HBCH Diabetes and Obesity Prevention

Addressing a top health spend issue with evidence-based population health approaches.

Summary: HBCH has partnered with the U.S. Centers for Disease Control, The State of Texas – Department of Health Services , University of Texas Medical Branch and the Greater Houston Area Health Education Center on an initiative supporting the use of 12-month proven lifestyle change programs to reduce the number of people under employer-sponsored benefits who are at-risk of converting to Type 2 Diabetes (T2D). HBCH’s focus is on assisting its members with information on selection of evidence-based programs, working with health plans to implement, and developing the integrated data sets to demonstrate cost and outcomes impact.  

Diabetes is costly- to the patient, the delivery system, as well as to the employers who sponsor benefits for beneficiaries that need treatment. In fact, The HBCH Annual Benefits Survey continues to show diabetes as a top health issue in terms of prevalence and spend for employers. Those converting to T2D have claims cost in excess of $10,000 annually.

Today, approximately one out of 10 Americans have diabetes, and of those who do, 1 out of 4 don’t even now that they have it. Another 84 million plus Americans have pre-diabetes. The unawareness in this group is very high, approaching 90%.

The Centers for Disease Control and Prevention (CDC) developed and launched a program in 2010 known as The National Diabetes Prevention Program (NDPP) to address this important issue. NDPP is a partnership of public and private organizations working to prevent or delay type 2 diabetes. The 12-month NDPP has demonstrated in multiple clinical trials to reduce the risk of conversion to T2D by 65%. The NDPP is implemented through the employer’s existing health plan structure as a medical claim or through the employer’s wellness fund.

For more information on The NDPP go to https://www.cdc.gov/diabetes/prevention/index.html

Ongoing Results: Eight Houston employers have implemented the NDPP and more are ready to embark in 2020.  It takes a minimum of 12-months to ascertain success.  HBCH is currently working with NDPP providers and health plans to develop the outcomes template that integrates NDPP program, pharmacy, and medical claims data. These employers have routine meetings to discuss status and support one another.

For more information on how you can help and/or get involved contact Chris Skisak at [email protected]