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Stakeholder analysis: Medicare Diabetes Prevention Program awareness and implementation.

Melanie T Turk1, Natalie D Ritchie, Karen Jakub

  • 1Duquesne University School of Nursing, 518 Fisher Hall, 600 Forbes Ave, Pittsburgh, PA 15282.

The American Journal of Managed Care
|June 21, 2023
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Summary
This summary is machine-generated.

Limited Medicare Diabetes Prevention Program (MDPP) uptake requires understanding implementation barriers. Stakeholders identified financial constraints and referral issues, suggesting electronic health record integration and virtual delivery to improve access for older adults.

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Area of Science:

  • Implementation science
  • Health services research
  • Public health program evaluation

Background:

  • The Medicare Diabetes Prevention Program (MDPP) offers vital behavior change support for older adults.
  • Low program uptake nationwide (1.5 sites per 100,000 beneficiaries) hinders its public health impact.
  • Understanding facilitators and barriers is crucial for enhancing MDPP reach and utilization.

Purpose of the Study:

  • To identify facilitators and barriers to Medicare Diabetes Prevention Program (MDPP) implementation and use in western Pennsylvania.
  • To gather stakeholder perspectives on improving MDPP accessibility and effectiveness.

Main Methods:

  • Qualitative stakeholder analysis involving individual interviews with MDPP suppliers and healthcare providers (N=8).
  • Utilized an implementation science framework and interpretive description for data analysis.
  • Explored perspectives on program attributes, implementation challenges, and suggested improvements.

Main Results:

  • Key facilitators included Medicare's technical support and webinars for program application.
  • Significant barriers identified were financial reimbursement constraints and the absence of systematic patient referral processes.
  • Stakeholders proposed refining participant eligibility, performance-based payments, EHR-integrated referrals, and virtual delivery options.

Conclusions:

  • Findings offer actionable insights for improving MDPP implementation in western Pennsylvania.
  • Recommendations can inform Medicare policy adjustments and future implementation research for broader national adoption.
  • Addressing identified barriers is essential for increasing the reach and impact of the Medicare Diabetes Prevention Program.