Comprehensive Diabetes Care (CDC)

Assesses adults 18–75 years of age with diabetes (type 1 and type 2) who had each of the following:

  • Hemoglobin A1c (HbA1c) testing.
  • HbA1c poor control (>9.0%).
  • HbA1c control (<8.0%).
  • HbA1c control (<7.0%) for a selected population. *
  • Eye exam (retinal) performed.
  • Medical attention for nephropathy.
  • BP control (<140/90 mm Hg).

*Additional exclusion criteria are required for this indicator, which will result in a different eligible population from all other indicators. This indicator is only reported for the commercial and Medicaid product lines.

Why It Matters

Diabetes is a complex group of diseases marked by high blood glucose (blood sugar) due to the body’s inability to make or use insulin. Left unmanaged, diabetes can lead to serious complications, including heart disease, stroke, hypertension, blindness, kidney disease, diseases of the nervous system, amputations and premature death.1

Proper diabetes management is essential to control blood glucose, reduce risks for complications and prolong life. With support from health care providers, patients can manage their diabetes with self-care, taking medications as instructed, eating a healthy diet, being physically active and quitting smoking.1

Results

Blood Pressure Control (<140/90 mm Hg)

YearCommerical HMOCommercial PPOMedicaid HMOMedicare HMOMedicare PPO
201864.253.662.169.567.3
201762.250.362.767.463.6
201661.650.559.763.960.6
201560.249.759.061.955.2
201464.658.761.965.060.1
201365.058.560.465.662.2
201266.558.358.963.361.2
201165.859.460.963.160.3
201065.751.160.462.355.6
200965.146.359.860.549.0
200865.60.356.959.50.3
200763.90.155.658.90.3

Eye Exams

YearCommerical HMOCommercial PPOMedicaid HMOMedicare HMOMedicare PPO
201855.949.657.474.272.7
201755.049.057.271.971.1
201653.647.554.970.469.6
201553.747.152.768.868.4
201456.248.754.468.568.4
201355.746.953.668.566.0
201256.848.853.266.864.6
201156.948.453.366.063.8
201057.745.553.164.662.3
200956.542.652.763.559.4
200856.535.852.860.852.2
200755.034.049.862.750.4
200654.636.151.462.353.8
200554.842.748.666.553.8
200450.9-44.967.2-
200348.8-45.064.9-
200251.7-46.868.4-
200152.1-46.466.0-
200048.1----
199945.3----

HbA1c Screening

YearCommerical HMOCommercial PPOMedicaid HMOMedicare HMOMedicare PPO
201891.390.287.894.493.9
201791.289.887.693.793.5
201690.689.386.793.593.6
201590.188.886.093.292.7
201490.588.386.392.892.4
201389.987.383.892.391.7
201290.187.283.091.491.0
201190.087.082.591.091.1
201089.985.282.090.490.6
200989.283.380.689.689.3
200889.079.580.588.385.7
200788.175.677.388.181.9
200687.572.178.087.283.3
200587.582.876.188.980.0
200486.5-75.989.1-
200384.6-74.887.9-
200282.6-73.085.0-
200181.4-71.685.7-
200078.4----
199975.0----

HbA1c Control (<8.0%)

YearCommerical HMOCommercial PPOMedicaid HMOMedicare HMOMedicare PPO
201858.251.148.766.168.4
201757.647.949.464.467.2
201656.046.647.162.966.3
201555.346.645.562.763.8
201457.552.646.564.865.2
201358.952.845.565.564.1
201261.354.546.564.362.8
201161.255.248.165.263.2
201062.350.246.965.657.3
200961.648.045.763.751.8

Poor HbA1c Control (>9.0%)

*Lower rates signify better performance
YearCommerical HMOCommercial PPOMedicaid HMOMedicare HMOMedicare PPO
201830.337.841.222.519.9
201731.741.240.525.422.3
201633.042.543.326.323.3
201533.844.345.427.426.5
201431.137.343.624.924.9
201330.537.745.625.326.6
201228.535.244.727.129.3
201128.333.543.026.528.8
201027.346.644.025.935.2
200928.244.644.928.041.3
200828.474.444.829.467.0
200729.484.148.029.074.7
200629.675.948.727.371.8
200529.755.449.223.627.3
200430.7-48.622.3-
200332.0-48.623.4-
200233.9-48.948.9-
200136.9-48.326.8-
200042.5----
199944.9----

Monitoring Nephropathy

YearCommerical HMOCommercial PPOMedicaid HMOMedicare HMOMedicare PPO
201890.388.689.995.594.9
201790.488.290.195.795.1
201690.288.189.995.695.3
201590.487.490.095.594.7
201485.480.480.992.090.0
201384.578.979.091.189.4
201284.378.678,490.088.3
201183.877.977.889.988.1
201083.674.377.789.287.3
200982.969.976.988.685.2
200882.465.976.687.982.1
200780.664.274.385.781.7
200679.760.774.685.483.0
200555.144.448.960.351.5
200452.0-46.758.6-
200348.2-43.753.6-
200251.8-48.257.3-
200146.3-42.351.9-
200041.3----
199936.0----

References

  1. Centers for Disease Control and Prevention (CDC). 2014. “National diabetes statistics report: estimates of diabetes and its burden in the United States, 2014.” Atlanta, GA: U.S. Department of Health and Human Services. https://www.cdc.gov/diabetehttps://www.cdc.gov/diabetes/data/statistics/statistics-report.htmls/pdfs/data/2014-report-estimates-of-diabetes-and-its-burden-in-the-united-states.pdf

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