Table 1.
Medicare Beneficiaries With Diabetes Mellitus
|
P | |||
---|---|---|---|---|
Total (N = 6,521,462) | Non-ACO (N = 6,180,269) | ACO (N = 341,193) | ||
ACO assignment in 2012 | ||||
Proportion assigned to Shared Savings Program ACOs (%) | 5.2 | |||
Sociodemographic factors | ||||
Age [mean (SD)] | 76.4 (7.2) | 76.4 (7.2) | 75.9 (7.0) | <0.0001 |
Sex, male (%) | 45.3 | 45.0 | 50.7 | <0.0001 |
Race (%) | <0.0001 | |||
White | 81.5 | 81.4 | 83.6 | |
Black | 11.0 | 11.1 | 10.3 | |
Asian | 2.4 | 2.4 | 2.3 | |
Hispanic | 2.4 | 2.4 | 1.7 | |
North American native | 0.6 | 0.6 | 0.1 | |
Other | 1.8 | 1.8 | 1.9 | |
Unknown | 0.2 | 0.2 | 0.1 | |
Dual eligible (%) | 19.5 | 19.8 | 14.0 | <0.0001 |
Clinical factors (%) | ||||
High-risk cardiovascular factors | 16.9 | 16.9 | 16.6 | <0.0001 |
Low-risk cardiovascular factors | 57.0 | 57.0 | 57.3 | <0.0001 |
Arrhythmia | 29.1 | 29.1 | 29.1 | 0.7234 |
Structural heart disease | 18.4 | 18.4 | 19.0 | <0.0001 |
Advanced cancer | 5.6 | 5.6 | 5.9 | <0.0001 |
Dementia | 14.2 | 14.4 | 12.2 | <0.0001 |
Heart failure | 23.0 | 23.1 | 21.8 | <0.0001 |
Dialysis | 1.5 | 1.5 | 1.4 | <0.0001 |
Disability/frailty | 13.5 | 13.6 | 12.4 | <0.0001 |
Gastrointestinal/genitourinary disease | 23.3 | 23.3 | 23.7 | <0.0001 |
Hematological disorders | 8.5 | 8.5 | 8.6 | 0.0031 |
Infectious/immune disorders | 3.4 | 3.4 | 3.4 | 0.0929 |
Kidney disease | 22.6 | 22.6 | 22.6 | 0.6568 |
Liver disease | 1.7 | 1.7 | 1.7 | 0.0201 |
Neurological disorders | 26.1 | 26.1 | 25.5 | <0.0001 |
Psychiatric disease/substance abuse | 26.7 | 26.8 | 25.2 | <0.0001 |
Pulmonary disease | 37.1 | 37.2 | 36.2 | <0.0001 |
Other advanced organ failure | 7.6 | 47.7 | 6.9 | <0.0001 |
Iron deficiency anemia | 36.8 | 36.8 | 36.7 | 0.4733 |
Major organ transplant | 0.2 | 0.2 | 0.3 | 0.0002 |
Other organ transplant | 0.6 | 0.6 | 0.6 | 0.4587 |
Hip fracture/major fracture | 3.4 | 3.4 | 3.1 | <0.0001 |
No. diabetes complications [mean (SD)] | 1.41 | 1.67 (1.41) | 1.70 (1.41) | <0.0001 |
ACO indicates Accountable Care Organizations.