Evidence map›Paper›PMID 41143663›Full record

ArticleThe American journal of managed care2025

Opportunities and obstacles associated with the Medicare Diabetes Prevention Program.

Melanie T Turk, Natalie D Ritchie, Bailey Norton, Ava Gallucci

Abstract read
In one paragraph

Article in The American journal of managed care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Melanie T Turk *Duquesne University School of Nursing, 518 Fisher Hall, 600 Forbes Ave, Pittsburgh, PA 15282. Email: turkm@duq.edu.
Natalie D Ritchie *
Bailey Norton
Ava Gallucci

Funding

Multi-Stakeholder Determinants of Medicare Diabetes Prevention Program Implementation and ParticipationR15HL163736 · NHLBI · DUQUESNE UNIVERSITY · PI WARZISKI TURK, MELANIE T · 2023 to 2023
$426k
NHLBI NIH HHS R15 HL163736
6 · The paper itself

Abstract

objectivesCMS has provided full coverage of the Medicare Diabetes Prevention Program (MDPP) since 2018. However, the MDPP's potential to impact public health has been limited by the lack of program suppliers and participants. This study describes the opportunities and obstacles associated with MDPP implementation from the novel perspective of program coordinators across the US. STUDY

designWe conducted a qualitative study with a sample of program coordinators from MDPP suppliers listed in the CMS database.

methodsWe conducted individual interviews with 12 program coordinators to learn about their experiences becoming a Medicare-designated program supplier and delivering the MDPP. Data were analyzed using the Rapid Group Analysis Process.

resultsSix themes emerged: 2 about opportunities and 4 about obstacles. Opportunity themes reflected (1) supportive organizational cultures and (2) committed staff who were passionate about and invested in offering the MDPP. Obstacle themes revealed (1) challenges around obtaining Medicare designation, (2) logistics of submitting claims and receiving reimbursement, (3) insufficient payment associated with the pay-for-performance model and Medicare Advantage plans, and (4) overwhelming and conflicting government requirements. Program coordinators offered recommendations to support organizations in providing the MDPP, including peer mentors for onboarding and continued assistance and a more traditional fee-for-service payment model.

conclusionsThese findings highlight organizational culture as a strength for MDPP implementation and suggest policy changes to address MDPP obstacles. Wider program dissemination is urgently needed to prevent type 2 diabetes among the approximately 5.2 million eligible Medicare beneficiaries.

Indexed as

Diabetes MellitusDiabetes Mellitus, Type 2MedicareCenters for Medicare and Medicaid Services, U.S.HumansInterviews as TopicOrganizational CultureQualitative ResearchUnited States

Identifiers

PMID41143663
PMCPMC12614249

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.