Table 5.
Annual Total and Out of Pocket Spending for Diabetics taking One, Two, or Three Medicationsa
| One Medication | Two Medications | Three Medications | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| TM | MA | Diff | TM | MA | Diff | TM | MA | Diff | ||
| % Total Cost > $1000 | All | 20.4% | 16.4% | 4.0% | 46.6% | 38.4% | 8.2% | 83.4% | 80.5% | 2.9% |
| Region | + | + | + | |||||||
| Northeast | 22.4% | 19.6% | 2.8% | 51.2% | 45.9% | 5.3% | 86.8% | 84.8% | 1.9% | |
| Midwest | 20.7% | 18.2% | 2.5% | 41.6% | 37.6% | 4.0% | 81.5% | 77.9% | 3.6% | |
| South | 19.7% | 15.3% | 4.4% | 45.2% | 36.8% | 8.3% | 82.1% | 80.6% | 1.5% | |
| West | 19.6% | 14.0% | 5.6% | 48.1% | 34.3% | 13.8% | 83.0% | 76.7% | 6.3% | |
| Plan Type | + | |||||||||
| Established | 20.5% | 15.4% | 5.1% | 47.1% | 36.7% | 10.4% | 84.0% | 79.7% | 4.3% | |
| New | 20.3% | 17.4% | 2.9% | 46.0% | 40.2% | 5.9% | 82.8% | 81.2% | 1.6% | |
| Plan Size | + | + | + | |||||||
| Small | 20.9% | 17.7% | 3.2% | 46.7% | 40.2% | 6.5% | 83.0% | 81.6% | 1.4% | |
| Large | 20.1% | 15.7% | 4.4% | 46.5% | 37.5% | 9.0% | 83.6% | 79.9% | 3.7% | |
| Mean Total Cost | All | $774 | $626 | $149 | $1,704 | $1,406 | $298 | $3,304 | $3,021 | $283 |
| Region | + | + | + | |||||||
| Northeast | $826 | $733 | $93 | $1,860 | $1,697 | $163 | $3,513 | $3,317 | $197 | |
| Midwest | $807 | $706 | $101 | $1,526 | $1,364 | $162 | $3,064 | $2,760 | $305 | |
| South | $751 | $591 | $160 | $1,640 | $1,354 | $286 | $3,247 | $3,050 | $196 | |
| West | $743 | $529 | $214 | $1,790 | $1,242 | $547 | $3,319 | $2,798 | $521 | |
| Plan Type | + | |||||||||
| Established | $759 | $578 | $182 | $1,705 | $1,330 | $376 | $3,315 | $2,943 | $372 | |
| New | $790 | $676 | $114 | $1,702 | $1,484 | $218 | $3,292 | $3,098 | $194 | |
| Plan Size | + | + | + | |||||||
| Small | $796 | $697 | $98 | $1,701 | $1,499 | $201 | $3,296 | $3,202 | $95 | |
| Large | $764 | $590 | $174 | $1,705 | $1,359 | $346 | $3,308 | $2,926 | $381 | |
| Mean Out-of-pocket Cost | All | $251 | $201 | $50 | $558 | $454 | $104 | $1,103 | $999 | $104 |
| Region | + | + | + | |||||||
| Northeast | $258 | $241 | $17 | $603 | $577 | $26 | $1,159 | $1,180 | −$20 | |
| Midwest | $251 | $234 | $17 | $475 | $437 | $38 | $964 | $890 | $74 | |
| South | $248 | $181 | $67 | $545 | $417 | $129 | $1,100 | $946 | $154 | |
| West | $251 | $177 | $74 | $594 | $409 | $185 | $1,137 | $951 | $186 | |
| Plan Type | + | |||||||||
| Established | $246 | $181 | $65 | $557 | $422 | $135 | $1,106 | $965 | $141 | |
| New | $256 | $223 | $34 | $559 | $487 | $72 | $1,100 | $1,032 | $67 | |
| Plan Size | + | + | + | |||||||
| Small | $257 | $240 | $16 | $556 | $518 | $38 | $1,106 | $1,135 | −$29 | |
| Large | $249 | $182 | $67 | $558 | $421 | $137 | $1,101 | $928 | $174 | |
a.
TM estimates are weighted to match MA distributions by age category, sex, CMS/SSA race categories, and geography. All overall MA-TM differences are statistically significant at the p<.0001 level. Significant differences by region, plan age, and plan size are noted by (+), signifying p≤.0001, with the exception of plan type for those on two medications, p=.004).