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Peer-Reviewed Publication
Sleep2025;48(9)September 9, 2025Journal Article

Association between positive airway pressure therapy and healthcare costs among older adults with comorbid obstructive sleep apnea and common chronic conditions: an actuarial analysis.

Emerson M Wickwire1,2, Chris R Fernandez3, Nhan Huynh4, Nathaniel F Watson3,5, Ian Duncan4,6
1Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.
2Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA.
3EnsoData, Madison, WI, USA.
4Santa Barbara Actuaries Inc., Santa Barbara, CA, USA.
5Department of Neurology, University of Washington School of Medicine, Seattle, WA, USA.
6Department of Statistics and Applied Probability, University of California at Santa Barbara, Santa Barbara, CA, USA.

Abstract

STUDY OBJECTIVES: To determine the association between adherence to positive airway pressure and healthcare costs among a national sample of older adults with comorbid obstructive sleep apnea (OSA) and common chronic conditions. METHODS: Our data source was a random sample of Medicare administrative claims for years 2016-2019. Inclusion criteria included age ≥65 years and new diagnosis of OSA. Ex…

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