Table 24:
Scenario 3 Results
| Intervention | Average Total Costs, $ | Average Total Effects, QALYs | Incremental Cost, $ | Incremental Effect, QALYs | ICER $/QALY |
|---|---|---|---|---|---|
| Insulin and Insulin Pump Covered | |||||
| Standalone CGM plus multiple daily injections vs. SMBG plus multiple daily injections | |||||
| SMBG + MDI | 125,586 | 18.812 | |||
| CGM + MDI | 229,413 | 18.906 | 103,827 | 0.094 | 1,108,812 |
| Sensor-augmented pump vs. SMBG plus multiple daily injections | |||||
| SMBG + MDI | 125,586 | 18.812 | |||
| SAP | 186,966 | 18.944 | 61,380 | 0.132 | 466,133 |
| Standalone CGM plus insulin pump vs. SMBG plus insulin pump | |||||
| SMBG + insulin pump | 103,443 | 18.812 | |||
| CGM + insulin pump | 186,771 | 18.916 | 83,328 | 0.104 | 804,781 |
| Sensor-augmented pump vs. SMBG plus insulin pump | |||||
| SMBG + insulin pump | 103,443 | 18.812 | |||
| SAP | 187,002 | 18.949 | 83,559 | 0.137 | 610,523 |
| Insulin Not Covered, Insulin Pump Covered | |||||
| Standalone CGM plus multiple daily injections vs. SMBG plus multiple daily injections | |||||
| SMBG + MDI | 103,372 | 18.812 | |||
| CGM + MDI | 207,067 | 18.906 | 103,695 | 0.094 | 1,107,402 |
| Sensor-augmented pump vs. SMBG plus multiple daily injections | |||||
| SMBG + MDI | 103,372 | 18.812 | |||
| SAP | 174,759 | 18.944 | 71,388 | 0.132 | 542,135 |
| Standalone CGM plus insulin pump vs. SMBG plus insulin pump | |||||
| SMBG + insulin pump | 91,344 | 18.812 | |||
| CGM + insulin pump | 174,593 | 18.916 | 83,248 | 0.104 | 804,007 |
| Sensor-augmented pump vs. SMBG plus insulin pump | |||||
| SMBG + insulin pump | 91,344 | 18.812 | |||
| SAP | 174,790 | 18.949 | 83,446 | 0.137 | 609,694 |
| Insulin Pump and 75% of Sensors Covered | |||||
| Standalone CGM plus multiple daily injections vs. SMBG plus multiple daily injections | |||||
| SMBG + MDI | 125,586 | 18.812 | |||
| CGM + MDI | 211,099 | 18.906 | 85,513 | 0.094 | 913,229 |
| Sensor-augmented pump vs. SMBG plus multiple daily injections | |||||
| SMBG + MDI | 125,586 | 18.812 | |||
| SAP | 168,595 | 18.944 | 43,008 | 0.132 | 326,617 |
| Standalone CGM plus insulin pump vs. SMBG plus insulin pump | |||||
| SMBG + insulin pump | 103,443 | 18.812 | |||
| CGM + insulin pump | 168,442 | 18.916 | 65,000 | 0.104 | 627,762 |
| Sensor-augmented pump vs. SMBG plus insulin pump | |||||
| SMBG + insulin pump | 103,443 | 18.812 | |||
| SAP | 168,623 | 18.949 | 65,180 | 0.137 | 476,237 |
| Insulin, Insulin Pump, and 75% of Sensors Covered | |||||
| Standalone CGM plus multiple daily injections vs. SMBG plus multiple daily injections | |||||
| SMBG + MDI | 103,372 | 18.812 | |||
| CGM + MDI | 188,753 | 18.906 | 85,381 | 0.094 | 911,819 |
| Sensor-augmented pump vs. SMBG plus multiple daily injections | |||||
| SMBG + MDI | 103,372 | 18.812 | |||
| SAP | 156,388 | 18.944 | 53,016 | 0.132 | 402,619 |
| Standalone CGM plus insulin pump vs. SMBG plus insulin pump | |||||
| SMBG + insulin pump | 91,344 | 18.812 | |||
| CGM + insulin pump | 156,264 | 18.916 | 64,919 | 0.104 | 626,988 |
| Sensor-augmented pump vs. SMBG plus insulin pump | |||||
| SMBG + insulin pump | 91,344 | 18.812 | |||
| SAP | 156,411 | 18.949 | 65,067 | 0.137 | 475,407 |
Abbreviations: CGM, continuous glucose monitoring; MDI, multiple daily injections; QALY, quality-adjusted life year; SAP, sensor augmented pump; SMBG, self-monitoring of blood glucose.