By increasing access to evidence-based lifestyle change programs and diabetes self-management education and support (DSMES) services, insurers can help save lives and save money.
Prevention of Type 2 Diabetes
More than 30 million Americans have diabetes, and another 84 million American adults have prediabetes. These are growing concerns for America’s workforce, affecting the health and quality of life of millions of US adults. These conditions also cost employers and insurers billions of dollars each year in lost productivity and medical expenses.
The National Diabetes Prevention Program (National DPP) is a partnership of public and private organizations working to build a nationwide delivery system for a lifestyle change program proven to prevent or delay the onset of type 2 diabetes in adults with prediabetes.
The National DPP Coverage Toolkitexternal icon can help state Medicaid agencies, Medicaid managed-care organizations, commercial health plans, and employers understand the details of offering the National DPP lifestyle change program as a covered benefit for their beneficiaries/members/employees at high risk for type 2 diabetes.
Diabetes self-management education and support (DSMES) services empower people to reach their daily and lifetime goals for living well with diabetes. These services lead to better patient outcomes: lower A1C levels, fewer diabetes complications, and lower out-of-pocket costs.
- Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics on Diabetes Self-management Education and Support in Type 2 Diabetesexternal icon
This article describes the benefits of DSMES, discusses reimbursement and quality standards, and presents an algorithm defining when health care providers should refer their patients with type 2 diabetes to DSMES.
- DSMES Toolkit
This web-based toolkit provides resources and tools in one place to assist with the development, promotion, implementation, and sustainability of DSMES services. Learn about DSMES coverage, reimbursement, and benefits.