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Diabetes

  • HCCI Spotlights National Diabetes Month: ESI Enrollees with Diabetes Face High Out-of-Pocket Costs. A Cap on Insulin Costs Would Help Many.

    Tags: Diabetes, ESI, Insulin
    HCCI Spotlights National Diabetes Month: ESI Enrollees with Diabetes Face High Out-of-Pocket Costs. A Cap on Insulin Costs Would Help Many.
    HCCI Staff
    November 12, 2022

    Diabetes is a chronic health condition that affects over 10% of the U.S. population. It is possible for people  who are diagnosed with diabetes to live a healthy, long life if the condition is managed properly. However, management often involves significant health care use, which can be costly for patients. Over the past few months, we used HCCI’s…

    Read more: HCCI Spotlights National Diabetes Month: ESI Enrollees with Diabetes Face High Out-of-Pocket Costs. A Cap on Insulin Costs Would Help Many.
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  • Over 50% of Insulin Users with ESI Spend over $35 Out-of-pocket on 30-day Supply of Insulin

    Tags: Diabetes, Inflation Reduction Act, Insulin
    Over 50% of Insulin Users with ESI Spend over $35 Out-of-pocket on 30-day Supply of Insulin
    Bianca Silva Gordon, Aditi Sen
    November 9, 2022

    Previously, HCCI analyzed prescription drug spending to understand how many insulin users with employer sponsored insurance (ESI) would be affected by a $35 monthly cap on patient out-of-pocket spending on insulin. Our estimates were based on average monthly out-of-pocket spending on insulin across all insulin products. The Inflation Reduction Act (IRA) recently passed by Congress…

    Read more: Over 50% of Insulin Users with ESI Spend over $35 Out-of-pocket on 30-day Supply of Insulin
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  • Privately Insured Individuals with Diabetes Spend Twice as Much Out-of-Pocket on Health Care as those without Diabetes

    Tags: Diabetes, Insulin
    Privately Insured Individuals with Diabetes Spend Twice as Much Out-of-Pocket on Health Care as those without Diabetes
    Aditi Sen, Bianca Silva Gordon, Zehra Valencia, Angela Pupino
    July 13, 2022

    Over 10% of the U.S. population— more than 34 million individuals— lives with diabetes, with 1.5 million new cases diagnosed each year. As people with diabetes manage this chronic condition, they often pay substantial amounts out of their own pockets on medical care and prescription medications. Using HCCI’s unique health care claims dataset, this brief…

    Read more: Privately Insured Individuals with Diabetes Spend Twice as Much Out-of-Pocket on Health Care as those without Diabetes
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  • Insulin Use Explains Variation in Level, but not Growth, of Out-of-Pocket Spending on Insulin Products

    Tags: Consumer-Directed Health Plans, Diabetes, Drug Spending, Insulin, Out-of-Pocket
    Insulin Use Explains Variation in Level, but not Growth, of Out-of-Pocket Spending on Insulin Products
    Jean Fuglesten Biniek and William Johnson
    September 12, 2019

    We previously published two blogs discussing trends in out-of-pocket spending on insulin products. First, we presented data illustrating how average monthly out-of-pocket spending in 2017 varied considerably by month, particularly for individuals enrolled in consumer-directed health plans (CDHPs) that carry higher deductibles. Second, we examined the relationship between increasing point-of-sale prices between 2012 and 2017…

    Read more: Insulin Use Explains Variation in Level, but not Growth, of Out-of-Pocket Spending on Insulin Products
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  • Rising Point-of-Sale Prices for Insulin Correspond with Higher Out-of-Pocket Spending on Insulin in January

    Tags: Consumer-Directed Health Plans, Diabetes, Drug Spending, Insulin, Out-of-Pocket
    Rising Point-of-Sale Prices for Insulin Correspond with Higher Out-of-Pocket Spending on Insulin in January
    Jean Fuglesten Biniek and William Johnson
    September 12, 2019

    Earlier this week we presented data on out-of-pocket spending on insulin during each month in 2017. In that blog, we showed that enrollees in employer-sponsored health insurance paid more out-of-pocket for insulin products at the beginning of the calendar year. We examined the relationship between increasing point-of-sale prices for insulin and higher out-of-pocket spending in…

    Read more: Rising Point-of-Sale Prices for Insulin Correspond with Higher Out-of-Pocket Spending on Insulin in January
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  • Out-of-Pocket Spending on Insulin is Highest at the Beginning of the Year

    Tags: Commercially Insured, Consumer-Directed Health Plans, Diabetes, Drug Spending, Geographic Variation, Insulin
    Out-of-Pocket Spending on Insulin is Highest at the Beginning of the Year
    Jean Fuglesten Biniek and William Johnson
    September 10, 2019

    People who get health insurance through their jobs pay more than twice as much for insulin at the beginning of the year than they do at the end of the year, on average. New analysis of HCCI data shows that, nationally, in January 2017, average out-of-pocket spending on insulin was $105. This spending declined every…

    Read more: Out-of-Pocket Spending on Insulin is Highest at the Beginning of the Year
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  • Spending on Individuals with Type 1 Diabetes and the Role of Rapidly Increasing Insulin Prices

    Tags: Chronic Conditions, Diabetes, Drug Spending, Insulin, Prices
    Spending on Individuals with Type 1 Diabetes and the Role of Rapidly Increasing Insulin Prices
    Jean Fuglesten Biniek, William Johnson
    January 22, 2019

    We used health care claims data to investigate trends in total health care spending on individuals with type 1 diabetes between 2012 and 2016. We found a rapid increase in total health care spending, driven primarily by gross spending on insulin that doubled over the period. During that time insulin use rose only modestly. While…

    Read more: Spending on Individuals with Type 1 Diabetes and the Role of Rapidly Increasing Insulin Prices
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  • Price of insulin prescription doubled between 2012 and 2016

    Tags: Diabetes, Drug Spending, Geographic Variation, Insulin, Prices
    Price of insulin prescription doubled between 2012 and 2016
    John Hargraves and Amanda Frost
    November 29, 2017

    In honor of National Diabetes Month, our inaugural blog post focuses on a topic of particular interest to people with diabetes: the price of insulin. Insulin is the hormone responsible for the body’s ability to use sugar and prevent dangerously high and potentially deadly levels of blood sugar. Diabetics are unable to make enough insulin…

    Read more: Price of insulin prescription doubled between 2012 and 2016
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  • 2014 Diabetes Health Care Cost and Utilization Report

    Tags: Children, Commercially Insured, Diabetes, Insulin
    2014 Diabetes Health Care Cost and Utilization Report
    HCCI
    June 20, 2016

    The 2014 Diabetes Health Care Cost and Utilization Report examines how much is spent on health care for adults and children with diabetes, where those dollars are spent, and how that compares to people without diabetes. It is based on the health care claims of more than 40 million Americans younger than 65 covered by…

    Read more: 2014 Diabetes Health Care Cost and Utilization Report
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  • The Price-Quality Paradox in Health Care

    Tags: Chronic Conditions, Diabetes, Geographic Variation, Hypertension, Prices
    The Price-Quality Paradox in Health Care
    Eric Barrette, Kevin Kennedy
    April 1, 2016

    This data brief compares average state-level prices against quality measures for asthma, diabetes and hypertension care and finds that higher prices for medical services are not always indicative of higher quality of care. 

    Read more: The Price-Quality Paradox in Health Care
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