Diabetes is a costly chronic condition in the United States, medical costs and productivity loss attributable to diabetes were estimated to be $245 billion in 2012.1 In this issue brief, for individuals covered by employer-sponsored insurance (ESI) and younger than age 65, per capita spending for people with a diagnosis of diabetes was compared to those without a diagnosis for the years 2009 through 2013. During that period, spending for individuals with diabetes increased by roughly $1,000 to about $15,000 per capita. The average per capita spending difference between people with and without diabetes was $10,310 (Figure 1). Additionally, during this period, people with diabetes spent on average 2.5 times more out of pocket than people without diabetes. Among individuals with diabetes, children (ages 0 through 18) and pre-Medicare adults (ages 55 through 64) were the two groups with the highest per capita health care spending in every year of the study period.
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