Economic outcomes of diabetes self-management education among older Medicare beneficiaries with diabetes
Abstract Background Diabetes self-management education (DSME) has significant clinical benefits on diabetic glycemic control and reduction in the onset of complications. However, the economic benefits of DSME in older Medicare beneficiaries are not well known. The objective of this study is to exami...
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2025-05-01
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| Online Access: | https://doi.org/10.1186/s12913-025-12796-5 |
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| author | Gang Lv Eric Chinaeke Xiangxiang Jiang Xiaomo Xiong Jun Wu Jing Yuan Z. Kevin Lu |
| author_facet | Gang Lv Eric Chinaeke Xiangxiang Jiang Xiaomo Xiong Jun Wu Jing Yuan Z. Kevin Lu |
| author_sort | Gang Lv |
| collection | DOAJ |
| description | Abstract Background Diabetes self-management education (DSME) has significant clinical benefits on diabetic glycemic control and reduction in the onset of complications. However, the economic benefits of DSME in older Medicare beneficiaries are not well known. The objective of this study is to examine the effect of DSME on different types of costs in older Medicare beneficiaries with diabetes. Methods This was a pooled cross-sectional study using the Medicare Current Beneficiary Survey (MCBS). The use of DSME was reported by survey respondents. Economic outcomes included total medical costs, total diabetes-related medical costs, total prescription costs, and total anti-diabetic prescription costs were measured based on Medicare claims and prescription drug events data from the perspective of the Medicare system. All costs were adjusted to 2012 U.S. dollars using the Consumer Price Index (CPI). Generalized linear models, with a log link and gamma distribution, were used to examine the effect of DSME on different costs. Results A total of 3,003 older Medicare beneficiaries with diabetes were included, among whom 35.50% (n = 1,066) had DSME. Individuals who did not have DSME had significantly higher total prescription costs than those who had DSME ($4,398.19 vs. $3,966.82, P =.0134). After adjusting for covariates, compared to those who did not have DSME, those who had DSME had 16.36% (95% CI: 9.69% to 22.54%) lower total medical costs and 12.83% (95% CI: 6.41% to 18.80%) lower total prescription costs. Conclusion This study found that DSME is associated with significantly lower spending in total medical and prescription costs for older Medicare beneficiaries. Given the economic benefits associated with DSME, different healthcare providers should further promote and increase the awareness of DSME to ensure sustained activities, enrollment, and patient retention in older Medicare beneficiaries with diabetes. |
| format | Article |
| id | doaj-art-d019e2c87cff40c5821358883c23f29b |
| institution | Kabale University |
| issn | 1472-6963 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj-art-d019e2c87cff40c5821358883c23f29b2025-08-20T03:53:57ZengBMCBMC Health Services Research1472-69632025-05-012511710.1186/s12913-025-12796-5Economic outcomes of diabetes self-management education among older Medicare beneficiaries with diabetesGang Lv0Eric Chinaeke1Xiangxiang Jiang2Xiaomo Xiong3Jun Wu4Jing Yuan5Z. Kevin Lu6Department of General Surgery, The First Medical Center of Chinese PLA General HospitalThe Janssen Pharmaceutical Companies of Johnson & JohnsonDepartment of Clinical Pharmacy and Outcomes Sciences, College of Pharmacy, University of South CarolinaDivision of Pharmacy Practice and Administrative Sciences, James L. Winkle College of Pharmacy, University of CincinnatiDepartment of Sociobehavioral and Administrative Pharmacy, Nova Southeastern UniversityInstitute of Chinese Medical Sciences, University of Macau, Avenida da UniversidadeDepartment of Clinical Pharmacy and Outcomes Sciences, College of Pharmacy, University of South CarolinaAbstract Background Diabetes self-management education (DSME) has significant clinical benefits on diabetic glycemic control and reduction in the onset of complications. However, the economic benefits of DSME in older Medicare beneficiaries are not well known. The objective of this study is to examine the effect of DSME on different types of costs in older Medicare beneficiaries with diabetes. Methods This was a pooled cross-sectional study using the Medicare Current Beneficiary Survey (MCBS). The use of DSME was reported by survey respondents. Economic outcomes included total medical costs, total diabetes-related medical costs, total prescription costs, and total anti-diabetic prescription costs were measured based on Medicare claims and prescription drug events data from the perspective of the Medicare system. All costs were adjusted to 2012 U.S. dollars using the Consumer Price Index (CPI). Generalized linear models, with a log link and gamma distribution, were used to examine the effect of DSME on different costs. Results A total of 3,003 older Medicare beneficiaries with diabetes were included, among whom 35.50% (n = 1,066) had DSME. Individuals who did not have DSME had significantly higher total prescription costs than those who had DSME ($4,398.19 vs. $3,966.82, P =.0134). After adjusting for covariates, compared to those who did not have DSME, those who had DSME had 16.36% (95% CI: 9.69% to 22.54%) lower total medical costs and 12.83% (95% CI: 6.41% to 18.80%) lower total prescription costs. Conclusion This study found that DSME is associated with significantly lower spending in total medical and prescription costs for older Medicare beneficiaries. Given the economic benefits associated with DSME, different healthcare providers should further promote and increase the awareness of DSME to ensure sustained activities, enrollment, and patient retention in older Medicare beneficiaries with diabetes.https://doi.org/10.1186/s12913-025-12796-5DiabetesDiabetes self-management educationEconomic outcomesMedicareOlder adults |
| spellingShingle | Gang Lv Eric Chinaeke Xiangxiang Jiang Xiaomo Xiong Jun Wu Jing Yuan Z. Kevin Lu Economic outcomes of diabetes self-management education among older Medicare beneficiaries with diabetes BMC Health Services Research Diabetes Diabetes self-management education Economic outcomes Medicare Older adults |
| title | Economic outcomes of diabetes self-management education among older Medicare beneficiaries with diabetes |
| title_full | Economic outcomes of diabetes self-management education among older Medicare beneficiaries with diabetes |
| title_fullStr | Economic outcomes of diabetes self-management education among older Medicare beneficiaries with diabetes |
| title_full_unstemmed | Economic outcomes of diabetes self-management education among older Medicare beneficiaries with diabetes |
| title_short | Economic outcomes of diabetes self-management education among older Medicare beneficiaries with diabetes |
| title_sort | economic outcomes of diabetes self management education among older medicare beneficiaries with diabetes |
| topic | Diabetes Diabetes self-management education Economic outcomes Medicare Older adults |
| url | https://doi.org/10.1186/s12913-025-12796-5 |
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