Medical Expenditures Associated With Diabetes Among Youth With Medicaid Coverage

Details

• Alternative Title:
  Med Care
• Personal Author:
  Shrestha, Sundar S. ; Zhang, Ping ; Thompson, Theodore J. ; Gregg, Edward W. ; Albright, Ann ; Imperatore, Giuseppina
• Description:
  Background: ; Information on diabetes-related excess medical expenditures for youth is important to understand the magnitude of financial burden and to plan the health care resources needed for managing diabetes. However, diabetes-related excess medical expenditures for youth covered by Medicaid program have not been investigated recently. ; Objective: ; To estimate excess diabetes-related medical expenditures among youth aged below 20 years enrolled in Medicaid programs in the United States. ; Methods: ; We analyzed data from 2008 to 2012 MarketScan multistate Medicaid database for 6502 youths with diagnosed diabetes and 6502 propensity score matched youths without diabetes, enrolled in fee-for-service payment plans. We stratified analysis by Medicaid eligibility criteria (poverty or disability). We used 2-part regression models to estimate diabetes-related excess medical expenditures, adjusted for age, sex, race/ethnicity, year of claims, depression status, asthma status, and interaction terms. ; Results: ; For poverty-based Medicaid enrollees, estimated annual diabetes-related total medical expenditure was $9046 per person $3681 (no diabetes) vs. $12,727 (diabetes); P < 0001, of which 41.7%, 34.0%, and 24.3% were accounted for by prescription drugs, outpatient, and inpatient care, respectively. For disability-based Medicaid enrollees, the estimated annual diabetes-related total medical expenditure was $9944 per person ($14,149 vs. $24,093; P < 0001), of which 41.5% was accounted for by prescription drugs, 31.3% by inpatient, and 27.3% by outpatient care. ; Conclusions: ; The per capita annual diabetes-related medical expenditures in youth covered by publicly financed Medicaid programs are substantial, which is larger among those with disabilities than without disabilities. Identifying cost-effective ways of managing diabetes in this vulnerable segment of the youth population is needed.
• Subjects:
  • Article
  • costs
  • children
  • public
  • poverty-based
  • disability-based
  • Adolescent
  • Child
  • Databases, Factual
  • Diabetes Mellitus
  More +
• Source:
  Med Care. 55(7):646-653
• Pubmed ID:
  28437321
• Pubmed Central ID:
  PMC7659431
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  55
• Issue:
  7
• Download URL:
  https://stacks.cdc.gov/view/cdc/114566/cdc_114566_DS1.pdf
• File Type:
  [PDF - 477.86 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:9dd8fcf09af05589ed24a7a3568e81ed3d7d725b8d8c6c66356243915449c9b4