Perceived Barriers and Potential Solutions to Engagement in the National Diabetes Prevention Program

Abstract

Improving National DPP outcomes also appears critical to economic sustainability of the program under new performance-based reimbursement policies. Most notably, Medicare coverage of the National DPP began in 2018, with reimbursement to suppliers based on their participants' achievement of attendance and weight outcomes. As listed in the CDC's registry of National DPP suppliers, there are currently over 1500 National DPP sites to serve the one-third of adults and half of seniors who are estimated by the CDC to have prediabetes. Maximizing outcomes may help National DPP suppliers achieve sustainability and thereby support continued access to services. Suppliers that serve diverse and low-income patient populations may especially need to focus on helping participants overcome barriers to engagement.