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)
Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016 61.6 50.5 59.7 63.9 60.6
2015 60.2 49.7 59.0 61.9 55.2
2014 64.6 58.7 61.9 65.0 60.1
2013 65.0 58.5 60.4 65.6 62.2
2012 66.5 58.3 58.9 63.3 61.2
2011 65.8 59.4 60.9 63.1 60.3
2010 65.7 51.1 60.4 62.3 55.6
2009 65.1 46.3 59.8 60.5 49.0
2008 65.6 0.3 56.9 59.5 0.3
2007 63.9 0.1 55.6 58.9 0.3
EYE EXAMS
Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016 53.6 47.5 54.9 70.4 69.6
2015 53.7 47.1 52.7 68.8 68.4
2014 56.2 48.7 54.4 68.5 68.4
2013 55.7 46.9 53.6 68.5 66.0
2012 56.8 48.8 53.2 66.8 64.6
2011 56.9 48.4 53.3 66.0 63.8
2010 57.7 45.5 53.1 64.6 62.3
2009 56.5 42.6 52.7 63.5 59.4
2008 56.5 35.8 52.8 60.8 52.2
2007 55.0 34.0 49.8 62.7 50.4
2006 54.6 36.1 51.4 62.3 53.8
2005 54.8 42.7 48.6 66.5 53.8
2004 50.9 - 44.9 67.2 -
2003 48.8 - 45.0 64.9 -
2002 51.7 - 46.8 68.4 -
2001 52.1 - 46.4 66.0 -
2000 48.1 - - - -
1999 45.3 - - - -
HBA1C SCREENING
Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016 90.6 89.3 86.7 93.5 93.6
2015 90.1 88.8 86.0 93.2 92.7
2014 90.5 88.3 86.3 92.8 92.4
2013 89.9 87.3 83.8 92.3 91.7
2012 90.1 87.2 83.0 91.4 91.0
2011 90.0 87.0 82.5 91.0 91.1
2010 89.9 85.2 82.0 90.4 90.6
2009 89.2 83.3 80.6 89.6 89.3
2008 89.0 79.5 80.5 88.3 85.7
2007 88.1 75.6 77.3 88.1 81.9
2006 87.5 72.1 78.0 87.2 83.3
2005 87.5 82.8 76.1 88.9 80.0
2004 86.5 - 75.9 89.1 -
2003 84.6 - 74.8 87.9 -
2002 82.6 - 73.0 85.0 -
2001 81.4 - 71.6 85.7 -
2000 78.4 - - - -
1999 75.0 - - - -
HBA1C <7% FOR A SELECTED POPULATION
Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016 37.7 34.5 34.6 - -
2015 36.7 32.6 32.4 - -
2014 39.0 34.9 34.1 - -
2013 39.8 32.1 34.4 - -
2012 43.2 36.0 34.0 - -
2011 42.2 36.4 35.4 - -
2010 42.5 28.2 34.7 - -
2009 42.1 30.3 33.9 - -
2008 43.3 13.5 32.9 - -
2007 43.1 10.0 31.4 - -
HBA1C CONTROL (<8.0%)
Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016 56.0 46.6 47.1 62.9 66.3
2015 55.3 46.6 45.5 62.7 63.8
2014 57.5 52.6 46.5 64.8 65.2
2013 58.9 52.8 45.5 65.5 64.1
2012 61.3 54.5 46.5 64.3 62.8
2011 61.2 55.2 48.1 65.2 63.2
2010 62.3 50.2 46.9 65.6 57.3
2009 61.6 48.0 45.7 63.7 51.8
POOR HBA1C CONTROL (>9.0%)*
Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016 33.0 42.5 43.3 26.3 23.3
2015 33.8 44.3 45.4 27.4 26.5
2014 31.1 37.3 43.6 24.9 24.9
2013 30.5 37.7 45.6 25.3 26.6
2012 28.5 35.2 44.7 27.1 29.3
2011 28.3 33.5 43.0 26.5 28.8
2010 27.3 46.6 44.0 25.9 35.2
2009 28.2 44.6 44.9 28.0 41.3
2008 28.4 74.4 44.8 29.4 67.0
2007 29.4 84.1 48.0 29.0 74.7
2006 29.6 75.9 48.7 27.3 71.8
2005 29.7 55.4 49.2 23.6 27.3
2004 30.7 - 48.6 22.3 -
2003 32.0 - 48.6 23.4 -
2002 33.9 - 48.9 48.9 -
2001 36.9 - 48.3 26.8 -
2000 42.5 - - - -
1999 44.9
*Lower rates signify better performance.
MONITORING NEPHROPATHY
Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016 90.2 88.1 89.9 95.6 95.3
2015 90.4 87.4 90.0 95.5 94.7
2014 85.4 80.4 80.9 92.0 90.0
2013 84.5 78.9 79.0 91.1 89.4
2012 84.3 78.6 78.4 90.0 88.3
2011 83.8 77.9 77.8 89.9 88.1
2010 83.6 74.3 77.7 89.2 87.3
2009 82.9 69.9 76.9 88.6 85.2
2008 82.4 65.9 76.6 87.9 82.1
2007 80.6 64.2 74.3 85.7 81.7
2006 79.7 60.7 74.6 85.4 83.0
2005 55.1 44.4 48.9 60.3 51.5
2004 52.0 - 46.7 58.6 -
2003 48.2 - 43.7 53.6 -
2002 51.8 - 48.2 57.3 -
2001 46.3 - 42.3 51.9 -
2000 41.3 - - - -
1999 36.0 - - - -

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/diabetes/pdfs/data/2014-report-estimates-of-diabetes-and-its-burden-in-the-united-states.pdf

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