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1161-P: Differences in U.S. Health Care Costs for Patients with Type 2 Diabetes: A Comparison Based upon HbA1c Thresholds

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Objective: The ADA defines normoglycemia as HbA1c Methods: The IBM® MarketScan® Commercial and Medicare databases (2013-2017) were used to identify adults with T2D, a recorded HbA1c result (first such date… Click to show full abstract

Objective: The ADA defines normoglycemia as HbA1c Methods: The IBM® MarketScan® Commercial and Medicare databases (2013-2017) were used to identify adults with T2D, a recorded HbA1c result (first such date = index date), and continuous insurance coverage from 1 year prior through a 1 year post index date (post-period). Patients with normoglycemia were matched to patients with HbA1c above target without replacement. Using the propensity-score matched cohort, multivariable analyses examined the association between index HbA1c and healthcare costs. Results: In the 1:1 matched cohort (7,567 normoglycemia; 7,567 above target), multivariable analyses showed that patients with normoglycemia had significantly lower post-period all-cause and diabetes-related drug costs, acute care costs, and outpatient costs compared to patients above target. Total diabetes-related costs were 25% lower (Figure 1) and all-cause total costs were 4% lower (both P Conclusion: Results suggest significant economic benefits associated with normoglycemia compared to HbA1c ≥ 7%. Disclosure K. Boye: Employee; Self; Lilly Diabetes. Stock/Shareholder; Self; Eli Lilly and Company. M.J. Lage: Consultant; Self; Eli Lilly and Company. Consultant; Spouse/Partner; Eli Lilly and Company. N.K. Raibulet: Employee; Self; Eli Lilly and Company. M. Yu: Employee; Self; Eli Lilly and Company. Employee; Spouse/Partner; LifeLabs. Stock/Shareholder; Self; Eli Lilly and Company.

Keywords: care costs; lilly company; eli lilly; hba1c; self eli

Journal Title: Diabetes
Year Published: 2020

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