Physician Practice

CDC, CMS introduce diabetes prevention program

Physician Practice Insider, August 23, 2016

On July 7, CMS posted a fact sheet regarding a newly proposed Diabetes Prevention Program (DPP). This new benefit was proposed in the calendar year (CY) 2017 Medicare Physician Fee Schedule proposed rule.

The DPP is a specific curriculum and delivery program developed by the CDC. The CDC reports that more than one-third of adults in America have prediabetes. Prediabetes means that an individual’s blood glucose level is elevated, but not yet quite as high as a diabetic. It also increases an individual’s risk of heart disease and stroke, in addition to the likeliness that the individual will develop diabetes if the matter is not addressed appropriately. Weight loss and exercise can reduce this likelihood by as much as 50%. Additionally, the vast majority of people who have prediabetes are unaware that they are at risk. Therefore, they do not work towards improving their condition. The CDC has developed this program and has documented its effectiveness to help pre-diabetic patients.

According to the CMS fact sheet regarding the DPP, it is a “structured lifestyle intervention” that is delivered via 16 “core” sessions and includes dietary coaching, lifestyle intervention, and moderate physical activity. The program is targeted for beneficiaries that are considered pre-diabetic, and is specifically designed to prevent the onset of full-fledged diabetes.

The curriculum includes group-based, classroom-style instruction centered around behavioral interventions intended to lead to lifelong dietary change, a greater amount of exercise, and any other alterations in activities or behaviors that would lead to long-term weight loss and control. After the 16 core sessions, less intensive monthly follow-up meetings are designed to help ensure that the participants maintain healthy behaviors and weights.

This article originally appeared on Medicare Compliance Watch. Click here to read the complete article.

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