Date: March 29, 2017
Participants: ACHP Medical Directors, Clinical Executives and Quality Leaders
Beginning in the 2018 contract year, Medicare Advantage issuers are required to offer a Medicare Diabetes Prevention Program (MDPP) – a structured behavioral change intervention – to members as a preventive service with $0 cost sharing.
The 2017 Physician Fee Schedule (PFS) Final Rule published in November 2016 outlined details of the benefit, eligibility criteria and MDPP supplier criteria and enrollment policies. However, additional guidance on payment, the delivery of virtual service, recognition standards and other integrity safeguards has yet to be released.
ACHP members came together for this webinar to discuss how they intend to implement this benefit, challenges they’ve encountered in the planning process and early lessons learned during pilot programs. Cindy Weiss of AvMed kicked off the discussion with an overview of some of the uncertainties for plans that haven’t had past experience with DPPs. Kandi Jezak of Priority Health then shared lessons learned and strategies for long-term program sustainability based on her experience transitioning a DPP pilot into a fully covered DPP benefit for eligible commercial and Medicare members.
A recording of the webinar can be accessed here, and slides can be found in the Materials section below.