Costs of diabetes in Texas, 1992

Diabetes Care
D C WarnerG M Marsh

Abstract

To estimate direct and indirect costs of diabetes in Texas in 1992. For most direct medical costs, we relied on third party and provider billing databases, including Medicare, Medicaid, VA facilities, public hospitals, and others. The researchers identified people with diabetes in the respective databases, located all records of their care, and sorted records as clearly, probably, or probably not attributable to diabetes on the basis of principal diagnoses. In most cases, costs were valued as allowable or paid charges. Some medical costs, such as private insurance, were estimated from national data and state surveys. Indirect costs included current short- and long-term disability costs and the discounted present value of future costs of mortality. Disability estimates relied on National Health Interview Survey (NHIS) data and U.S. Department of Labor wage data applied to Texas. Mortality estimates were based on death certificates. Total costs clearly or probably attributable to diabetes among Texans in 1992 were estimated at $4.0 billion. Direct medical costs were approximately $1.6 billion. Indirect costs were estimated at $2.4 billion. the largest direct costs were paid by Medicare. Most indirect costs were from long-term dis...Continue Reading

Citations

Dec 21, 2000·Journal of Internal Medicine·F HenrikssonB Jönsson
Feb 24, 2001·American Journal of Public Health·V ValdmanisM R Page
Feb 12, 2004·PharmacoEconomics·Lorraine EttaroMichael M Engelgau
Feb 24, 2001·Diabetes Care·M SrinivasanN Swigonski
Oct 29, 2002·Diabetes Care·Pamela B PeeleThomas J Songer
Sep 1, 2006·PharmacoEconomics·Ebere AkobunduC Daniel Mullins

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