Umbrella Hub Arrangements

This section provides information and resources for establishing and sustaining an umbrella hub arrangement (UHA).

UHAs connect community-based organizations (CBOs) with health care payment systems to pursue sustainable reimbursement for the National Diabetes Prevention Program (National DPP) lifestyle change program. Featured in this section are an overview page as well as pages focused on the business model, reimbursement, and sustainability of a UHA. These pages provide information on the objectives of these types of arrangements, the key participants and partners, considerations for establishing a UHA, and the role of public health and Medicaid.

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This page gives an overview of UHAs and presents the case for creating a UHA. It includes learnings from the Umbrella Hub Demonstration that can be applied to those interested in forming or becoming a part of a UHA. Additionally, information is given about the functions of an umbrella hub organization (UHO), the lead organization in the UHA.

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A sample UHA business model is introduced on this page that is intended to provide a framework for UHOs. Context is provided around the two sub-components of the UHA business model, the market offering and the financial strategy. Finally, considerations for initiating and executing contractual agreements to connect components of the UHA are provided.

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Having multiple health care payers for the National DPP lifestyle change program is essential for the sustainability of a UHA. This page provides an introduction into the components of the MDPP supplier application followed by information on other payer types.

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Participation in a UHA can help CDC-recognized organizations work together to pursue sustainability and achieve benefits of scale. In the context of a UHA, sustainability typically refers to when the subsidiary organizations are receiving reimbursement for delivering the National DPP lifestyle change program from reliable reimbursement dollars. Furthermore, sustainability is achieved when reimbursement can be maintained over a protracted period of time, rather than relying on reimbursement from short-term funding, such as grant funding. This page gives guidance on avenues to support the sustainability of the UHA in addition to contracting with health care payers.

Content Updated: July 29, 2022