ArticleDiabetes care2021
High Out-of-pocket Health Care Cost Burden Among Medicare Beneficiaries With Diabetes, 1999-2017.
Article in Diabetes care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
What it found
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Vitamin D and Risk of Incident Type 2 Diabetes in Older Adults: An Updated Systematic Review and Meta-Analysis.Nutrients · 2024Pooled it
- Optimizing the frequency of physician encounters in follow - up care for patients with type 2 diabetes mellitus: a systematic review.BMC primary care · 2024Pooled it
- Article
- Hospitalization costs and out-of-pocket expenses for stroke patients in mainland China.BMC health services research · 2026Article
- 13. Older Adults: Standards of Care in Diabetes-2026.Diabetes care · 2026Review
- The role of education composition in shaping the burden of obesity and diabetes in Indonesia: a microsimulation-based projection study.Population health metrics · 2025Article
- Economic outcomes of diabetes self-management education among older Medicare beneficiaries with diabetes.BMC health services research · 2025Article
- Large Language Models in Diabetes Management: The Need for Human and Artificial Intelligence Collaboration.Diabetes care · 2025Article
- 13. Older Adults: Standards of Care in Diabetes-2025.Diabetes care · 2025Review
- Estimating financial and health burden by initial Medicare plan choice and history of cancer.Health affairs scholar · 2025Article
- Public Health Challenges and Responses to the Growing Ageing Populations.Public health challenges · 2024Review
- Total and Out-of-Pocket Costs Surrounding Emergency Department Care Among Older Adults Enrolled in Traditional Medicare and Medicare Advantage.Annals of emergency medicine · 2024Article
- Lifetime Medical Spending Attributed to Incident Type 2 Diabetes in Medicare Beneficiaries: A Longitudinal Study Using 1999-2019 National Medicare Claims.Diabetes care · 2024Article
- Patient Out-of-Pocket Costs for Type 2 Diabetes Medications When Aging Into Medicare.JAMA network open · 2024Article
- Diabetes control in public assistance recipients and free/low-cost medical care program beneficiaries in Japan: a retrospective cross-sectional study.BMJ public health · 2024Article
- Healthcare Cost Burden and Self-Reported Frequency of Depressive/Anxious Feelings in Older Adults.Journal of gerontological social work · 2024Article
- U.S. food policy to address diet-related chronic disease.Frontiers in public health · 2024Article
- Budget Impact Analysis of Intensification with iGlarLixi Compared to Alternative Treatment Strategies Among Patients with Type 2 Diabetes Mellitus.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2023Article
- The art of diabetes care: guidelines for a holistic approach to human and social factors.Journal of Yeungnam medical science · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveWe examined the magnitude of and trends in the burden of out-of-pocket (OOP) costs among Medicare beneficiaries age 65 years or older with diabetes overall, by income level, by race/ethnicity, and compared with beneficiaries without diabetes. RESEARCH DESIGN AND
methodsUsing data from the 1999-2017 Medicare Current Beneficiary Survey, we estimated average annual per capita OOP costs and percentage of beneficiaries experiencing high OOP burden, defined as OOP costs >10% or >20% of household income. We used joinpoint regression to examine the trends and generalized linear model and logistic regression for comparisons between beneficiaries with and without diabetes. Cost and income estimates were adjusted to 2017 USD.
resultsTotal OOP costs were $3,609-$5,283, with significant increases until 2005 followed by a leveling off. The prevalence of high OOP burden was 57%-72% at the 10% income threshold and 29%-41% at the 20% threshold, with significant increasing trends until 2003 followed by decreases. Total OOP costs were the highest in the ≥75% income quartile, whereas prevalence of high OOP burden was highest in the <25% and 25-50% income quartiles. Non-Hispanic Whites had the highest OOP costs and prevalence of high OOP burden. Beneficiaries with diabetes had significantly higher OOP costs ($498,
conclusionsOver the past two decades, Medicare beneficiaries age 65 years or older with diabetes have faced substantial OOP burden, with large income-related disparities.
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