One out of every three American adults has prediabetes, and most of them do not even know it. Recent data from the Centers for Disease Control and Prevention (CDC) shows that 11 percent of people with prediabetes will develop type 2 diabetes within 3 years.
To help prevent this from occurring, America’s Health Insurance Plans (AHIP) is working in collaboration with six participating health insurance plans to launch the National Diabetes Prevention Program (National DPP) in 11 states across the United States and in the U.S. Virgin Islands. The work is part of a cooperative agreement the CDC awarded to AHIP and five other organizations.
Using multiple delivery models to demonstrate value and scalability, the participating health plans – Anthem, Inc., Cigna Corporation, Denver Health, EmblemHealth, Florida Blue, and Health Net – have launched outreach and educational efforts in California, Colorado, Florida, Illinois, Indiana, Louisiana, Massachusetts, Nebraska, New York, South Carolina, Tennessee, and the U.S. Virgin Islands.
The CDC is working with community-based organizations, insurers, employers, and health care organizations to scale and sustain the National DPP across the country. CDC’s role also includes ensuring a trained workforce of lifestyle coaches to lead classes effectively, as well as setting program standards and monitoring performance to recognize successful programs.
Led by the CDC, the National DPP is for people at risk for developing type 2 diabetes, a serious condition that can lead to health issues including heart attack; stroke; blindness; kidney failure; or loss of toes, feet, or legs. Individuals who are 45 years of age or older, are overweight, who have a family history of type 2 diabetes, are physically active fewer than three times per week, or who had diabetes while pregnant may be at risk for developing type 2 diabetes. The National DPP can help people lower their risk.
The National DPP is based on a research study led by the National Institutes of Health and supported by the Centers for Disease Control and Prevention, which showed that participants who lost 5 percent to 7 percent of their body weight (10 to 14 pounds for a 200-pound person) by making modest changes reduced their risk of developing type 2 diabetes by 58 percent.
During the program, participants meet as a group with a trained lifestyle coach and learn how to make healthy lifestyle changes that can help prevent or delay type 2 diabetes, such as choosing healthier foods, losing weight, being more physically active, and managing stress. The group setting provides a supportive environment with people who are facing similar challenges and trying to make the same changes. Together participants can celebrate their successes and determine ways to overcome obstacles.
AHIP member health plans are addressing the increase in pre-diabetes through outreach and educational efforts. Through this quick, four-part video series, see participating National Diabetes Prevention Programs (DPP) plans Denver Health, EmblemHealth, and Florida Blue in action. Find out how their prevention programs work, who they help, and the vital role that lifestyle coaches — and employers — play in reducing the likelihood of pre-diabetes. Hear why the National DPP is important in helping prevent diabetes.
AHIP member health plans have experience with delivering diabetes prevention programs to many populations. In the latest Issue Brief, read about health plan strategies to address prediabetes across diverse populations, in workplace settings, and by collaborating with physicians in health plan retail centers. Learn about the tools your organization can incorporate into your diabetes prevention efforts. View the Issue Brief today.
Anthem, Inc. provides clinical solutions through a board portfolio of cohesive and integrated offerings. Anthem is committed to reducing one’s risk for type 2 diabetes by ensuring members have access to CDC recognized diabetes prevention programs. Under the AHIP-CDC cooperative agreement, a vendor solution will be utilized to execute the DPP in an employer setting that aligns with a culture of health. In this DPP model, member preferences are matched and support is provided by trained coaches and/or virtual resources.
Cigna is a global health service company dedicated to helping people improve their health, well-being, and sense of security. Cigna’s goal is to understand the needs of its customers, and to work with them to achieve healthier, more secure lives. Cigna has been focusing on diabetes and diabetes prevention for more than 10 years, and is continually looking for better ways to engage and coach their culturally diverse customers. Under the AHIP-CDC cooperative agreement, Cigna will use its’ health coaches to deliver the DPP onsite in employer-based settings across several states.
Denver Health is a comprehensive, integrated, high-quality health care system serving individuals in the metropolitan Denver area. As Colorado’s primary safety net institution, Denver Health is committed to providing level one care for all, regardless of ability to pay. Denver Health utilizes trained bilingual community health workers and an established provider-referral network to enroll high risk patients into the National Diabetes Prevention Program and keep them engaged in their health.
EmblemHealth, the largest New York-based health insurer in New York State, has been offering the National Diabetes Prevention Program (DPP) since 2013. EmblemHealth is the first insurance company to receive full recognition from the Centers for Disease Control and Prevention for its DPP. EmblemHealth is coordinating its DPP with Advantage Care Physicians, one of the largest physician-led practices in the New York metropolitan area, with more than 400 primary care physicians and specialists in 36 locations. These conveniently located community-based medical destinations provide coordinated quality care and support culturally competent care delivery, including the DPP.
Florida Blue and its partners, the Diabetes Prevention Control Alliance (DPCA) and the Y, is targeting employees and members using multiple delivery models- worksite, retail centers, and patient-centered medical homes, to offer and scale the program in Jacksonville, Orlando and Tampa.
Health Net, a wholly owned subsidiary of Centene Corp., is one of the largest health plans in California, offering Commercial, Medicaid (Medi-Cal) and Medicare coverage to nearly 3 million enrollees. Health Net has a successful history of collaboration with the Latino community, a key demographic in the DPP, and its health educators are trained to implement the DPP. Health Net also has several years of experience as an early adopter of DPP at no cost to our large employer group population. Health Net will work with a virtual provider to expand the DPP to its PPO members with pre-diabetes who live in targeted areas. Health Net’s participation will ensure California residents in the PPO market continue having access to the DPP.
Top Tips for a Successful National Diabetes Prevention Program
September 20, 2016
Many partners across the country are trying to prevent the onset of diabetes type 2, including expanding access to the National Diabetes Prevention Program (DPP). AHIP member plans are delivering the National DPP in a number of settings. Hear tips and pointers from health plans that have experience in scaling and delivering the National DPP. This webinar will include important lessons learned from health plans that are delivering the diabetes prevention intervention to commercial, Medicare, Medicaid, and employer-based groups. You will also hear from EmblemHealth, the first U.S. health insurer to receive full recognition from the Centers of Disease Control and Prevention for its Diabetes Prevention Program.
As part of the AHIP national initiative in cooperation with the CDC, health plan leaders from Denver Health, EmblemHealth, Florida Blue, and Molina Healthcare will discuss multiple outreach strategies for engaging consumers at risk of diabetes type II through the implementation of the National Diabetes Prevention Program (national DPP). Spanning Commercial and Medicaid covered individuals, urban and suburban settings, employer and insurer experiences, hear how health plans are reaching an incredibly diverse group. Attendees will gain insights and perspective on: the components of the CDC National DPP, a one year lifestyle change program; health plan strategies for engaging individuals at high risk for diabetes, specifically hosting sessions utilizing varied settings – workplace, community, provider, and retail centers; and the use of multiple delivery models to demonstrate value and scalability through outreach and educational efforts around the National Diabetes Prevention Program in California, Florida, New Mexico, New York, and Wisconsin.
An estimated 86 million Americans are at risk for diabetes type 2. The Centers for Disease Control and Prevention (CDC) estimates that as many as 1 in 5 could have type 2 diabetes by 2015. Social, economic and environmental factors can influence an individual’s ability to make healthier choices, especially among individuals at highest risk such as low income and ethnically diverse populations. AHIP and participating health plans are helping diverse communities achieve and sustain good health through their participation in the National Diabetes Prevention Program (National DPP), led by the CDC. The National DPP is an evidence-based lifestyle change program that can help people with prediabetes and/or at risk for type 2 diabetes make achievable and realistic lifestyle changes and cut their risk of developing type 2 diabetes by 58 percent. Participants will hear from leading teams about their first year experience in launching the National DPP in multiple settings to achieve widespread outreach of its members, including it diverse populations.
AHIP is working with the Centers for Disease Control and Prevention (CDC) through a collaborative effort to target six chronic, preventable, and costly health conditions by using 18 proven, specific interventions through the 6|18 Initiative.
Learn more about the 6|18 Initiative and the latest, evidence-based public health practices that can maximize outcomes associated with population health improvement efforts in the areas of diabetes, asthma, tobacco use, high blood pressure, healthcare-associated infections, and unintended pregnancies.
This publication was supported by the cooperative agreement number 5U58DP004157, funded by the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not represent the official views of the Centers for Disease Control and Prevention or the Department of Health and Human Services.