Posted December 5, 2017 by Judith Nelson
The Centers for Medicare & Medicaid Services (CMS) announced that effective April 1, 2018, Medicare members with an indication of pre-diabetes are eligible for clinical interventions that consist of core and maintenance sessions to promote lifestyle changes. In order to provide these services Medicare Advantage health plans can either contract directly with a Medicare enrolled and Centers for Disease Control and Prevention (CDC) recognized supplier or become suppliers of services themselves.
Recently, DST hosted two Strategic Discussion Forums with our customers to discuss the administrative challenges associated with operationalizing this benefit. During the forum we discussed the following topics:
You can find additional information regarding the MDPP program at https://innovation.cms.gov/initiatives/medicare-diabetes-prevention-program
The Medicare Advantage program could be experiencing significant change next year and DST Health Solutions will be hosting a monthly Strategic Discussion Forum to include more information sharing related to the MDPP, CMS's proposed policy changes, and other areas of interest. Please contact Tonya Farling, TSFarling@dsthealthsolutions.com or Judith Nelson, JPNelson@dsthealthsolutions.com and we will add you to the meeting invitation. You can also submit topics of interest for future discussion.
Join in the conversation! We look forward to engaging in a productive dialogue and sharing information to address opportunities related to the Medicare Advantage Program.
The views expressed in this publication are solely those of the author and do not necessarily reflect the position or policy of DST Systems, Inc. or its affiliates, subsidiaries, joint ventures, officers, directors, or management.