Note: This table considers only Fee-For-Service claims.
Notice something in common? The article confirms that 20 YMCA locations have gone through this process of becoming an authorized provider and they are by far dominating the early market for this service. What else jumps out from this data? MDPP claims have sharply increased in the first two quarters of 2019. In fact there have been 2,090 claims billed in the first two quarters of 2019 which over four times the 522 claims billed throughout the entirety of 2018.
MDPP Return On Investment
So what is the expected return on investment for this program? A study done on the 10-year effectiveness of this program shows that patients who adhere to the lifestyle changes and meet the modest weight loss goal reduce their relative risk for Type 2 Diabetes by 49.4%.2 Along with the risk reduction we see a cost savings per beneficiary of $4,250 to $6,300 per participant of the 10 year time period. Insurers like UnitedHealth Group and their employer partners have also seen savings from the implementation of MDPP. A Director of Risk and Benefits Management for the School District of Palm Beach County stated that they saw a nine percent reduction in total net costs in the first year of the program – a savings of $2.9 million.3
Explore With CareJourney
Want to see if the participants in the Medicare program have seen any benefits thus far? At CareJourney, we can identify the patients that participated in the program and follow their care journey longitudinally. We can explore their utilization across all Medicare parts and all places of service before, during, and after the interventions. CareJourney specializes in codifying leading care models and obtaining insights to help our members make data-driven participation decisions. From Million Hearts Risk Reduction to the Oncology Care Model to Primary Care First, we have the tools to help organizations to determine what care models are valuable to them. Please contact us for more information or to request a meeting.