Opportunity knocks. Complications are down, and programs targeting prediabetes work. Getting a handle on this costly problem gives insurers the chance to do well, while doing good. Yes, diabetes can be costly to manage because so much comes down to empathy and human interaction. But it’s cheaper than bypass surgery.
Diagnoses of diabetes go up with an expansion that includes many who’ve not managed their disease well. Optimists see a new chance to prevent expensive complications and help with behavioral issues. Here’s hoping that Medicaid managed care plans will bring their technology and monitoring techniques to the fight.
Details are yet to come, but officials hope to replicate the impressive clinical and cost saving achievements garnered in a program that has been run out of selected YMCAs. Medicare officials estimate that the program saved $2,650 per person enrolled in the program over 15 months.
The first wave of wellness programs are giving way to the 2.0 version that proponents say are more personalized and have more actionable services than their forerunners. And perhaps the biggest change is that employers are moving to make them mandatory.
A minimally invasive endoscopic treatment that utilizes radiofrequency energy (RFE) can fill the gap between medical and surgical management for GERD. There are cost advantages as well. Payers that the adopt RFE can create notable savings to their plans when compared to surgery or medical management.
Pharma will fight it, but Donald Trump and Bernie Sanders both see liberalization of the rules for drug importation as a way to bring prices down.
Thomas Morrow, MD
A CDC program shows that diabetes prevention works. Solera hopes to link up health plan enrollees with digital and community-based prevention programs.