TABLE 3.
Incidence Rate Ratios Comparing the Differential Impact of COVID on All-cause Utilization by Patient Characteristics
| Cardiovascular Disease | Kidney Disease | Diabetes | |||||||
|---|---|---|---|---|---|---|---|---|---|
| Inpatient Admission | ED Visit | Outpatient E&M | Inpatient Admission | ED Visit | Outpatient E&M | Inpatient Admission | ED Visit | Outpatient E&M | |
| Spring | |||||||||
| Insurance type | |||||||||
| Medicare | 1.00 | 1.12*** | 1.04*** | 0.98 | 1.06** | 1.02*** | 1.05** | 1.18*** | 1.06*** |
| Age | |||||||||
| Age 0–17 | 0.86 | 0.48*** | 0.84*** | 0.91 | 0.66** | 0.79*** | 1.04 | 0.74** | 0.88*** |
| Age 18–44 | 1.03 | 0.96 | 1.03** | 1.14*** | 1.05 | 1.05*** | 1.14*** | 1.01 | 1.06*** |
| Age 65+ | 0.86*** | 0.79*** | 0.86*** | 0.89*** | 0.85*** | 0.87*** | 0.83*** | 0.78*** | 0.85*** |
| Sex | |||||||||
| Female | 0.93*** | 0.93*** | 0.99** | 0.94*** | 0.95*** | 0.98*** | 0.91*** | 0.91*** | 0.98*** |
| Region | |||||||||
| New England | 0.98 | 0.98 | 0.96*** | 1.01 | 0.98 | 0.97*** | 0.93** | 0.99 | 0.94*** |
| Middle Atlantic | 0.82*** | 0.88*** | 0.97*** | 0.85*** | 0.87*** | 0.94*** | 0.78*** | 0.91*** | 0.94*** |
| East North Central | 1.05** | 1.13*** | 0.99 | 1.08** | 1.13*** | 0.98*** | 0.99 | 1.13*** | 0.97*** |
| West North Central | 1.06* | 1.17*** | 1.03*** | 1.13** | 1.17*** | 1.02* | 1.08* | 1.15*** | 1.04*** |
| East South Central | 1.07** | 1.07** | 1.03*** | 1.09** | 1.10** | 1.01 | 1.05* | 1.11*** | 1.01 |
| West South Central | 0.98 | 1.10* | 1.08*** | 1.07 | 1.05 | 1.09*** | 1.02 | 1.11*** | 1.07*** |
| Mountain | 1.00 | 1.04 | 1.03*** | 0.97 | 1.07* | 1.04*** | 0.96 | 1.07* | 1.03*** |
| Pacific | 1.04* | 1.06** | 1.05*** | 1.05* | 1.07** | 1.05*** | 1.02 | 1.09*** | 1.03*** |
| Summer | |||||||||
| Insurance type | |||||||||
| Medicare | 1.04** | 1.16*** | 1.05*** | 1.00 | 1.09*** | 1.04*** | 1.08*** | 1.21*** | 1.07*** |
| Age | |||||||||
| Age 0–17 | 0.92 | 0.64** | 0.91* | 0.99 | 0.90 | 0.92** | 1.06 | 0.72*** | 0.91*** |
| Age 18–44 | 0.91** | 0.94* | 1.02 | 1.04 | 1.00 | 1.04*** | 1.04 | 0.98 | 1.03*** |
| Age 65+ | 0.87*** | 0.82*** | 0.92*** | 0.95** | 0.88*** | 0.93*** | 0.87*** | 0.81*** | 0.91*** |
| Sex | |||||||||
| Female | 0.96** | 0.95*** | 1.00 | 0.97* | 0.98 | 1.00 | 0.96*** | 0.93*** | 1.00 |
| Region | |||||||||
| New England | 1.04 | 1.05* | 0.99 | 1.05 | 1.04 | 1.00 | 1.06* | 1.02 | 0.97*** |
| Middle Atlantic | 1.06** | 0.99 | 1.05*** | 1.07* | 0.98 | 1.03*** | 1.03 | 0.97 | 1.03*** |
| East North Central | 1.05** | 1.11*** | 1.03*** | 1.05* | 1.10*** | 1.03*** | 1.01 | 1.09*** | 1.02*** |
| West North Central | 1.13*** | 1.16*** | 1.04*** | 1.10** | 1.10** | 1.05*** | 1.08** | 1.19*** | 1.04*** |
| East South Central | 1.03 | 1.07** | 1.05*** | 1.03 | 1.06* | 1.05*** | 1.03 | 1.05** | 1.04*** |
| West South Central | 0.91* | 1.01 | 1.02* | 0.89* | 1.02 | 1.05*** | 0.91* | 1.01 | 1.02** |
| Mountain | 0.94* | 1.01 | 1.00 | 0.95 | 1.05 | 1.00 | 0.95 | 1.01 | 0.99 |
| Pacific | 0.99 | 0.99 | 1.01 | 0.99 | 0.98 | 1.01 | 0.96* | 0.98 | 0.99 |
Insurance type: commercial as a reference group. Age: 45–64 as a reference group. Sex: male as a reference group. Region: South Atlantic as a reference group.
ED indicates emergency department; E&M, evaluation and management.
P<0.05.
P<0.01.
P<0.001.
Source: Authors’ analysis of claims and enrollment data.