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Medicaid

Navigating Chronic Disease Coverage with Medicaid

By October 29th, 2024No Comments3 min read

Discovering you have a rare or chronic disease can be overwhelming, especially when the diagnosis is not yet finalized. In Utah, the financial and personal impact of chronic diseases is profound, highlighting the need for a comprehensive understanding of available coverage and resources.

1From 2016 to 2030, the projected cost of chronic diseases in Utah is a staggering $371 billion. In 2015, 1.6 million Utah residents were living with at least one chronic disease, and 551,000 had multiple conditions. This translates to an estimated annual expense of $17.8 billion in medical costs and an additional $6.9 billion in lost productivity due to illness. Medicaid is crucial in supporting individuals with chronic diseases by providing access to necessary medical services and treatments. Coverage can vary, so it’s important to understand what specific services are included. Medicaid often covers hospital visits, prescription medications, and certain therapies, but navigating these options can be challenging.2

Chronic diseases are often influenced by more than just individual health behaviors. While excessive drinking, smoking, sedentary lifestyles, and poor nutrition are significant factors, structural socioeconomic and environmental conditions also play a critical role in the development, prevention, and management of these diseases. For instance, affordability and access to nutritious food significantly impact dietary choices, particularly for low-income individuals. What may seem like a personal choice regarding nutrition is often determined by economic and access-related constraints. Similarly, incorporating leisure-time physical activity into daily life can be challenging due to time constraints, financial limitations, and environmental factors such as the availability of safe neighborhoods and parks. Once a chronic condition develops, managing the disease effectively requires the ability to afford healthcare and access it physically. Research shows that even, when necessary, people often forgo costly medications and healthcare services, which impedes their ability to manage their condition effectively.

One valuable resource in Utah is the Living Well with Chronic Conditions Program.3 This initiative offers weekly workshops designed to support individuals with chronic health issues. Each workshop lasts 2 1/2 hours, is conducted once a week for six weeks, and is open to anyone with ongoing conditions such as asthma, arthritis, diabetes, heart disease, and more. These workshops, led by trained facilitators (many of whom have firsthand experience with chronic diseases), focus on practical skills for managing symptoms, improving quality of life, and enhancing overall well-being. Participants gain valuable insights into managing their conditions and connecting with others facing similar challenges.

The financial and personal impacts of chronic diseases in Utah are significant, with Medicaid providing essential support for managing these conditions. However, understanding the broader socioeconomic and environmental factors that influence health outcomes is crucial. Programs like Living Well with Chronic Conditions offer valuable community-based resources, helping individuals navigate their health challenges more effectively. By addressing both the systemic and individual factors influencing chronic disease management, we can improve overall health and well-being.


1 https://www.fightchronicdisease.org/states/utah

2 https://www.cdc.gov/chronic-disease/data-research/facts-stats/index.html

3 https://medicaid.utah.gov/living-well-chronic-conditions-program/