Commercial Payers

This section provides resources about covering the National Diabetes Prevention Program (National DPP) lifestyle change program by commercial health insurance plans and employers. CDC has developed an Implementation Guide for CDC Recognized DPP programs to use when working with commercial payers.

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Information in this section includes: Coverage in PracticeCase for Coverage| Healm Employer Platform | Commercial Payer List | Employer Coverage Map

This section provides information on commercial and employer coverage for the National DPP lifestyle change program including how commercial payers typically cover the program, making the case to cover the program, and the landscape of commercial payers and public and private employers covering the National DPP lifestyle change program.

The Healm Employer Platform page links to HealmAtWork.org, a free platform that gives employers the tools to design and implement the National DPP lifestyle change program.

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Information in this section includes: Delivery OptionsScreening & IdentificationRecruitment & ReferralRetention

This section provides information on steps commercial plans and employers should consider in offering the National DPP lifestyle change program. It also discusses practices that have been implemented in commercial plan and employer contexts to enhance National DPP lifestyle change program delivery.

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Information in this section includes: Commercial Contracting | ReimbursementCoding and BillingData, Reporting, and Evaluation

This section provides information on fiscal operations of the National DPP lifestyle change program including contracting between partners, reimbursement models, steps for coding and billing, and information on data collection for reporting and evaluation of the program.

Content Updated: February 26, 2024