Type 2 Diabetes: A New Approach to an Old Problem

Whether I'm wearing my health policy hat or seeing patients in the office, one condition continues to surface as a source of concern and frustration.

Diabetes, one of the nation's most serious and costly health burdens, now affects almost 25 million people in this country - a conservative estimate. Another million new cases are diagnosed each year.

Three years ago, the American Diabetes Association estimated the total diabetes cost in the U.S. to be a staggering $174 billion.

As we know all too well, diabetes is one of the most complex and time-consuming conditions for physicians to treat and for their patients to manage.

Diabetes - especially type 2 - is also one of the most challenging conditions to prevent.

Government funded studies have clearly demonstrated that individuals with risk factors or prediabetes can prevent or delay the onset of the disease by participating in group coaching sessions, changing their eating and exercise habits, and losing about 5% of their total body weight.

But that's not as simple as it sounds!

For years, social scientists have understood that behavior change is extremely difficult for most people, more so without structured programs and support systems.

Given the scheduling demands on physicians and their office staffs, where can a person go to receive additional information or counseling about diabetes prevention? Where can patients with type 2 diabetes receive the ongoing support and encouragement necessary for meeting and sustaining behavior change goals?

Equally important, how does the average person pay for these services? Even those with health insurance are faced with increases in deductibles and copayments.

Imagine my surprise, then, on reading an announcement of a promising new approach.

Kudos to UnitedHealthGroup, one of the nation's largest health insurers, for mounting an innovative attack on type 2 diabetes!

Under a recently announced two-part proposal, UnitedHealth will team with the YMCA and retail pharmacies to introduce an ambitious program in seven cities across the U.S.

Using local YMCAs as venues, the insurer will offer participants in employer-provided health insurance plans free access to a series of 16-week Diabetes Prevention Programs for individuals at risk of developing type 2 diabetes.

These group-based educational interventions will focus primarily on changing lifestyle behaviors (moving, for instance, toward healthy eating and appropriate exercise) in order to achieve modest weight loss, thus preventing or delaying the onset of diabetes.

As an additional incentive, the nonprofit YMCAs will receive performance-based payments, with higher payments for those participants who complete the full program or lose an appropriate amount of weight.