Receipt of Diabetes Specialty Care and Management Services by Older Adults With Diabetes in the U.S., 2015-2019: An Analysis of Medicare Fee-for-Service Claims.

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  • Additional Information
    • Source:
      Publisher: American Diabetes Association Country of Publication: United States NLM ID: 7805975 Publication Model: Print Cited Medium: Internet ISSN: 1935-5548 (Electronic) Linking ISSN: 01495992 NLM ISO Abbreviation: Diabetes Care Subsets: MEDLINE
    • Publication Information:
      Publication: Alexandria Va : American Diabetes Association
      Original Publication: New York, American Diabetes Assn.
    • Subject Terms:
      Medicare*/statistics & numerical data ; Fee-for-Service Plans*/statistics & numerical data ; Diabetes Mellitus, Type 2*/therapy; Humans ; United States ; Aged ; Female ; Male ; Aged, 80 and over ; Diabetes Mellitus/therapy ; Diabetes Mellitus/epidemiology ; Diabetes Mellitus, Type 1/therapy ; Diabetes Mellitus, Type 1/economics
    • Abstract:
      Objective: We characterized the receipt of diabetes specialty care and management services among older adults with diabetes.
      Research Design and Methods: Using a 20% random sample of fee-for-service Medicare beneficiaries aged ≥65 years, we analyzed cohorts of type 1 diabetes (T1D) or type 2 diabetes (T2D) with history of severe hypoglycemia (HoH), and all other T2D annually from 2015 to 2019. Outcomes were receipt of office-based endocrinology care, diabetes education, outpatient diabetes health services, excluding those provided in primary care, and any of the aforementioned services.
      Results: In the T1D cohort, receipt of endocrinology care and any service increased from 25.9% and 29.2% in 2015 to 32.7% and 37.4% in 2019, respectively. In the T2D with HoH cohort, receipt of endocrinology care and any service was 13.9% and 16.4% in 2015, with minimal increases. Age, race/ethnicity, residential setting, and income were associated with receiving care.
      Conclusions: These findings suggest that many older adults may not receive specialty diabetes care and underscore health disparities.
      (© 2024 by the American Diabetes Association.)
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    • Grant Information:
      K12 TR004416 United States TR NCATS NIH HHS; K12TR004416 United States TR NCATS NIH HHS
    • Publication Date:
      Date Created: 20240522 Date Completed: 20240620 Latest Revision: 20240629
    • Publication Date:
      20240629
    • Accession Number:
      PMC11208748
    • Accession Number:
      10.2337/dc23-1982
    • Accession Number:
      38776523