Medicaid Insured Persons with Diabetes Have Increased Proportion of Missed Appointments and High HbA1c

• DOI: 10.2139/ssrn.4138191
• Publication Date: 2022-06-24T08:53:48Z
• Authors: Ramya Radhakrishnan; William Cade; Ernesto Bernal-Mi...; Rajesh Garg
• Keywords: Insurance; 03 medical and health sciences; Diabetes mellitus; 0302 clinical medicine; Medicaid; Clinic visits; Clinical Research Study

Objective: This study was conducted to evaluate whether the type of insurance coverage is associated with missed appointments and effect on diabetes control.Methods: All patients mellitus (DM) managed at a major academic medical center between Jan 2015 Dec 2020 were included in analysis. Association proportion evaluated adjustments for demographic variables social determinants health. The relationship glycemic control also evaluated.Results: dataset 30,633 patients, out which 14,064 (46%) reported commercial insurance, 13,376 (44%) Medicare 3,193 (10%) Medicaid coverage. Proportion 18.1 ± 18.1% covered as against 12.1 15.3% among commercially insured 10.2 14.1% (p <0.001). Type found be significant predictor after adjusting age, race, language, marital status, smoking, BMI, HbA1c (p<0.001) series regression partial correlation coefficient +0.104 <0.005) gender, coverage, BMI diabetes.Conclusions: have higher clinic HbA1c. More research needed root causes inability keep this population so that strategies improved healthcare delivery can designed.