Type 2 & other diabetes

Receipt of Diabetes Specialty Care and Management Services by Older Adults With Diabetes in the U.S., 2015–2019: An Analysis of Medicare Fee-for-Service Claims

Diabetes CarePublished Retrospective cohort study

Authors' conclusion

These findings suggest that many older adults may not receive specialty diabetes care and underscore health disparities.

Study context

Population
Fee-for-service Medicare beneficiaries aged ≥65 years with diabetes, U.S., 2015–201920% random sample
Exposure
T1D vs T2D with HoH vs Other T2D
Outcome
Receipt of office-based endocrinology care, diabetes education, outpatient diabetes health services (excluding primary care), and any of these services
Follow-up
Annually 2015–2019
Methodological detailsMedicare fee-for-service claims, 20% random sample, annual cohorts 2015–2019
  • Medicare fee-for-service claims
  • 20% random sample
  • Annual cohorts 2015–2019

Main finding

As reported in the abstract

2015 to 2019

T1D: endocrinology care, 2015 → 2019

25.9% → 32.7%

T1D: any service, 2015 → 2019

29.2% → 37.4%

T2D with HoH: endocrinology care, 2015 (minimal increases thereafter)

13.9%

T2D with HoH: any service, 2015 (minimal increases thereafter)

16.4%

Observational data: associations, not effects.

Further findings

Factors associated with receiving care

Age, race/ethnicity, residential setting and income were associated with receiving care

Original publication

Receipt of Diabetes Specialty Care and Management Services by Older Adults With Diabetes in the U.S., 2015–2019: An Analysis of Medicare Fee-for-Service Claims. Diabetes Care. Published 22 May 2024. doi:10.2337/dc23-1982

Composed by AI from the published abstract and checked against it. How Briefs are made →

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