Proposed Medicare Coverage for Diabetes Prevention: Strengths, Limitations, and Recommendations for Improvement
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Suppliers may be dissuaded from entering markets with especially high-risk populations who are less likely to achieve performance payment milestones.
“Another concern is that suppliers may be dissuaded from entering markets with especially high-risk populations who are less likely to achieve performance payment milestones.69,75”
From <p>Current Perspectives on the Impact of the National Diabetes Prevention Program: Building on Successes and Overcoming Challenges</p> (2020) · cites this paper as [75]
Cites
Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin
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Economic Costs of Diabetes in the U.S. in 2002
American Diabetes Association (2003) · Diabetes Care · doi:10.2337/diacare.26.3.917 · Cited by 4,147 · see citing works
Diabetes Prevention Program Research Group (2009) · The Lancet · doi:10.1016/s0140-6736(09)61457-4 · Cited by 3,020 · see citing works
Economic Costs of Diabetes in the U.S. in 2012
American Diabetes Association (2013) · Diabetes Care · doi:10.2337/dc12-2625 · Cited by 2,153 · see citing works
Effect of weight loss with lifestyle intervention on risk of diabetes
Hamman, R. F., Wing, R. R., Edelstein, S. L., Lachin, J. M., Bray, G. A., Delahanty, L., Hoskin, M., Kriska, A. M., Mayer-Davis, E. J., Pi-Sunyer, X., et al. (2006) · Diabetes Care · doi:10.2337/dc06-0560 · Cited by 1,344 · see citing works
Medicare's search for effective obesity treatments: Diets are not the answer.
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“Participants in the original lifestyle intervention group also experienced considerable weight regain over time,(12) which is consistent with the poor results of short-term diets expected for the general Medicare population.(13) Likely consequences of denying coverage are missed opportunities to prevent or delay diabe…”
ResultAli, M. K., Echouffo-Tcheugui, J. B., & Williamson, D. F. (2012) · Health Affairs · doi:10.1377/hlthaff.2011.1009 · Cited by 594 · see citing works
The Diabetes Prevention Program Research Group (2003) · Diabetes Care · doi:10.2337/diacare.26.1.36 · Cited by 358 · see citing works
A systematic review of real-world diabetes prevention programs: learnings from the last 15 years
Aziz, Z., Absetz, P., Oldroyd, J. C., Pronk, N. P., & Oldenburg, B. F. (2015) · Implementation Science · doi:10.1186/s13012-015-0354-6 · Cited by 306 · see citing works
Trends in Seniors' Use of Digital Health Technology in the United States, 2011-2014.
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Implementing the Community Health Worker Model Within Diabetes Management
Cherrington, A., Ayala, G. X., Amick, H. R., Allison, J. J., Corbie-Smith, G. M., & Scarinci, I. C. (2008) · The Science of Diabetes Self-Management and Care · doi:10.1177/0145721708323643 · Cited by 71 · see citing works
Ritchie, N. D., Christoe-Frazier, L., McFann, K. K., Havranek, E. P., & Pereira, R. I. (2018) · American Journal of Health Promotion · doi:10.1177/0890117117698623 · Cited by 53 · see citing works
Self-citationLau, R., Stevenson, F. A., Ong, B. N., Dziedzic, K., Treweek, S. P., Eldridge, S. M., Everitt, H., Kennedy, A. P., Qureshi, N., Rogers, A. E., et al. (2015) · Implementation Science · doi:10.1186/1748-5908-10-s1-a67 · Cited by 28 · see citing works
Ritchie, N. D., & Swigert, T. J. (2016) · AADE in Practice · doi:10.1177/2325160316647707 · Cited by 11 · see citing works
Self-citation
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Ehrhardt, N. M., & Zaghal, E. A. (2018) · Journal of Diabetes Science and Technology · doi:10.1177/1932296818790994 · Cited by 111 · see citing works
Ritchie, N. D., Baucom, K. J., & Sauder, K. A. (2020) · Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy · doi:10.2147/dmso.s218334 · Cited by 70 · see citing works
“Another concern is that suppliers may be dissuaded from entering markets with especially high-risk populations who are less likely to achieve performance payment milestones.(69,75) In fact, severe shortages of MDPP sites were observed in states/territories with largest populations of racial/ethnic minority beneficiari…”
BackgroundSelf-citationPhillips, S. M., Collins, L. M., Penedo, F. J., Courneya, K. S., Welch, W. A., Cottrell, A., Lloyd, G. R., Gavin, K. L., Cella, D. F., Ackermann, R. T., et al. (2018) · Contemporary Clinical Trials · doi:10.1016/j.cct.2018.01.001 · Cited by 37 · see citing works
Berkley‐Patton, J., Thompson, C. B., Bauer, A. G., Berman, M., Bradley‐Ewing, A., Goggin, K., Catley, D., & Allsworth, J. E. (2020) · Journal of Racial and Ethnic Health Disparities · doi:10.1007/s40615-020-00740-8 · Cited by 35 · see citing works
Gruß, I. (2021) · The American Journal of Managed Care · doi:10.37765/ajmc.2021.88784 · Cited by 20 · see citing works
Is the Current Lifestyle Modification Approach to Diabetes Prevention in the U.S. a Success?
Echouffo-Tcheugui, J. B., Chakkalakal, R. J., & Ali, M. K. (2025) · Diabetes Care · doi:10.2337/dci24-0040 · Cited by 11 · see citing works
Formagini, T. D. B., Brooks, J. V., Jacobson, L. T., & Roberts, A. W. (2021) · Kansas Journal of Medicine · doi:10.17161/kjm.vol14.15125 · Cited by 9 · see citing works
Ritchie, N. D., Kaufmann, P., & Sauder, K. A. (2017) · Diabetes Care · doi:10.2337/dc17-1242 · Cited by 6 · see citing works
Self-citationRitchie, N. D., & Turk, M. T. (2024) · mHealth · doi:10.21037/mhealth-23-37 · Cited by 6 · see citing works
Self-citation
- Authors
- Ritchie, N. D., Havranek, E. P., Moore, S. L., & Pereira, R. I.
- Affiliations
- Denver Health Medical Center (US)
- Corresponding author
- Ritchie, Natalie D.
- Venue
- American Journal of Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2017-08
- Volume
- 53
- Issue
- 2
- Pages
- 260-263
- ISSN
- 0749-3797 (ISSN-L)
- OpenAlex
- W2599338507
- Cited by
- 9
- References
- 14
- Citations by year
- 2025: 1 · 2024: 1 · 2021: 2 · 2020: 2 · 2018: 2 · 2017: 1
- FWCI
- 2.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Colorado Department of Public Health and Environment
- Centers for Disease Control and Prevention
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Keywords
- Medicare coverage, National Diabetes Prevention Program, diabetes prevention, prediabetes, lifestyle intervention, Affordable Care Act, Centers for Medicare and Medicaid Services, physician fee schedule, Medicaid, third-party payers, safety net health care, health policy recommendations
- MeSH terms
- Diabetes Mellitus, Medicare, Humans, Insurance, Health, Reimbursement, United States, Weight Loss, Insurance Coverage
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