The CDC has provided almost $7 million in funding to establish DPPs for research purposes, which means the number of pre-diabetes individuals helped by these programs will be very limited (CDC, 2012). While these programs will probably provide free or nearly-free diabetes preventive services to a large number of individuals, most underserved patients will not benefit from these programs.
S. 452 is worded in such a way that establishing DPPs under Medicaid will be optional for states (Sebelius, 2010). As of 2010, 43 states covered the expense of screening Medicaid patients for diabetes, but only 13 states provided reimbursement for obesity preventive services. This suggests that states are willing to pay for screening, but not preventive services like lifestyle interventions; however, if only a few states implement DPPs for Medicaid recipients, this will provide a proof-of-principle experiment in a real-world setting and establish the overall healthcare savings such programs can provide.
In an effort to promote preventive services, ACA provision 4106 offers state-run Medicaid programs enhanced federal matching dollars if they eliminate requirements for preventive services cost-sharing (Sebelius, 2010). However, the preventive services that qualify for an enhanced federal match must meet certain evidence-based criteria determined by the U.S. Preventive Services Task Force. The National Institute of Diabetes and Digestive and Kidney Diseases (NDIC, 2012), and the CDC (2012), have stated that DPPs have the potential to reduce the incidence of type 2 diabetes by up to 58%, thus the empirical evidence for implementing preventive care for persons who are at risk for developing diabetes already exists. The U.S. Preventive Services Task Force issued a recommendation that individuals with blood pressure above 135/80 should be screened for diabetes (Norris, Kansagara, Bougatsos, and Fu, 2008).
There is considerable evidence for a growing momentum to prevent diabetes in the United States, based on ACA provisions emphasizing preventive medicine, empirical support for the efficacy of DPPs, and considerable ongoing investment into additional DPP efficacy research. What'd. 452 does, is attempt to make these DPP services available to underserved populations through Medicaid. In light of the massive expansion in Medicaid roles predicted to occur in the coming years (Kaplan, 2012), it makes good financial sense to implement Medicaid coverage for preventive service programs if they have a proven record of reducing...
Diabetes Management and Insulin Administration Summary of Teaching Plan In recent years, an increase in demand for expansion of education programs for diabetes patients as also for Federal Government or third party payers to support these programs has been observed. A survey by Veterans Administration Hospital conducted a survey to evaluate the capability of patient for diabetes management reported lack of formal training in over 35% of patients interviewed (Miller, Goldstein &
This means these children have a much higher chance of developing other diabetes related illnesses as they grow older, including serious damage to the eyes, nerves, heart, kidneys, and blood vessels (Bren, 2004). If they do not learn how to self-manage the disease when they are children, they will have more serious side effects as they grow older, and they will be a drain on the healthcare and insurance
Epidemiology Paper Part Three: Implementation and Evaluation - Asian Americans with type 2 diabetes 1. Identify a public health theory you will use to support the implementation of your prevention and health promotion activities. Provide evidence that supports the use of this theory within the program you designed. Efficient initiatives in the areas of health promotion, chronic illness management, and public health decrease disease risks and facilitate the maintenance and improvement of
ACA The Affordable Care Act works on the premise that all Americans should have access to health care insurance. Because this is provided through insurance companies, the system is only enforceable under certain conditions. One of the key tenets of health care reform is the idea that those with pre-existing conditions cannot be denied insurance coverage. This group of people has long had problems getting insurance, and insurance companies spend tens
Some of the funding is to come from a national prevention trust fund (Kaiser Fdn, 2010). However there are additional funding resources for the near-term that are readily assessable. Social Justice The National Secretary of Health has been called on to launch a national quality plan designed to address the issue of social injustice and improve the level of service to every state. Specific to this program are the rates for
Health Policy to Prevent and Manage Diabetes Health Issue and affected Population In the United States and other part of the world, the type 2 diabetes have become a major health concern for policy makers and health planners. Although, there are three types of diabetes, however 90% of people diagnosed with diabetes have type 2 diabetes, which is one of the predominant non-communicable diseases. The type 2 diabetes is one of the
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