Evaluation of High-Deductible Health Plans and Acute Glycemic Complications Among Adults With Diabetes.

ABSTRACT:

Importance

Optimal diabetes care requires regular monitoring and care to maintain glycemic control. How high-deductible health plans (HDHPs), which reduce overall spending but may impede care by increasing out-of-pocket expenses, are associated with risks of severe hypoglycemia and hyperglycemia is unknown.

Objective

To examine the association between an employer-forced switch to HDHP and severe hypoglycemia and hyperglycemia.

Design, setting, and participants

This retrospective cohort study used deidentified administrative claims data for privately insured adults with diabetes from a single insurance carrier with multiple plans across the US between January 1, 2010, and December 31, 2018. Analyses were conducted between May 15, 2020, and November 3, 2022.

Exposure

SUBMITTER: Jiang DH 

PROVIDER: S-EPMC9860518 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature