Cost and utilization of healthcare services for persons with diabetes
Authors' conclusion
Given the substantial out-of-pocket costs for people with diabetes, especially for those with T1D, providers should screen all persons with diabetes for financial toxicity (i.e., wide-ranging problems stemming from healthcare costs). In addition, policies that aim to lower out-of-pocket costs of cost-effective diabetes related healthcare are needed with a particular focus on medications.
Study context
- Population
- Insured persons with T1D, T2D and without diabetes in the United States, 2009–2018matched persons
- Exposure
- T1D vs T2D vs without diabetes
- Outcome
- Healthcare costs (total and out-of-pocket) and utilization for all services and for medications, diabetes-related supplies, provider visits, hospitalizations and ED visits
- Follow-up
- Each year 2009–2018
Methodological detailsnationally representative healthcare claims database, propensity score quasi-randomization matching
- Nationally representative healthcare claims database
- Propensity score quasi-randomization matching
Main finding
As reported in the abstract
2018
| Group | Out-of-pocket | Total |
|---|---|---|
| T1D | $2,037.2 | $25,652.0 |
| T2D | $1,543.3 | $22,408.1 |
| Without diabetes | $1,122.7 | $14,220.6 |
Out-of-pocket
T1D$2,037.2
T2D$1,543.3
Without diabetes$1,122.7
Total
T1D$25,652.0
T2D$22,408.1
Without diabetes$14,220.6
Observational data: associations, not effects.
Further findings
Medication costs as proportion of out-of-pocket costs
%
| Outcome | T1D | T2D | Without diabetes |
|---|---|---|---|
| Change in out-of-pocket costs · 2009 to 2018 | +6.5 | −7.5 | −2.3 |
Medication costs as proportion of out-of-pocket costs
- Medication costs made up the largest proportion of out-of-pocket costs regardless of diabetes status
Original publication
Cost and utilization of healthcare services for persons with diabetes. Diabetes Res Clin Pract. Published 27 October 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →