Authors

  1. Silveira, Lori J. PhD
  2. Fleck, Susan B. RN, MMHS
  3. Sonnenfeld, Nancy PhD
  4. Manna, Jill BA
  5. Zhang, Lijing MS
  6. Irby, Kimberly B. MPH
  7. Brock, Jane E. MD, MSPH

Abstract

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.