Kidney Health Evaluation for Patients With Diabetes assesses whether adults 18–85 years of age with diabetes (type 1 and type 2) received an annual kidney health evaluation, including a blood test for kidney function (estimated glomerular filtration rate [eGFR]) and a urine test for kidney damage (urine albumin-creatinine ratio [uACR]).
Why it Matters
Diabetes is the leading cause of chronic kidney disease (CKD)—approximately 1 in 3 adults with diabetes has CKD.1,2 CKD happens when an individual’s kidneys are damaged and unable to filter blood as well as usual.3 As many as 90% of people with CKD do not know they have it, because it often has no symptoms.3 CKD gets worse over time and can lead to heart disease, stroke and kidney failure.3 For these reasons, annual monitoring of kidney health is crucial for people with diabetes. Primary detection (kidney health evaluation) and management of kidney disease can prevent these complications and can stop or slow further kidney damage.3
Results – National Averages
Kidney Health Evaluation for Patients With Diabetes - Total
| Year | Commercial HMO | Commercial PPO | Medicaid HMO | Medicare HMO | Medicare PPO |
|---|---|---|---|---|---|
| 2022 | 45.8 | 40.1 | 34.5 | 47.5 | 42.9 |
| 2021 | 43.9 | 39.6 | 33.5 | 44.2 | 40.3 |
This State of Healthcare Quality Report classifies health plans differently than NCQA’s Quality Compass. HMO corresponds to All LOBs (excluding PPO and EPO) within Quality Compass. PPO corresponds to PPO and EPO within Quality Compass.
Figures do not account for changes in the underlying measure that could break trending. Contact Information Products via my.ncqa.org for analysis that accounts for trend breaks.
References
- Centers for Disease Control and Prevention (CDC). 2020. “Diabetes Basics.” https://www.cdc.gov/diabetes/basics/diabetes.html
- 2021. “Diabetes and Chronic Kidney Disease.” US Department of Health and Human Services. https://www.cdc.gov/diabetes/managing/diabetes-kidney-disease.html
- “Chronic Kidney Disease in the United States, 2021.” Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention; 2021. https://www.cdc.gov/kidneydisease/publications-resources/ckd-national-facts.html