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Diabetes-Attributable Nursing Home Costs for Each U.S. State
Simon J Neuwahl1, Amanda A Honeycutt2, Diana C Poehler2
1RTI International, Research Triangle Park, NC sneuwahl@rti.org.
Diabetes Care
|May 16, 2018
Summary
Diabetes significantly impacts nursing home costs nationwide, reaching $18.6 billion annually. Understanding these diabetes-attributable expenses is crucial for state policymakers to plan effective interventions.
Area of Science:
- Public Health
- Health Economics
- Gerontology
Background:
- Diabetes is a chronic condition with significant healthcare cost implications.
- Nursing home care represents a substantial portion of healthcare expenditures for individuals with chronic diseases.
- Estimating the economic burden of diabetes in long-term care settings is essential for resource allocation and policy development.
Purpose of the Study:
- To estimate the total and per-person nursing home costs attributable to diabetes in each U.S. state.
- To provide state-level data on the economic burden of diabetes in nursing homes.
Main Methods:
- Employed a diabetes-attributable fraction (AF) approach, comparing diabetes prevalence in nursing homes versus the community.
- Utilized data from the Centers for Medicare & Medicaid Services Minimum Data Set (2013-2015) and the Behavioral Risk Factor Surveillance System (BRFSS).
- Incorporated state nursing home expenditures from the 2013 State Health Expenditure Accounts.
Main Results:
- Diabetes accounted for 12.3% to 22.5% of nursing home expenditures across states, with a national median AF of 15.6%.
- National diabetes-attributable nursing home costs were estimated at $18.6 billion in 2013 dollars.
- State-level costs varied widely, from $21 million (Alaska) to $2.0 billion (California), with per-person costs ranging from $374 to $1,610.
Conclusions:
- The study quantifies the substantial economic burden of diabetes on state nursing home expenditures.
- Findings offer critical data for policymakers to develop and evaluate diabetes prevention and management strategies.
- Improved understanding of these costs can support initiatives to promote community living and reduce long-term care reliance.
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