Diabetes Management

SUPPORTIVE SOLUTIONS

Our Diabetes Management Program supports and encourages members with diabetes to better manage their condition and reduce the risk of complications associated with diabetes through optimal self-management.  According to the Centers for Disease Control and Prevention (CDC), 66% of all diabetic employees do not follow treatment guidelines.  A primary objective of our program is to identify members in need of more intense follow up with their treatment plan. By utilizing incentives and education to promote improved adherence to treatment guidelines and healthy lifestyle changes, our Diabetes Management Program moves members towards Successful Solutions.

 

SATISFACTORY SOLUTIONS

After launching our Diabetes Management Program in 2011 we issued our first annual Diabetes Management Program enrollee satisfaction survey in 2013. We received an overwhelming positive response noting a 100% satisfaction rate by enrollees. This favorable response reflected their satisfaction with improved self-management and feeling of value added service to their health plan.

 

SUCCESSFUL SOLUTIONS – Sharing Stories

Prior to enrolling in our Diabetes Management Program, Deb’s diabetic condition was poorly controlled.  Her A1C – a test that gives a picture of the average blood glucose (blood sugar) control for the past 2 to 3 months – was consistently over 12.  The goal range for an A1C is less than 7. After joining our Diabetes Management Program, case managers were able to determine that Deb had difficulty obtaining her prescribed medications and staying under routine care.  Helping Deb understand how to navigate the pharmacy benefit and the importance of regular medical follow up, led to a significant improvement in her self-management.  Deb is happy now to report an A1C of 6.1.

Jake was diagnosed with diabetes after being admitted to the hospital with extremely high blood sugar.  Testing showed that Jake’s A1C was at the highest reportable level- a 16.  Jake enrolled in our Diabetes Program after discharge from the hospital and received help from the case managers to coordinate resources needed to effectively manage his care, to establish a smooth transition to medication management, and to provide further education about his new condition.  Just after 6 months, Jake’s A1C shows continuous improvement at 7.9.