Diabetes-Attributable Nursing Home Costs for Each U.S. State

Diabetes Care
Simon J NeuwahlThomas J Hoerger

Abstract

To estimate the diabetes-attributable nursing home costs for each state. We used a diabetes-attributable fraction (AF) approach to estimate nursing home costs attributable to diabetes (in 2013 dollars) in aggregate and per person with diabetes in each state. We calculated the AFs as the difference in diabetes prevalence between nursing homes and the community. We used the Centers for Medicare & Medicaid Services 2013-2015 Minimum Data Set to estimate the prevalence of diabetes in nursing homes and to adjust for the intensity of care among people with diabetes in nursing homes. Community prevalence was estimated using the Behavioral Risk Factor Surveillance System (BRFSS). State nursing home expenditures were from the 2013 State Health Expenditure Accounts. The fraction of total nursing home expenditures attributable to diabetes ranged from 12.3% (Illinois) to 22.5% (Washington, DC; median AF of 15.6%, New Jersey). The median AF was highest in the 19-64 years age-group and lowest in the 85 years or older age-group. Nationally, diabetes-attributable nursing home costs were $18.6 billion. State-level diabetes-attributable costs ranged from $21 million in Alaska to $2.0 billion in California. Diabetes-attributable nursing home cost...Continue Reading

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Citations

Feb 19, 2021·Nutrition and Metabolic Insights·Mehmet Akif OzturkYasar Kucukardali
Aug 6, 2020·Journal of the American Medical Directors Association·Medha N MunshiElaine Sullivan
Nov 26, 2018·Journal of the American Medical Directors Association·Jane A WeintraubJohn S Preisser
Dec 19, 2021·Drugs & Aging·Gunjan Y Gandhi, Arshag D Mooradian
Aug 28, 2020·Diabetes Spectrum : a Publication of the American Diabetes Association·Naushira PandyaSukhman Sandhu

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