Scaling and Sustainability

Information in this section includes: UHA Overview | UHA Business Model | UHA Reimbursement | UHA Sustainability

Umbrella hub arrangements (UHAs) connect community-based organizations (CBOs) with health care payment systems to pursue sustainable reimbursement for the National DPP lifestyle change program. This section features an overview page as well as pages focused on the business model, reimbursement, and sustainability of a UHA. It presents the case for creating a UHA and shares learnings from the Umbrella Hub Demonstration.

Information in this section includes: Defining Health Equity | Connecting SDOH and HRSNs to Prediabetes and Type 2 Diabetes | Addressing HRSN Through the National DPP Lifestyle Change Program | The Role of Medicaid in Addressing HRSNs | Leveraging State and National Health Equity Initiatives

Advancing health equity requires an examination of disparate access to care delivery, often looking beyond clinical care and into innovative, non-medical related aspects of health care to comprehensively address all factors that determine health. Health equity is often influenced by socially determined factors of health and the accompanying social needs. The purpose of this page is to focus specifically on health equity in the context of the National DPP lifestyle change program: how promoting health equity can support the impact of the program, and how the program itself can be used as a tool and a model to promote health equity.

This page is intended to provide National DPP stakeholders with information about Accountable Care Organizations (ACOs) and specific strategies for how to engage ACOs in the effort to prevent type 2 diabetes.

Federally Qualified Health Centers (FQHCs) are comprehensive, community-based primary care providers that offer affordable care in areas with high need for health care. This page focuses on Medicaid and Medicare reimbursement of FQHCs delivering the National DPP lifestyle change program.

Pharmacists and pharmacy staff can play a key role in scaling the National DPP lifestyle change program. This page provides resources, strategies, and examples for engaging pharmacies in identifying eligible patients, referring and enrolling patients in the National DPP lifestyle change program, or becoming CDC-recognized organizations.

This page provides information and examples for how state agencies can assess the landscape and technical assistance needs of CDC-recognized organizations, expand the capacity of the state network through support of existing and recruitment of new organizations, help organizations develop business acumen skills for successfully engaging with payers, and explore options for providing third-party or collective administrative support. Many of the state examples relate to Medicaid coverage of the National DPP lifestyle change program, yet the strategies and lessons learned may be applied more broadly.

Achieving Medicaid coverage of the National DPP lifestyle change program is an important milestone towards reducing the prevalence of type 2 diabetes in a state. To facilitate uptake of the benefit, states are encouraged to leverage a variety of communication and promotion strategies to generate enthusiasm, buy-in, and engagement with the benefit. This page describes approaches that states have taken to communicate and promote the benefit.