Commercial Payers → Delivery
If you want to start offering the National Diabetes Prevention Program (National DPP) lifestyle change program, where do you start?
This section outlines steps for implementing the National DPP lifestyle change program. It also discusses practices that have been implemented in various contexts to enhance delivery of the National DPP lifestyle change program. Additional content related to program delivery can be found at the CDC National Diabetes Prevention Program website.
Organizations who wish to offer a lifestyle change program must abide by standards set by CDC. The CDC’s Diabetes Prevention Recognition Program (DPRP) plays a critical role in assuring that organizations can effectively deliver the evidence-based lifestyle change program with quality and fidelity. For more information, see Implementing a Lifestyle Change Program and Standards for CDC Recognition. Organizations interested in offering the program can use the American Medical Association’s National DPP Lifestyle Change Program Budget Considerations Tool to estimate the cost implications of offering the program.
For a list of CDC-recognized organizations already offering the program, click here.
Do you have a success story related to delivery of the National DPP lifestyle change program? Please share your experience here.
This section provides information on options commercial health insurance plans and employers have when covering the National DPP lifestyle change program, including contracting with CDC-recognized organizations that provide the program in-person, online, and/or through distance learning; working with a third-party organization; and/or seeking CDC recognition.
Plans and their partners can identify prospective participants for the National DPP lifestyle change program based on the participant eligibility criteria listed in this section. It also discusses methods, such as electronic health record data, medical claims data, lab tests, risk tests, or worksite screening events, that can be used to proactively identify individuals who are, or may be, eligible for the program.
Plans and their partners will need to consider appropriate and effective strategies for recruiting individuals into the program. Multiple methods may be used for recruitment, including provider referrals. Effective recruiting strategies and methods for working with physicians are discussed in this section.
Retaining plan members who have elected to participate in the program is an important program objective. Research has shown the longer a person stays in the program, the better their outcomes. This section provides statistics on retention and ideas to encourage continued participation.
Commercial plans and self-insured employers will need to be aware if, or how, applicable state-specific network adequacy standards apply to the National DPP lifestyle change program. Typically, network adequacy standards only apply to benefits offered as part of a commercial plan’s core benefit offerings, and not to value-added or optional services.