Health Care Use and Costs Associated With Use of a Health Club Membership Benefit in Older Adults with Diabetes

Details

• Alternative Title:
  Diabetes Care
• Personal Author:
  Nguyen, Huong Q. ; Maciejewski, Matthew L. ; Gao, Sue ; Lin, Elizabeth ; Williams, Barbara ; LoGerfo, James P.
• Description:
  The purpose of this study was to determine whether elective use of a health plan-sponsored health club membership had an impact on health care use and costs among older adults with diabetes.|Administrative claims for 2,031 older adults with diabetes enrolled in a Medicare Advantage plan were obtained for this retrospective cohort study. Participants (n = 618) in the plan-sponsored health club benefit (Silver Sneakers [SS]) and control subjects (n = 1,413) matched on SS enrollment index date were enrolled in the plan for at least 1 year before the index date. Two-year health care use and costs of SS participants and control subjects were estimated in regressions adjusting for baseline differences.|SS participants were more likely to be male, had a lower chronic disease burden, used more preventive services, and had a lower prevalence of arthritis (P or=2 SS visits/week in year 1 had lower total costs in year 2 ($2,141 [-$3,877 to -$405], P = 0.02) than participants who made <2 visits/week.|Use of a health club benefit by older adults with diabetes was associated with slower growth in total health care costs over 2 years; greater use of the benefit was actually associated with declines in total costs.
• Subjects:
  Aged Diabetes Mellitus Epidemiology/Health Services Research Female Fitness Centers Hospitalization Humans Male Medicare
• Source:
  Diabetes Care. 31(8):1562-1567.
• Document Type:
  Journal Article
• Funding:
  1KL2RR025015-01/RR/NCRR NIH HHS/United States ; U48-DP-000050/DP/NCCDPHP CDC HHS/United States
• Place as Subject:
  United States
• Volume:
  31
• Issue:
  8
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:38b3eb480bb1d42d4c534d1099b14b639f09ef3246025f661d6537df8cb1cd10
• Download URL:
  https://stacks.cdc.gov/view/cdc/22974/cdc_22974_DS1.pdf
• File Type:
  [PDF - 113.20 KB ]