The Cost of Medicaid Savings: The Potential Detrimental Public Health Impact of Neonatal Circumcision Defunding

Table 6

Projected additional cases of HIV and additional direct medical costs by percentage of parents electing to pay out of pocket for circumcision^a.

	Additional male HIV cases; (𝑛=14,855)	Additional female HIV cases; (𝑛=14,461)	Total male and female discounted costs^b	Net cost per birth year cohort
25% pay out-of-pocket	41	35	$11,655,600	$6,799,400
50% pay out-of-pocket	28	24	$7,770,400	$2,914,200
75% pay out-of-pocket	14	12	$3,885,200	$−971,000

^aPer South Carolina Medicaid birth year cohort. Assuming baseline prevention fraction (60% for males and 46% for females) of circumcision at reducing HIV transmission.
^bCosts discounted by 3% from cohort birth year.