Prevalence and medical expenditures of diabetes-related complications among adult Medicaid enrollees with diabetes in eight U.S. states

• Published in: Journal of diabetes and its complications 2021-03, Vol.35 (3), p.107814-107814, Article 107814
• Main Authors: Ng, Boon Peng, Laxy, Michael, Shrestha, Sundar S., Soler, Robin E., Cannon, Michael J., Smith, Bryce D., Zhang, Ping
• Format: Article
• Language: English
• Subjects: Adult; Adults; Algorithms; Chronic illnesses; Chronic obstructive pulmonary disease; Codes; Computer simulation; Cost control; Cost estimates; Demographics; Diabetes; Diabetes Complications - economics; Diabetes Mellitus - economics; Diabetes-related complications; Disability; Disease; Expenditures; Generalized linear models; Health care policy; Health Expenditures; Humans; Hypoglycemia; Medicaid; Medicaid - statistics & numerical data; Medicaid eligibility category; Medical expenditures; Medicare; Metastasis; Prevalence; United States - epidemiology; Womens health
• ISSN: 1056-8727; 1873-460X
• DOI: 10.1016/j.jdiacomp.2020.107814

To estimate the prevalence and medical expenditures of diabetes-related complications (DRCs) among adult Medicaid enrollees with diabetes. We estimated the prevalence and medical expenditures for 12 diabetes-related complications by Medicaid eligibility category (disability-based vs. non-disability-based) in eight states. We used generalized linear models with log link and gamma distribution to estimate the total per-person annual medical expenditures for DRCs, controlling for demographics, and other comorbidities. Among non-disability-based enrollees (NDBEs), 40.1% (in California) to 47.5% (in Oklahoma) had one or more DRCs, compared to 53.6% (in Alabama) to 64.8% (in Florida) among disability-based enrollees (DBEs). The most prevalent complication was neuropathy (16.1%–27.1% for NDBEs; 20.2%–30.4% for DBEs). Lower extremity amputation (