Osteoporosis & bone health

Osteoporosis testing and treatment remain low in both Traditional Medicare and Medicare Advantage

Osteoporos IntPublished Cross-sectional study

Main finding · BMD testingResult — go to the resultAdjusted difference 0.8 percentage points

Authors' conclusion

Overall osteoporosis testing and treatment initiation rates in both TM and MA enrollees were low, with improved rates in MA compared to TM.

Study context

Population
Female Medicare beneficiaries in the United States, 2017–2019
Participants
1,924,132 vs 2,994,203
Exposure
Medicare Advantage vs Traditional Medicare
  • Medicare Advantage (MA)n = 1,924,132
  • Traditional Medicare (TM)n = 2,994,203reference
Outcome
Rates of guideline-recommended bone mineral density (BMD) testing and osteoporosis drug initiation following a new osteoporosis diagnosis and after a new osteoporotic fragility fracture
Methodological detailsnationally representative 20% sample of 2017-2019 TM claims and MA encounter records
  • Nationally representative 20% sample of 2017-2019 TM claims and MA encounter records

Main finding

BMD testing

Adjusted difference

0.8 percentage points

P < 0.001

By group

As reported in the abstract

Observational data: associations, not effects.

Further findings

Primary: osteoporosis drug treatment initiation

P < 0.001

Primary: pharmacologic treatment prescribed after osteoporotic fragility fracture

P < 0.001

OutcomeEstimateP value
Primary: osteoporosis drug treatment initiationadjusted difference 4.0 percentage pointsP < 0.001
Primary: pharmacologic treatment prescribed after osteoporotic fragility fractureadjusted increase 5.9 p.pP < 0.001

Original publication

Osteoporosis testing and treatment remain low in both Traditional Medicare and Medicare Advantage. Osteoporos Int. Published 21 November 2024. doi:10.1007/s00198-024-07318-8

Composed by AI from the published abstract and checked against it. How Briefs are made →

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