Health and Economic Impacts of Coverage Requirements and Health System-Community Coordination for Diabetes Prevention

Our proposal aims to: (1) evaluate and compare the impacts of large-scale regional healthcare-community linkage strategies on changing rates of prediabetes screening, diagnosis, and National DPP intervention attendance following USPSTF implementation of new recommendations, (2) describe implementation features and elicit barriers and facilitators of implementation, replication, and future scaling of large-scale regional initiatives, and (3) compare the effects of exposure to the YMCA’s DPP on healthcare costs and utilization for different subgroups of patients with prediabetes. This evaluation will provide critical information about whether particular strategies should be discontinued, refined, or replicated on a larger scale to achieve maximal impact over the coming decade.