Medicare utilization, screening, and costs among participants in the Southeastern Diabetes Initiative: A population-based evaluation.

Published

Journal Article

AIMS:Type 2 diabetes mellitus imposes significant burdens on patients and health care systems. Population-level interventions are being implemented to reach large numbers of patients at risk of or diagnosed with diabetes. We describe a population-based evaluation of the Southeastern Diabetes Initiative (SEDI) from the perspective of a payer, the Centers for Medicare & Medicaid Services (CMS). The purpose of this paper is to describe the population-based evaluation approach of the SEDI intervention from a Medicare utilization and cost perspective. METHODS:We measured associations between the SEDI intervention and receipt of diabetes screening (i.e., HbA1c test, eye exam, lipid profile), health care resource use, and costs among intervention enrollees, compared with a control cohort of Medicare beneficiaries in geographically adjacent counties. RESULTS:The intervention cohort had slightly lower 1-year screening in 2 of 3 domains (4% for HbA1c; 9% for lipid profiles) in the post-intervention period, compared with the control cohort. The SEDI intervention cohort did not have different Medicare utilization or total Medicare costs in the post-intervention period from surrounding control counties. CONCLUSIONS:Our analytic approach may be useful to others evaluating CMS demonstration projects in which population-level health is targeted for improvement in a well-defined clinical population.

Full Text

Duke Authors

Cited Authors

  • Van Houtven, CH; Greiner, MA; Heidenfelder, B; Spratt, SE; Granger, BB; Dunham, AA; Qualls, LG; Curtis, LH

Published Date

  • April 2018

Published In

Volume / Issue

  • 12 / 2

Start / End Page

  • 172 - 183

PubMed ID

  • 29102500

Pubmed Central ID

  • 29102500

Electronic International Standard Serial Number (EISSN)

  • 1878-0210

International Standard Serial Number (ISSN)

  • 1751-9918

Digital Object Identifier (DOI)

  • 10.1016/j.pcd.2017.10.003

Language

  • eng