HHS Secretary Announces Expansion of Reimbursement for CDC-Recognized Diabetes Prevention Programs like Omada Health
San Francisco, CA (March 23, 2016) – Acknowledging diabetes as one of the most pressing issues facing the American healthcare system, U.S. Department of Health and Human Services Secretary Sylvia M. Burwell announced today that Medicare will begin reimbursing CDC-recognized providers like Omada Health for administering the Diabetes Prevention Program (DPP) to eligible beneficiaries. On the sixth anniversary of the Affordable Care Act, Secretary Burwell’s announcement underscores Medicare’s commitment to value-based care by extending the agency’s investment in chronic disease prevention.
Today, more than half of all Americans over the age of 65 have prediabetes, and fewer than one in ten are aware they have the condition. Without intervention, one third of those with prediabetes will likely progress to type 2 diabetes in the next three years. In 2014, Medicare spent more than $15,700 per beneficiary with diabetes, and according to the Diabetes Care Project, one of every three dollars spent by Medicare goes to treating individuals with the condition.
“Today’s commitment by HHS quite literally extends a lifeline to 22 million American seniors with prediabetes,” said Omada Health co-founder and CEO Sean Duffy. “We feel fortunate to have the opportunity to work with CMS, Medicare Advantage plans, health systems, and physicians across the country to make a profound impact in these individuals’ lives. By elevating evidence-based diabetes prevention as the reimbursed standard of care, Secretary Burwell has acknowledged the urgency of addressing what has become a national epidemic. We look forward to continuing to provide data, evidence, and implementation insight to the team at HHS to ensure that the diabetes prevention benefit is implemented effectively, and reaches as many eligible beneficiaries as possible.”
Read More: https://omadahealth.com/news/medicare-will-cover-diabetes-prevention-program-for-at-risk-seniors
Via: Omada Health