More financial incentives for high-value services, greater data interoperability are needed to address problem
Progress in treating and preventing Type 2 diabetes in the U.S. has stalled over the past decade, and regaining momentum will require a coordinated effort among lawmakers, clinicians and public and commercial payers, according to a recent article in Health Affairs.
Currently about 37 million Americans have diabetes, a 40% increase from 10 years ago, the article notes. Moreover, inequities in access to care and preventive services mean that Black and Hispanic adults are 1.5 to 2 times more likely to develop the disease, and significantly more likely to die from it, than are non-Hispanic white adults.
The authors say much of the backsliding in diabetes prevention and treatment is due to fragmentation in the nation’s health care system, which they define as “siloed or heterogeneous health services that occur because of the lack of unified goals, policies, incentives, and information across stakeholders.” This results in “uncoordinated and highly variable care that deviates from evidence-based recommendations, thereby undermining population health goals and equity.”
Fragmentation has been especially harmful to diabetes treatment and prevention when it comes to health policy and governance, payers and reimbursement design,