Evidence map›Paper›PMID 33431601›Full record

ArticleBMJ open diabetes research & care2021

Association of the Diabetes Health Plan with emergency room and inpatient hospital utilization: a Natural Experiment for Translation in Diabetes (NEXT-D) Study.

Tannaz Moin, Neil Steers, Susan L Ettner, Kenrik Duru, Norman Turk, Charles Chan, Abigail M Keckhafer, Robert H Luchs, Sam Ho, Carol M Mangione

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open diabetes research & care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Tannaz MoinDavid Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, USA TMoin@mednet.ucla.edu.ORCID 0000-0002-5035-6641
Neil SteersDavid Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, USA.
Susan L EttnerDavid Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, USA.
Kenrik DuruDavid Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, USA.
Norman TurkDavid Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, USA.
Charles ChanUnited Healthcare Services, Minneapolis, Minnesota, USA.
Abigail M KeckhaferUnited Health Group, Minnetonka, Minnesota, USA.
Robert H LuchsUnited Healthcare Services, Minneapolis, Minnesota, USA.
Sam HoUnited Healthcare Services, Minneapolis, Minnesota, USA.
Carol M MangioneDavid Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, USA.
University of California, Los Angeles · USUnitedHealth Group (United States) · US

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
The Center for Health Improvement of Minority ElderlyP30AG021684 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Homero Erwin del Pino · 2002 to 2026
$19.7M
A Cluster-Randomized Trial of Pharmacist-Coordinated Implementation of the DPPR18DK105464 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DURU, OBIDIUGWU KENRIK, MANGIONE, CAROL M · 2015 to 2019
$3.3M
The Diabetes Health Plan: A System Level Intervention to Prevent & Treat DiabetesU58DP002722 · DP · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MANGIONE, CAROL M · 2010 to 2014
$2.5M
A Partnered Evaluation of UHC Medicaid Plan Innovations for Diabetes PatientsU18DP006128 · DP · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DURU, OBIDIUGWU KENRIK, MANGIONE, CAROL M · 2015 to 2019
$2.3M
The UC DPP Study: Evaluating a Diabetes Prevention Initiative Across the University of California SystemR01DK124503 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MOIN, TANNAZ · 2020 to 2023
$2.0M
ACL HHS U18DP006140NCATS NIH HHS UL1 TR001881NCCDPHP CDC HHS U18 DP006128NCCDPHP CDC HHS U58 DP002722NIA NIH HHS P30 AG021684NIDDK NIH HHS R01 DK124503NIDDK NIH HHS R18 DK105464
6 · The paper itself

Abstract

introductionTo examine the association of a novel disease-specific health plan, known as the Diabetes Health Plan (DHP), with emergency room (ER) and hospital utilization among patients with diabetes and pre-diabetes. RESEARCH DESIGN AND

methodsQuasi-experimental design, with employer group as the unit of analysis, comparing changes in any ER and inpatient hospital utilization over a 3-year period. Inverse probability weighting was used to control for differences between employers purchasing DHP versus standard plans. Estimated differences in utilization are calculated as average treatment effects on the treated. We used employees and dependents from employer groups contracting with a large, national private insurer between 2009 and 2012. Eligibility and claims data from continuously covered employees and dependents with diabetes and pre-diabetes (n=74 058) were aggregated to the employer level. The analysis included 9 DHP employers (n=7004) and 183 control employers (n=67 054).

resultsDHP purchase was associated with 2.4 and 1.8 percentage points absolute reduction in mean rates of any ER utilization, representing 13% and 10% relative reductions at 1 and 2 years post-DHP (p=0.012 and p=0.046, respectively). There was no significant association between DHP purchase and hospital utilization.

conclusionEmployers purchasing diabetes-specific health benefit designs may experience lower rates of resource-intensive services such as ER utilization.

Indexed as

Health Benefit Plans, EmployeePrediabetic StateEmergency Service, HospitalHospitalsHumansInpatientsdiabetes mellitusemergency servicehealth care costshospitaltype 2

Identifiers

PMID33431601
PMCPMC7802657
OpenAlexW3120450565

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.