Economic Costs of Diabetes in the U.S. in 2017 - PubMed (original) (raw)

Economic Costs of Diabetes in the U.S. in 2017

American Diabetes Association. Diabetes Care. 2018 May.

Abstract

Objective: This study updates previous estimates of the economic burden of diagnosed diabetes and quantifies the increased health resource use and lost productivity associated with diabetes in 2017.

Research design and methods: We use a prevalence-based approach that combines the demographics of the U.S. population in 2017 with diabetes prevalence, epidemiological data, health care cost, and economic data into a Cost of Diabetes Model. Health resource use and associated medical costs are analyzed by age, sex, race/ethnicity, insurance coverage, medical condition, and health service category. Data sources include national surveys, Medicare standard analytical files, and one of the largest claims databases for the commercially insured population in the U.S.

Results: The total estimated cost of diagnosed diabetes in 2017 is 327billion,including327 billion, including 327billion,including237 billion in direct medical costs and 90billioninreducedproductivity.Forthecostcategoriesanalyzed,careforpeoplewithdiagnoseddiabetesaccountsfor1in4healthcaredollarsintheU.S.,andmorethanhalfofthatexpenditureisdirectlyattributabletodiabetes.Peoplewithdiagnoseddiabetesincuraveragemedicalexpendituresof∼90 billion in reduced productivity. For the cost categories analyzed, care for people with diagnosed diabetes accounts for 1 in 4 health care dollars in the U.S., and more than half of that expenditure is directly attributable to diabetes. People with diagnosed diabetes incur average medical expenditures of ∼90billioninreducedproductivity.Forthecostcategoriesanalyzed,careforpeoplewithdiagnoseddiabetesaccountsfor1in4healthcaredollarsintheU.S.,andmorethanhalfofthatexpenditureisdirectlyattributabletodiabetes.Peoplewithdiagnoseddiabetesincuraveragemedicalexpendituresof∼16,750 per year, of which ∼$9,600 is attributed to diabetes. People with diagnosed diabetes, on average, have medical expenditures ∼2.3 times higher than what expenditures would be in the absence of diabetes. Indirect costs include increased absenteeism ($3.3 billion) and reduced productivity while at work ($26.9 billion) for the employed population, reduced productivity for those not in the labor force ($2.3 billion), inability to work because of disease-related disability ($37.5 billion), and lost productivity due to 277,000 premature deaths attributed to diabetes ($19.9 billion).

Conclusions: After adjusting for inflation, economic costs of diabetes increased by 26% from 2012 to 2017 due to the increased prevalence of diabetes and the increased cost per person with diabetes. The growth in diabetes prevalence and medical costs is primarily among the population aged 65 years and older, contributing to a growing economic cost to the Medicare program. The estimates in this article highlight the substantial financial burden that diabetes imposes on society, in addition to intangible costs from pain and suffering, resources from care provided by nonpaid caregivers, and costs associated with undiagnosed diabetes.

© 2018 by the American Diabetes Association.

PubMed Disclaimer

Figures

Figure 1

Figure 1

Percent of medical condition-specific expenditures associated with diabetes. Data sources: NIS (2014), CMS MDS (2013), NAMCS (2013–2015), NHAMCS (2012–2014), MEPS (2011–2015), NHHCS (2007), NHIS (2014–2016), OptumInsight dNHI (2015), and Medicare 5% SAFs (2014). See

Supplementary Appendix 2

for diagnosis codes for each category of medical condition.

Figure 2

Figure 2

Total direct costs of diabetes, 2007–2017.

Figure 3

Figure 3

Total indirect costs of diabetes, 2007–2017.

Figure 4

Figure 4

Total economic cost of diabetes, 2007–2017.

Figure 5

Figure 5

Average cost of diabetes, 2007–2017 (in 2017 dollars).

Similar articles

Cited by

References

    1. American Diabetes Association Economic costs of diabetes in the U.S. in 2012. Diabetes Care 2013;36:1033–1046 - PMC - PubMed
    1. Centers for Disease Control and Prevention. National Diabetes Statistics Report [Internet], 2017. Available from https://www.cdc.gov/diabetes/data/statistics/statistics-report.html. Accessed 30 November 2017.
    1. Boyle JP, Thompson TJ, Gregg EW, Barker LE, Williamson DF. Projection of the year 2050 burden of diabetes in the US adult population: dynamic modeling of incidence, mortality, and prediabetes prevalence. Popul Health Metr 2010;8:29. - PMC - PubMed
    1. American Diabetes Association Economic costs of diabetes in the U.S. in 2007. Diabetes Care 2008;31:596–615 - PubMed
    1. U.S. Bureau of Labor Statistics. Consumer Price Index (CPI) databases [Internet]. Available from https://www.bls.gov/cpi/data.htm. Accessed 30 November 2017.

MeSH terms

LinkOut - more resources