Advocacy Tools and Resources
On October 1, 2013, Health Insurance Marketplaces nationwide will begin open enrollment. AADE has developed a brochure for diabetes educators and their patients with information on healthcare changes created by the implementation of Health Insurance Marketplaces. This document includes basic information for Health Insurance Marketplaces, a summary of “essential health benefits” and what patients with diabetes can expect to change in their healthcare coverage.
Recent studies provide additional compelling evidence that DSMT programs, involving a health team approach that includes Credentialed Diabetes Educators, not only significantly reduces overall health costs but also improves health outcomes.
These findings support the critical need for Congress to enact legislation to include Credentialed Diabetes Educators as Medicare providers of DSMT, in order to enhance access to DSMT care that directly impacts diabetes health outcomes and saves money.
AADE can provide you with valuable information and fact sheets to help you communicate to your Members of Congress the need and justification for the Credentialed Diabetes Educator to be recognized as a Medicare DSMT provider.
Dobson DaVanzo & Associates, LLC (Dobson | DaVanzo) was commissioned by AADE to estimate the financial impact of implementing H.R. 2787 using the Congressional Budget Office (CBO) scoring methodology. The proposed legislation designates credentialed diabetes educators as Medicare providers of Diabetes Self-Management Training (DSMT). Currently, DSMT programs must be accredited, and operate as distinct entities within a facility, such as a hospital. The DSMT benefit is thought to be underutilized, and many individuals living with diabetes lack access to a DSMT program. Medicare recognition of qualified diabetes educators as DSMT providers would promote quality and better access to care for diabetes education. Read the complete study or summary.
The Library of Congress has made it easy to get updates on federal legislation.
Informational materials on: the legislative process, Congressional staff roles, communicating with your elected officials and visiting Capitol Hill.
A comprehensive list of each Member of Congress's Twitter handle.
When the Medicare DSMT benefit was established in 1997, most diabetes education took place in hospital outpatient settings. As hospital programs have closed in recent years, it has become more imperative that we ensure access to DSMT care in CMS approved non-hospital settings. A legislative clarification is the only viable solution to ensure that CDEs are considered Medicare providers of DSMT and are thus able to seek reimbursement for DSMT in non-hospital settings.
The provision is CBO- scored as budget neutral. In addition, a large body of evidence indicates that DSMT as taught by a CDE actually reduces health expenditures and ‘bends the cost curve.'
Read past issues of the AADE Advocacy Newsletter, published between 2009-2012.