UnitedHealth, YMCA Expand Diabetes Prevention Program with P4P for Walgreens

August 31, 2011
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The process uses UnitedHealth claims data and other demographic information to flag people at risk of developing diabetes and invite them to a free, 16-session exercise and nutrition class at a local YMCA.  Those who already have diabetes receive a 45 minute assessment unless anything has changed.  This goes back to the original announcement of the program.  As it was originally quoted, the YMCA would get around $300 for someone who completed the YMCA program and the Walgreens pharmacists get some form of pay for performance.  

The process uses UnitedHealth claims data and other demographic information to flag people at risk of developing diabetes and invite them to a free, 16-session exercise and nutrition class at a local YMCA.  Those who already have diabetes receive a 45 minute assessment unless anything has changed.  This goes back to the original announcement of the program.  As it was originally quoted, the YMCA would get around $300 for someone who completed the YMCA program and the Walgreens pharmacists get some form of pay for performance.  

UnitedHealthCare To Use Data Mining Algorithms On Claim Data To Look For Those At “Risk” of Developing Diabetes – Walgreens and the YMCA Benefit With Pay for Performance Dollars to Promote and Supply The Tools

In March of this year the program was expanded to Atlanta. 

United Healthcare Expanding Diabetes Prevention & Predictive Algorithm Program With Walgreens And Pay for Performance Incentives In Atlanta

Again the use of analytics comes into play here as well and Walgreens not too long ago said their data selling business was worth just under $800 million.  People may get healthier with participation and data will more than likely be sold to make money off of selling the patient data at the same time.  It all seems to work hand in hand anymore.  BD 

DALLAS – UnitedHealthcare, area YMCAs and local pharmacies have announced they will partner to launch the “NOT ME” diabetes prevention program of the Diabetes Prevention and Control Alliance (DPCA), an employer- and community-based initiative aimed at diabetes prevention.

Part of the National Diabetes Prevention Program led by the Centers for Disease Control and Prevention, the program is a 16-session lifestyle intervention conducted in a group setting through local YMCAs intended to help people with prediabetes and others at risk, prevent the onset of type 2 diabetes through healthier eating, increased physical activity and other lifestyle changes.

According to UnitedHealth, the NOT ME program it is helping to sponsor marks the first time a health plan is paying for evidence-based diabetes prevention and working actively with pharmacists to help people with their diabetes management programs. The DPCA, which runs the program, was founded in 2010 by UnitedHealth Group, the YMCA and Walgreens.

The NOT ME program uses the findings of a clinical trial of the Diabetes Prevention Program the was led by the NIH with support from the CDC. The trial showed that lifestyle changes for people with prediabetes, which include modest weight reduction, can prevent or delay the onset of the disease by 58 percent.

http://www.healthcarefinancenews.com/news/unitedhealth-ymca-local-pharmacies-team-diabetes-prevention?topic=05,19

 

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