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Updated: Feb 13, 2026

A Cost Effective and Adaptable Scratch Migration Assay
Published on: June 30, 2020
Estimated Cost Savings: Everyone With Diabetes Counts (EDC) Program
Lori J Silveira1, Susan B Fleck, Nancy Sonnenfeld
1Telligen, West Des Moines, Iowa (Drs Silveira and Brock and Mss Zhang and Irby); Centers for Medicare & Medicaid Services, Baltimore, Maryland (Mss Fleck and Dr Sonnenfeld); and Quality Insights, Charleston, West Virginia (Ms Manna).
Abstract:
Everyone with Diabetes Counts (EDC) is a national disparities reduction program funded by the Centers for Medicare & Medicaid Services to improve outcomes in the underserved minority, diverse, and rural populations. This analysis evaluates West Virginia's pilot program of diabetes self-management education (DSME), one component of EDC. We frequency-matched 422 DSME completers to 1688 others by demographics and enrollment from Medicare fee-for service claims. We estimated savings associated with reduced hospitalizations in multivariable negative binomial models. DSME completers had 29% fewer hospitalizations (adjusted P < .0069). We estimated savings of $35 900 per 100 DSME completers in West Virginia.
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