Appendix Table 5B.
Annual per person costs of healthcare provider visits, tests, procedures, medications, and equipment/supplies by modern treatment scenario
| Category | Unit cost source | Basic therapy | Intensive therapy | ||
|---|---|---|---|---|---|
| Modern Basic (L,L,L,G) | Modern MDI (L,L,L,G) | Modern Pump (L) | Modern Pump plus CGM (L) | ||
| Healthcare providers | CMS1 | $689 | $754 | $788 | $822 |
| Tests | $157 | $157 | $157 | $157 | |
| Procedures | $20 | $20 | $20 | $20 | |
| Medications | “least expensive”2,3 | $6,123 | $6,889 | $5,466 | $5,466 |
| “average cost”2 | $6,123 | $6,889 | $5,466 | $5,466 | |
| Equipment/supplies | “least expensive”2,3 | $405 | $971 | $6,381 | $15,729 |
| “average cost”2 | $1,143 | $2,972 | $6,504 | $15,853 | |
| Total | “least expensive”1–3 | $7,395 | $8,791 | $12,811 | $22,195 |
| “average cost”1–3 | $8,133 | $10,792 | $12,935 | $22,318 | |
Abbreviations: MDI, multiple daily injections; Pump, insulin pump therapy; CGM, continuous glucose monitoring; L, lispro; G, glargine; CMS, Centers for Medicare and Medicaid Services.
The unit costs were based on the Medicare reimbursement fee schedules. Available at: http://www.cms.gov/Medicare/Medicare.html
The unit costs (except the pump battery) were based on the RED BOOK Online-Micromedex Solutions; Micromedex 2.0, (electronic version). Truven Health Analytics, Greenwood Village, Colorado, USA. Available at: http://www.micromedexsolutions.com.proxy.lib.umich.edu. The unit costs of the pump battery were based on the sale price at http://www.walmart.com
The unit costs were based on the ReliOn products if they were available, including: human regular insulin, human NPH insulin, glucose meters not communicating with insulin pumps (non-pump meters), glucose test strips for non-pump meters, lancets, insulin syringes, insulin pen needles, alcohol prep pads, and glucose tablets. Available at: http://www.relion.com/products/