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
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
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