Evan Garmaise, Data Scientist
Junghoon Woo, Data Scientist
In 2016, the Department of Health and Human Services announced the certification of the Diabetes Prevention Program (DPP). The DPP aims to reach 86 million pre-diabetic Medicare participants in the United States through education, training, and lifestyle coaching. According to the physician payment rule recently announced, Medicare will be reimbursing both digital and in-person versions of the DPP; however, it remained unclear how the parameters for the digital version will be set. Due to the relatively short history of digital DPP, little is known regarding the mechanism of weight loss when the services are rendered through a mobile app. This will be critical for CMS to set payment mechanism by outcomes as it announced. To better understand the mechanism of weight loss by digital DPP solutions, and to help CMS make the most informed decision on the payment rule, we have collaborated with one of the few certified digital DPP.