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Estimated Cost Savings: Everyone with Diabetes Counts (EDC) Program

Silveira, Lori J. PhD; Fleck, Susan B. BN; Sonnenfeld, Nancy PhD; Manna, Jill BA; Zhang, Lijing MS; Irby, Kimberly B. MPH; Brock, Jane E. MD

doi: 10.1097/FCH.0000000000000189
Original Article: PDF Only

Everyone with Diabetes Counts (EDC) is a national disparities reduction program funded by the Centers for Medicare & Medicaid Services to improve outcomes in the underserved minority, diverse, and rural populations. This analysis evaluates West Virginia's pilot program of diabetes self-management education (DSME), one component of EDC. We frequency-matched 422 DSME completers to 1688 others by demographics and enrollment from Medicare fee-for service claims. We estimated savings associated with reduced hospitalizations in multivariable negative binomial models. DSME completers had 29% fewer hospitalizations (adjusted P < .0069). We estimated savings of $35 900 per 100 DSME completers in West Virginia.

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Telligen, West Des Moines, Iowa (Drs Silveira and Brock and Mss Zhang and Irby); Centers for Medicare & Medicaid Services, Baltimore, Maryland (Mss Fleck and Dr Sonnenfeld); and Quality Insights, Charleston, West Virginia (Ms Manna).

Correspondence: Lori J. Silveira, PhD, Telligen, 7730 E Belleview Ave, Ste 300, Greenwood Village, CO 80111 (

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The authors declare no conflict of interest.

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