization that is a part of AmeriHealth Caritas, a national leader in Medicaid managed care and other health care solutions for those most in need.

“The existence of a developmental disability combined with lower levels of socioeconomic status can result in undesirable outcomes, including poorer health and a lower quality of life,” Laughman said. “Low income and poor education can present increased barriers to obtaining health care and even greater challenges when a health issue like autism exists.”

There is no known cause of—or cure for—autism, but early diagnosis, intervention and access to appropriate services and supports have been known to lead to significantly improved outcomes. The range and severity of autism symptoms can vary widely, but parents and caregivers should take note of the following behavioral, cognitive and psychological signs:

--Poor eye contact

--Impulsive or repetitive movements

--Persistent repetition of words or actions

--Deficits in language comprehension

--Delay in learning to speak

--Inability to understand or be aware of other people’s emotions

While children develop at their own pace, children with autism usually show some signs of delayed development before the age of 2. Parents concerned about these symptoms or other signs that may point to developmental delays should speak with their child’s primary care provider to request a screening.

AmeriHealth Caritas is one of the nation’s leaders in health care solutions for those most in need. Operating in 11 states and the District of Columbia, AmeriHealth Caritas serves more than 5 million Medicaid, Medicare and Children’s Health Insurance Program (CHIP) members through its integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, and behavioral health services.

Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 35 years of experience serving low-income and chronically ill populations. AmeriHealth Caritas is part of the Independence Health Group in partnership with Blue Cross Blue Shield of Michigan.

For more information, visit www.amerihealthcaritas.com.