From: The high-cost, type 2 diabetes mellitus patient: an analysis of managed care administrative data
Cohort | ||||||||
---|---|---|---|---|---|---|---|---|
Top 10% of costs | Bottom 90% of costs | Top 20% of costs | Bottom 80% of costs | |||||
Inpatient services | ||||||||
Had ≥ 1 hospital admission (n, %) | 127,553 | 74.16% | 166,729 | 10.77% | 192,070 | 55.83% | 102,212 | 7.43% |
Had ≥ 2 hospital admissions (n, %) | 59,199 | 34.42% | 31,289 | 2.02% | 72,263 | 21.01% | 18,225 | 1.32% |
Mean number of admissions (SD) | 1.44 | (1.62) | 0.14 | (0.45) | 0.97 | (1.36) | 0.09 | (0.37) |
Mean (SD) inpatient daysa | 13.81 | (24.88) | 7.07 | (39.57) | 11.65 | (22.04) | 6.89 | (49.31) |
Mean (SD) total costs | $24,766 | ($48,149) | $427 | ($1,739) | $13,618 | ($35,945) | $171 | ($805) |
SNF stays | ||||||||
Had ≥ 1 SNF admission (n, %) | 10,410 | 6.05% | 8,987 | 0.58% | 14,047 | 4.08% | 5,350 | 0.39% |
Mean number of SNF admissions (SD) | 0.10 | (0.49) | 0.01 | (0.14) | 0.07 | (0.41) | 0.01 | (0.10) |
Mean (SD) SNF daysa | 33.70 | (44.70) | 48.52 | (203.18) | 42.75 | (135.81) | 34.84 | (157.98) |
Mean (SD) total costs | $525 | ($3,532) | $20 | ($389) | $323 | ($2,612) | $7 | ($180) |
ED visits | ||||||||
Had ≥ 1 ED visit (n, %) | 103,348 | 60.08% | 355,475 | 22.96% | 183,931 | 53.47% | 274,892 | 19.98% |
Mean number of ED visits (SD) | 5.31 | (14.32) | 1.29 | (4.60) | 4.26 | (11.65) | 1.05 | (3.90) |
Mean (SD) total costs | $888 | ($2,283) | $136 | ($505) | $659 | ($1,791) | $99 | ($370) |
Office visits | ||||||||
Had ≥ 1 office visit (n, %) | 168,403 | 97.91% | 1,505,071 | 97.22% | 336,935 | 97.94% | 1,336,539 | 97.13% |
Mean number of office visits (SD) | 26.00 | (20.97) | 12.72 | (12.11) | 23.73 | (19.25) | 11.62 | (10.86) |
Mean (SD) total costs | $5,827 | ($13,092) | $1,155 | ($1,440) | $4,246 | ($9,562) | $967 | ($1,098) |
Pharmacy | ||||||||
Had ≥ 1 prescription (n, %) | 150,474 | 87.48% | 1,225,785 | 79.18% | 302,929 | 88.06% | 1,073,330 | 78.00% |
Mean number of prescriptions (SD) | 53.72 | (44.11) | 27.99 | (28.83) | 50.37 | (41.21) | 25.61 | (26.56) |
Mean (SD) total costs | $4,854 | ($12,486) | $1,428 | ($2,162) | $4,190 | ($9,270) | $1,166 | ($1,660) |
Outpatient hospital visits | ||||||||
Had ≥ 1 outpatient visit (n, %) | 131,885 | 76.68% | 844,910 | 54.58% | 257,619 | 74.89% | 719,176 | 52.26% |
Mean number of outpatient visits (SD) | 43.33 | (82.58) | 9.15 | (20.37) | 32.64 | (65.27) | 7.55 | (16.13) |
Mean (SD) total costs | $8,763 | ($22,823) | $767 | ($1,816) | $5,807 | ($16,625) | $507 | ($1,136) |
Laboratory services | ||||||||
Had ≥ 1 laboratory service (n, %) | 92,529 | 53.79% | 655,781 | 42.36% | 178,840 | 51.99% | 569,470 | 41.39% |
Mean number of laboratory services (SD) | 13.13 | (30.85) | 5.50 | (11.32) | 10.72 | (24.64) | 5.15 | (10.57) |
Mean (SD) total costs | $247 | ($810) | $75 | ($210) | $194 | ($630) | $66 | ($179) |
OOP services | ||||||||
Had ≥ 1 OOP services (n, %) | 153,936 | 89.50% | 834,883 | 53.93% | 293,499 | 85.31% | 695,320 | 50.53% |
Mean number of OOP services (SD) | 46.30 | (95.37) | 8.49 | (22.41) | 34.05 | (75.59) | 6.82 | (16.91) |
Mean (SD) total costs | $10,598 | ($29,858) | $666 | ($1,633) | $6,559 | ($21,633) | $434 | ($1,016) |
Total health care utilization | ||||||||
Had ≥ 1 medical encounter (n, %) | 172,004 | 100.00% | 1,548,037 | 100.00% | 344,019 | 100.00% | 1,376,022 | 100.00% |
Mean number of encounters (SD) | 189.33 | (150.55) | 65.29 | (51.82) | 156.81 | (123.32) | 57.92 | (42.74) |
Mean (SD) total costs | $56,468 | ($65,604) | $4,674 | ($4,504) | $35,596 | ($50,903) | $3,417 | ($2,775) |