Implementation of a Health Plan Program for Switching From Analogue to Human Insulin and Glycemic Control Among Medicare Beneficiaries With Type 2 Diabetes

Question Is a health plan program that encourages patients to switch from analogue to human insulin associated with a change in glycemic control among older adults with type 2 diabetes?

Findings In this retrospective cohort study of 14 635 older adults with type 2 diabetes participating in a Medicare Advantage plan, implementation of a health plan intervention that involved switching patients from analogue to human insulin was associated with a population HbA1c level increase of 0.14%.

Meaning Among patients with type 2 diabetes, a health plan intervention that involved switching from analogue to human insulin was significantly associated with a small increase in population-level HbA1c.

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