Comparison timestamp: 2025-05-03 16:39:39 UTC
RestoredCDC URL: http://restoredcdc.org/www.cdc.gov/diabetes-toolkit/php/business-case/index.html
Live cdc.gov URL ↗: https://www.cdc.gov/diabetes-toolkit/php/business-case/index.html
RestoredCDC URL: http://restoredcdc.org/www.cdc.gov/diabetes-toolkit/php/business-case/index.html
Live cdc.gov URL ↗: https://www.cdc.gov/diabetes-toolkit/php/business-case/index.html
Removed: Line removed from cdc.gov. Specific word removals are highlighted.
Added: Line added to cdc.gov. Specific word additions are highlighted.
Injected:
Line or disclaimer added by RestoredCDC.org.
Unchanged: Line unchanged.
Original site: www.cdc.gov/diabetes-toolkit/php/business-case/index.html | RestoredCDC.org is an independent project, not affiliated with CDC or any federal entity. Visit CDC.gov for free official information. Due to archival on January 6, 2025, recent outbreak data is unavailable. Videos are not restored. Access data.restoredcdc.org for restored data. Use of this site implies acceptance of this disclaimer.[More]About Us Report Bug Compare ContentSkip directly to site content Skip directly to search Skip directly to On This PageAn official website of the United States governmentHere's how you knowOfficial websites use .govA .gov website belongs to an official government organization in the United States.Secure .gov websites use HTTPSA lock ( ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.Diabetes Self-Management Education and Support (DSMES) ToolkitExplore TopicsSearchSearchClear InputPublic Health* About the Diabetes Self-Management Education and Support (DSMES) Toolkit* Participate* DSMES Health Literacy Tool* Patient Success With DSMES Through Telehealth* DSMES Promotion Playbook Resources* Terminology and Glossary* How to Increase Referrals and Overcome Barriers to Participation Resources* Who Provides DSMES Services: Staffing and Delivery Models* DSMES Coverage Policies: Reimbursement and Sustainability* Building the Business Case for DSMES* View allRelated Topics:National Diabetes Prevention Program | DiabetesView Allsearch close searchsearchDiabetes Self-Management Education and Support (DSMES) Toolkit Menu CloseDiabetes Self-Management Education and Support (DSMES) Toolkit MenusearchPublic Health* About the Diabetes Self-Management Education and Support (DSMES) Toolkit* Participate* DSMES Health Literacy Tool* Patient Success With DSMES Through Telehealth* DSMES Promotion Playbook Resources* Terminology and Glossary* How to Increase Referrals and Overcome Barriers to Participation Resources* Who Provides DSMES Services: Staffing and Delivery Models* View All HomeRelated Topics* National Diabetes Prevention Program* DiabetesView All Diabetes Self-Management Education and Support (DSMES) ToolkitAbout the Diabetes Self-Management Education and Support (DSMES) Toolkit Participate DSMES Health Literacy Tool Patient Success With DSMES Through Telehealth DSMES Promotion Playbook Resources Terminology and Glossary How to Increase Referrals and Overcome Barriers to Participation Resources Who Provides DSMES Services: Staffing and Delivery Models View AllMay 15, 2024Building the Business Case for DSMESKey pointsDiabetes affects around 1 in 10 Americans and costs the nation an estimated $413 billion each year. Diabetes-related costs are expected to increase as diabetes rates continue to climb. DSMES services improve health outcomes for people with diabetes, reducing hospital visits and saving money.OverviewBuilding the business case for DSMES services is critical to long-term success and sustainability. DSMES can increase use of primary and preventive services and lower use of acute, inpatient hospital services. Research shows that when physicians and diabetes care and education specialists collaborate, positive clinical quality and cost savings result.Although DSMES services have not always been able to cover their costs and expand, that trend is changing. In 2017:* 20% of DSMES services were revenue- or cost-neutral.* 9% ran at a profit.* 21% did not charge for services.* 15% ran at a loss (a steady decline from the high of 43% in 2007).Source: 2017 Diabetes Educator and the Diabetes Self-Management Education National Practice SurveyBenefits of DSMES for people with diabetesDSMES gives people the essential tools and skills to self-manage diabetes, and participation offers proven benefits. Hemoglobin A1C can improve by 0.6%, as much as many medications and without side effects.Health care costs are lower for people with diabetes who attend at least one DSMES session. One study found that at least one DSMES visit lowered the hospitalization rate for people with diabetes by 34%.People who participate in DSMES are more likely to follow best-practice treatment recommendations and have lower claims costs. In a 3-year retrospective claims analysis of 250,000 Medicare beneficiaries, those who participated in DSMES had an average cost savings of $135 per month.Benefits of DSMES for employers and insurersEmployers and insurers benefit from DSMES through improved employee productivity and reduced health care costs. A cost analysis of disease management services combined with diabetes education reported a return on investment of more than 4 to 1. State health departments can work with their diabetes councils or partner networks to inform and educate employers and insurers on the benefits of DSMES services and to encourage coverage.Employers are eager to hear that insurers have strategies to address the rising costs of diabetes. Encourage employers to talk with their insurance carriers about adding DSMES services as part of the employee health benefits package.Value of diabetes care and education specialistsDiabetes care and education specialists (DCESs) are critically important in providing DSMES services. They have the knowledge and skills necessary to educate people about diabetes and its complications. They also have the communication and support skills needed to deliver comprehensive yet individualized diabetes education. This is essential in helping people manage daily challenges while working toward long-term behavior change.Better outcomes, lower costsStudies indicate that when delivered by DCESs, DSMES services are both clinically beneficial and cost effective, especially when people attend more than one session. Participants are more likely to take medications as prescribed and receive recommended care. They also have lower health care costs than people with diabetes who don't attend DSMES.Increased participationUnfortunately, even though many third-party payers cover DSMES in part or in full, participation remains low. Low participation may be because eligible people with diabetes are not receiving referrals to DSMES services or because of barriers to participation. Increasing DSMES referral rates and access for underserved populations are promising strategies for increasing health care quality and reducing costs.That's where DCESs serve a doubly important role. They not only provide DSMES services but also educate insurers, physicians, health care providers, and people with diabetes and their families about the importance of referrals to DSMES. See the DSMES Promotion Playbook for resources to help DCESs talk about the benefits of DSMES services.More on the value of DCESsDiabetes Education as a Career ChoiceThe 2017 Diabetes Educator and the Diabetes Self-Management Education National Practice SurveyThe Future of Diabetes Education: Expanded Opportunities and Roles for Diabetes EducatorsReducing the Risks of Diabetes Complications Through Diabetes Self-Management Education and SupportOn This Page* Overview* Benefits of DSMES for people with diabetes* Benefits of DSMES for employers and insurers* Value of diabetes care and education specialistsRelated PagesOverall Value and ROI of DSMESRelated Pages** Overall Value and ROI of DSMES* Resources for Quality Measures* How to Increase Referrals and Overcome Barriers to Participation Resources** Who Provides DSMES Services: Staffing and Delivery Models* DSMES Coverage Policies: Reimbursement and Sustainability* View AllView All Diabetes Self-Management Education and Support (DSMES) ToolkitBack to TopMay 14, 2024Sources Print ShareFacebook LinkedIn Twitter SyndicateContent Source:National Center for Chronic Disease Prevention and Health Promotion; DiabetesRelated PagesOverall Value and ROI of DSMESRelated Pages** Overall Value and ROI of DSMES* Resources for Quality Measures* How to Increase Referrals and Overcome Barriers to Participation Resources** Who Provides DSMES Services: Staffing and Delivery Models* DSMES Coverage Policies: Reimbursement and Sustainability* View AllView All Diabetes Self-Management Education and Support (DSMES) ToolkitBack to TopDiabetes Self-Management Education and Support (DSMES) ToolkitThe DSMES Toolkit is a comprehensive resource for achieving success in diabetes self-management education and support (DSMES) services.View All* About the Diabetes Self-Management Education and Support (DSMES) Toolkit* Participate* DSMES Health Literacy Tool* Patient Success With DSMES Through Telehealth* DSMES Promotion Playbook Resources* Terminology and Glossary* How to Increase Referrals and Overcome Barriers to Participation Resources* Who Provides DSMES Services: Staffing and Delivery Models* DSMES Coverage Policies: Reimbursement and Sustainability* Building the Business Case for DSMES* View AllSign up for Email UpdatesContact UsContact Us* Call 800-232-4636* Contact CDCAbout CDCAbout CDC* Pressroom* Organization* Budget & Funding* Careers & JobsPolicies* Accessibility* External Links* Privacy* Web Policies* FOIA* OIG* No Fear Act* Nondiscrimination* Vulnerability Disclosure PolicyLanguagesLanguages* EspañolLanguage Assistance* Español* 繁體中文* Tiếng Việt* 한국어* Tagalog* Русский* العربية* Kreyòl Ayisyen* Français* Polski* Português* Italiano* Deutsch* 日本語* فارسی* EnglishArchive* CDC Archive* Public Health PublicationsContact UsContact Us* Call 800-232-4636* Contact CDCAbout CDC* Pressroom* Organization* Budget & Funding* Careers & Jobs* About CDCPolicies* Accessibility* External Links* Privacy* Web Policies* FOIA* OIG* No Fear Act* Nondiscrimination* Vulnerability Disclosure PolicyLanguagesLanguages* EspañolLanguage Assistance* Español* 繁體中文* Tiếng Việt* 한국어* Tagalog* Русский* العربية* Kreyòl Ayisyen* Français* Polski* Português* Italiano* Deutsch* 日本語* فارسی* EnglishArchive* CDC Archive* Public Health PublicationsHHS.gov USA.gov
Note: Comparison ignores leading/trailing whitespace
and certain script/tracking codes. Word-level
highlighting (optional above) only applies to changed
lines.