Sign Up for Email Alerts Visit us on Twitter Visit us on Facebook Visit us on YouTube Subscribe to RSS Feeds


Home > Past Briefings > Briefing Detail Page
 

Briefing Detail Page

Change Text Size:   Smaller Text Size   Larger Text Size   Default Text Size    

The $174 Billion Question: How to Reduce Diabetes and Obesity


Friday, July 23, 2010

Diabetes and obesity have evolved from a national public health concern to a problem of epidemic proportions. Type 2 diabetes, which is linked to obesity and physical inactivity, accounts for 90 to 95 percent of diabetes cases for people over 40. Moreover, in 2007 an estimated 57 million American adults had “pre-diabetes,” the precursor to diabetes. Childhood obesity, which has more than tripled in the last three years, impacts these numbers because obese children are at greater risk of developing diabetes as an adult.

Costs associated with diabetes exceeded $174 billion in 2007. Prevention, treatment and management of the condition are primarily based on health behaviors, so it can be challenging to identify effective treatment and prevention efforts.

What models exist to prevent and manage diabetes, and how can they be more widely implemented? How long will it take to identify programs that are proven effective? Is there evidence that improved treatment of diabetes can reduce costs? Or will it increase costs? How can we identify those at risk as children so that they can be taught healthy behaviors, encouraged to engage in more active lifestyles, and supported in these efforts.

To address these and related questions, the Alliance for Health Reform and the United Health Foundation sponsored a July 23 briefing. Panelists were: Lynne Vaughn of the YMCA, Robert Berenson of the Urban Institute and Ron Ackermann of the Indiana University School of Medicine. Ed Howard of the Alliance and Deneen Vojta of the UnitedHealth Group co-moderated.

Speakers

 Ed Howard, Alliance for Health Reform, Moderator
 Deneen Vojta, UnitedHealth Group, Moderator
 Lynne Vaughn, YMCA, Speaker
 Robert Berenson, Urban Institute, Speaker
 Ron Ackermann, Indiana University School of Medicine, Speaker
(Click on the camera icon to see a video of the speaker's presentation.)

Transcript, Event Summary and/or Webcast and Podcast

Transcript: The $174 Billion Question: How to Reduce Diabetes and Obesity (Word Document), 7/27/2010
Full Webcast/Podcast: The $174 Billion Question: How to Reduce Diabetes and Obesity

The full webcast and podcast for this briefing, as well as videos of individual speakers' presentations, are provided by Kaiser Family Foundation.

Speaker Presentations

Ronald Ackermann's Powerpoint Presentation (PowerPoint), 7/23/2010
Lynne Vaughan's Powerpoint Presentation (PowerPoint), 7/23/2010
Event Summary (Word Document), 7/27/2010
Deneen Vojta's Powerpoint Presentation (PowerPoint), 7/23/2010

(If you want to download one or more slides from these presentations, contact us at info@allhealth or click here for instructions.)

Source Materials

Diabetes Materials List (Word Document), Alliance for Health Reform, 7/22/2010
Speakers Biographies (Adobe Acrobat PDF), Alliance for Health Reform, 7/22/2010
Selected Experts List (Adobe Acrobat PDF), Alliance for Health Reform, 7/22/2010
Agenda (Adobe Acrobat PDF), Alliance for Health Reform, 7/22/2010
National Experts Advocate for Mandatory Prevention Funding To Be Spent on National Diabetes Prevention Programming and the YMCA’S Diabetes Prevention Program (YDPP) (Adobe Acrobat PDF), The Y, 7/22/2010
- This 2 page document provides news clippings that usher support for the YMCA Diabetes Prevention Program
Potential Roles for Policy Makers in Developing a National Diabetes Prevention Plan (Adobe Acrobat PDF), The Y, 7/21/2010
- This one page document provides policy suggestions for developing a nation-wide effort to reduce the prevelance of diabetes and provide better diabetes care.

Offsite Materials (briefing documents saved on other websites)

Diabetes Prevention Program, U.S. Department of Health and Human Services, National Insittue of Health, 10/1/2008
- This 6 page document outlines the basic methodology and results of the Diabetes Prevention Program study, as well as the future implications of the program's success
Diabetes Statistics, American Diabetes Association, 1/1/2007
- A basic Diabetes fact and statistics sheet from the American Diabetes Association
Innovations in Preventing and Managing Chronic Conditions: What's Working in the Real World (Adobe Acrobat PDF),Center for Studying Health System Change, 6/1/2010
- This Issue Brief outlines how investing in wellness and prevention programs may help lower the costs for both insurance companies and employers.
Insurers Tout Disease Management Programs, but Critics Are Wary, The Washington Post, 7/20/2010
- This article draws skepticism to the potential for success of disease management programs, by taking a closer look of factors that may differ between programs.
Insurers Tout Disease Management Programs, but Critics Are Wary, The Washington Post, 7/20/2010
- This article draws skepticism to the potential for success of disease management programs, by taking a closer look of factors that may differ between programs.
Kentucky Town of Manchester Illustrates National Obesity Crisis, Washington Post, 7/12/2010
- This article provides an in-depth look at the health and living conditions of a family living in Manchester, Kentuck; a town ranked as the least healthy in Kentucky with a 24% adult obesity rate.
Michelle Obama: ‘Let’s Move’ on Childhood Obesity, Washington Post, 2/10/2010
- This short article announces the first lady's "Let's Move" campaign and outlines how the program envisions fighting the childhood obesity epidemic facing the nation.
Sebelius Announces New $250 Million Investment to Lay Foundation for Prevention and Public Health, Business Wire, 6/18/2010
- A compilation of fact sheets, this article describes how the newly created National Prevention, Health Promotion and Public Health Council will divide the Prevention and Public Health fund for the 2010 fiscal year.
Telemedicine-Based Diabetes Management Program Focusing on Education and Eye Exams Improves Self-Management Capabilities and Outcomes for Low-Income Rural Patients, The Agency for Healthcare Research and Quality , 4/1/2009
- A 7-page innovation profile that outlines the procedure and results of a diabetes management program that used regular check-ins with patients to improve the self-management behaviors and reduce the blood glucouse and cholesterol levels of patients
Translating the Diabetes Prevention Program into the Community: The DEPLOY Pilot Study, American Journal of Preventive Medicine , 10/1/2008
- This study evaluates the efficacy of a Diabetes Prevention Program type management program within the YMCA. The results find that the YMCA appears a promising venue for future disease management programs
Diabebtes Successes and Opportunities for Population Based Prevention and Control, CDC, 1/1/2010
- This CDC document provides an overview of the diabetes disease and those affected by diabetes.The doocument also notes some current programs around the country geared towards improving diabetes management.
Diabetes Successes and Opportunities for Population Based Prevention and Control, CDC, 4/8/2010
- This short piece provides a brief overview of basic diabetes information and examples of disease management programs nation-wides
Tipping the Scales Against Diabetes, Pre-Diabetes, and Obesity in the U.S., July 20, 2010 (Adobe Acrobat PDF),UnitedHealth Group, 7/21/2010
- This fact-sheet not only provides bullet points regarding the high costs and prevelance of diabetes and pre-diabetes, but also offers advice on how to begin reversing the diabetes epidemic.

Photos

Deneen Vojta of the UnitedHealth Center for Health Reform and Modernization outlined the seriousness of the diabetes epidemic in the U.S. at the July 23 briefing co-sponsored by the United Health Foundation. (9 min.)

Ronald Ackermann of Indiana University Medical School described a lifestyle intervention program that helped 58 percent of pre-diabetic participants avoid developing the disease, at the July 23 briefing cosponsored by the United Health Foundation. (12 min.)

Lynne Vaughan, senior vice president of the YMCA of the USA, explained the Y's efforts in diabetes prevention, at the July 23 briefing cosponsored by the United Health Foundation. (14 min.) 

Robert Berenson of the Urban Institute said disease management programs need to target very specific populations and have reachable goals in order to be successful. From the July 23 briefing cosponsored by the United Health Foundation. (13 min.)

 


Uwe Reinhardt Questions Bundled Payment Savings Prospects


Video (2:58)

A new Alliance for Health Reform video features Princeton’s Uwe Reinhardt questioning whether bundling payments for medical services might actually lead to higher – not lower – costs.

"The ACO's, the accountable care organizations, could create local monopolies that could dictate to you what that bundled price would be, and some of us fear that bundled prices might be even more than what the fee-for-service for that bundle would be today. … You really should align all the payers and say, 'Let us jointly negotiate with the ACOs what those bundles should be so that they cannot divide and rule and sort of make us on the buy side weak.'"

FULL TRANSCRIPT

Read More 


Sister Carol Keehan on Health Law Enrollment Challenges this Year


Video 3:00

A new Alliance for Health Reform video features Sister Carol Keehan of the Catholic Health Association of the United States addressing the challenges of quickly enrolling millions of Americans for health insurance this fall. Open season begins October 1 of this year, yet she says that up to 85 percent of those who will be newly eligible for Medicaid or for subsidies to buy private insurance in state-based exchanges don't know it.  FULL TRANSCRIPT

Read More 


Jonathan Blum on CMS Efforts to Keep Medicare Spending Growth Down


Video (2:54)

Jonathan Blum, acting principal deputy administrator and director of the Center for Medicare at the Centers for Medicare and Medicaid Services (CMS), addresses the slower growth of Medicare spending over the last few years, and what his agency is doing to try and continue the trend. “There are promising signs that this strategy to change the payment system, to change the payment models, to focus on waste and abuse, is paying off," he said. "We are taking a whole new approach to addressing fraud in the program. Much more data resources, much more on the ground reaction. We have seen dramatic spending declines in areas of spending, such as home health and durable medical supplies that historically fueled lots of the fraud.”  FULL TRANSCRIPT

Read More 


Two Former Medicare Administrators Discuss How to Save the Program


A new Alliance for Health Reform video features two former Medicare administrators -- Gail Wilensky and Bruce Vladeck -- on their ideas about how to save the program.

Ms. Wilensky, who ran Medicare in a Republican administration, argued for increasing the eligibility age of Medicare for future retirees, while still making the program available at age 65 for those who are disabled.

Watch at http://www.youtube.com/watch?v=GQjsfam9-w0

Read More 


Douglas Holtz-Eakin: Health Care Spending Lull Only Temporary


Video (3:11)

A new Alliance for Health Reform video features Douglas Holtz-Eakin of the American Action Forum, and a former director of the Congressional Budget Office, arguing that recent slower spending growth in health care won’t continue.

"We also saw a slowdown in the mid-90s, and we all declared victory and it came right back. I think next year we’ll see a noticeable uptick. There will be lots of new people entering the insurance markets because of the exchanges and the subsidies that come along with them, and those subsidies are very generous. … These are an invitation for people to get coverage and to buy more health care. I think that’ll place a lot of pressure on spending."

FULL TRANSCRIPT

Read More 

Marketplace Enrollment Helpers Toolkit


Beginning October 1, insurance marketplaces open for enrollment, and millions of people will be eligible to purchase plans. To guide them in the application process, the federal government has invested in programs to train community organizations and hired staff.

Read More 

The Employer Mandate of the Patient Protection and Affordable Care Act


The Toolkit, available here, details the ACA’s employer requirements and penalty. It also includes information about the delay in the mandate to 2015, and analysis about its impact on employer-based coverage.

Read More 

Toolkit: Replacing the SGR


An Alliance for Health Reform Toolkit summarizes the recent policy debate surrounding the decade-long problem In the last six months, the House Energy and Commerce Committee, House Ways and Means, and Senate Finance committees all put forth similar bills to repeal and reform the flawed Medicare physician payment formula. Further, with the CBO estimating the cost of repeal at $116.5, the lowest since 2006, many health policy experts are speculating that 2014 is the year that policymakers enact a permanent change to the SGR.

Read More 

Toolkit: Training the Workforce for a Changing Health System


A new Alliance for Health Reform toolkit addresses concerns about whether newly-trained physicians are adequately prepared for today's evolving health care delivery system. Does training adequately emphasize care coordination, team-based care, costs of care, health information technology, cultural competence and quality improvement? Does it encourage students to practice in a primary care setting?

Read More 

Copyright 1997-2014 Alliance for Health Reform
1444 Eye Street, NW, Suite 910 Washington, DC 20005-6573      202-789-2300      202-789-2233 fax      info@allhealth.org      Sitemap