Details:

Alternative Title:
Diabetes Care
Personal Author:
Wang, Yu ; Zhang, Ping ; Zhou, Xilin ; Rolka, Deborah ; Imperatore, Giuseppina
Wang, Yu ; Zhang, Ping ; Zhou, Xilin ; Rolka, Deborah ; Imperatore, Giuseppina Less -
Description:
OBJECTIVE

To compare total and out-of-pocket (OOP) medical expenditures between pre-COVID-19 (March 2019 to February 2020) and COVID-19 (March 2020 to February 2022) periods among Medicare beneficiaries with diabetes.

RESEARCH DESIGN AND METHODS

Data were from 100% Medicare fee-for-service claims. Diabetes was identified using ICD-10 codes. We calculated quarterly total and OOP medical expenditures at the population and per capita level in total and by service type. Per capita expenditures were calculated by dividing the population expenditure by the number of beneficiaries with diabetes in the same quarter. Changes in expenditures were calculated as the differences in the same quarters between the prepandemic and pandemic years.

RESULTS

Population total expenditure fell to $33.6 billion in the 1st quarter of the pandemic from $41.7 billion in the same prepandemic quarter; it then bounced back to $36.8 billion by the 4th quarter of the 2nd pandemic year. The per capita total expenditure fell to $5,356 in the 1st quarter of the pandemic from $6,500 in the same prepandemic quarter. It then increased to $6,096 by the 4th quarter of the 2nd pandemic year, surpassing the same quarter in the prepandemic year ($5,982). Both population and per capita OOP expenditures during the pandemic period were lower than the prepandemic period. Changes in per capita expenditure between the pre–COVID-19 and COVID-19 periods by service type varied.

CONCLUSIONS

COVID-19 had a significant impact on both total and per capita medical expenditures among Medicare beneficiaries with diabetes. The COVID-19 pandemic was associated with lower OOP expenditures.


Subjects:
[+]
Aged COVID-19 Diabetes Mellitus Fee-for-Service Plans Health Expenditures Humans Medicare Pandemics United States
Source:
Diabetes Care. 47(3):452-459
Pubmed ID:
38227901
Pubmed Central ID:
PMC11005216
Document Type:
Journal Article
Funding:
CC999999/ImCDC/Intramural CDC HHSUnited States/
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:a4dbbe35dcb69023c32679977182fd65f818baec5170c6bd79193a0c23ad1181
File Type:

• Supporting Files:
  No Additional Files

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