Commercial Health Plans & Employers

This section provides resources about covering the National Diabetes Prevention Program (National DPP) lifestyle change program by commercial health insurance plans and employers.

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Download a step-by-step (PDF) summary of how commercial plans and self-insured employers can implement the National DPP lifestyle change program.

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This page describes how commercial payers typically cover the National DPP lifestyle change program. It provides examples of organizations that are currently covering the program and some suggested best practices.

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This section is written for commercial health plans and employers help make the case to cover the National Diabetes Prevention Program (National DPP) lifestyle change program.

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Information in this section includes: Overview | Delivery Options | Screening & Identification | Recruitment & Referral | Enrollment, Incentives, & Retention | Network Management

This section provides information on steps commercial plans and employers should consider in offering the National DPP lifestyle change program. It also discusses practices that have been implemented in commercial plan and employer contexts to enhance National DPP lifestyle change program delivery.

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This section provides information for commercial health insurance plans and employers on program costs, reimbursement models, and information on how the program impacts the medical loss ratio.

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This section provides sample contract components for contracts between commercial payers and CDC-recognized organizations.

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This section includes information on the steps and considerations associated with coding and billing for the National DPP lifestyle change program, including the ICD and CPT codes currently being used for the program and a summary of their general operations.

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This section provides information on the type of data that needs to be reported to CDC’s Diabetes Prevention Recognition Program (DPRP), information on data and reporting standards used by commercial plans and employers, and information on compliance issues and standards.

Content Last Updated: March 5, 2020