Partnering with Insurers in Caring for the Most Vulnerable Youth with Diabetes: NICH As an Integrator

Overview

Journal Curr Diab Rep

Publisher Current Science

Specialty Endocrinology

Date 2017 Mar 22

PMID 28321766

Citations 4

Authors

Samantha A Barry

Lena Teplitsky

David V Wagner

Amit Shah

Brian T Rogers

Michael A Harris

Affiliations

Soon will be listed here.

Abstract

Purpose Of Review: In this review, we outline barriers to appropriately caring for high-risk youth with diabetes and discuss efforts in partnering with insurers through Alternative Payment Models to achieve the Triple Aim (improved health, improved care, and reduced costs) for this population.

Recent Findings: Current approaches in caring for youth with diabetes who evidence a high degree of social complexity are woefully ineffective. These youth are vulnerable to repeat diabetic ketoacidosis episodes, poor glycemic control, and excessive utilization of healthcare resources. To effectively pursue the Triple Aim, an "integrator" (i.e., an entity that accepts responsibility for all components of the Triple Aim for a specified population) must be identified; however, this does not fit into current fee-for-service models. Integrators for youth with diabetes are limited, but early examples of integrator efforts are promising. We present one successful "integrator," Novel Interventions in Children's Healthcare (NICH), and detail this program's efforts in partnering with insurers to serve high-risk youth with diabetes.

Citing Articles

An "All-Data-on-Hand" Deep Learning Model to Predict Hospitalization for Diabetic Ketoacidosis in Youth With Type 1 Diabetes: Development and Validation Study.

Williams D, Ferro D, Mullaney C, Skrabonja L, Barnes M, Patton S JMIR Diabetes. 2023; 8:e47592.

PMID: 37224506 PMC: 10394604. DOI: 10.2196/47592.

The Role of Caregiver-Reported Risks in Predicting Adverse Pediatric Outcomes.

Vaz L, Wagner D, Jungbauer R, Ramsey K, Jenisch C, Koskela-Staples N J Pediatr Psychol. 2020; 45(8):957-970.

PMID: 32815539 PMC: 8312731. DOI: 10.1093/jpepsy/jsaa067.

Neighborhood socioeconomic deprivation is associated with worse patient and graft survival following pediatric liver transplantation.

Wadhwani S, Beck A, Bucuvalas J, Gottlieb L, Kotagal U, Lai J Am J Transplant. 2020; 20(6):1597-1605.

PMID: 31958208 PMC: 7261648. DOI: 10.1111/ajt.15786.

Your Exclusion, My Inclusion: Reflections on a Career Working With the Most Challenging and Vulnerable in Diabetes.

Harris M Diabetes Spectr. 2018; 31(1):113-118.

PMID: 29456435 PMC: 5813304. DOI: 10.2337/ds17-0080.

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