tci Medicare Compliance & Reimbursement - 2016 Issue 15

Expect The Diabetes Prevention Program to Expand Within Medicare

Voice your opinions on 9 key issues for DPP expansion. For the first time ever, the Centers for Medicare & Medicaid Services (CMS) Office of the Actuary (OACT) certified a preventive services model for expansion from the CMS Innovation Center — and that model is the piloted Diabetes Prevention Program (DPP). Now, CMS wants to expand the DPP. Background:The DPP is a structured lifestyle intervention for pre-diabetic individuals. The clinical intervention includes 16 intensive “core” sessions in a group-based setting that provides dietary coaching, lifestyle intervention, and moderate physical activity, all with the goal of preventing diabetes. After...

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