Managing the Burden of Diabetes Among Employers and Employees

Despite effective care guidelines,
adherence remains low

Given the unrelenting obesity epidemic, diabetes will continue as one of the most prevalent and disabling chronic conditions in America.  Like many other chronic diseases, diabetes has a major impact on productivity, disability, and health care costs.  Unfortunately, diabetes cannot be cured or managed by pharmaceuticals alone.  Effective diabetes management requires the active engagement and participation of the patient with their doctor. 


The American Diabetes Association (ADA) has specified a clear set of evidence-based care standards that all patients with diabetes should follow annually.  Unfortunately, despite these proven effective care guidelines, most people with diabetes have very low adherence to recommended standards of care (i.e. “gaps in care”) as well as low rates of compliance with regular blood glucose testing and recommended medication use


National Diabetes Statistics

Non-Adherent with
Care Standards
with Medication Regimen
Have other
Chronic Conditions
Claims Attributed to
Members with Diabetes

Proving the hypotheses
a compared controlled study of effectiveness

Scientific Validation

Abacus Health Solutions conducted a comparative controlled study of the Program’s effectiveness. A retrospective, pre-post-comparative study was conducted using propensity score matching to compare utilization and cost data between individuals enrolled versus a matched group of individuals eligible but not enrolled in the Program from 2010 to 2017.


A cohort of 3,318 members was identified; 1,659 of which were enrolled in the Program and the control cohort consisted of another 1,659 individuals that were eligible for the program but did not enroll and were matched on several demographic and health status and health risk variables, like age, gender, location and insulin use, as well as, the Elixhauser Comorbidity Index (a measure of a person’s risk of hospital admission calculated based on the presence or absence of a set of chronic medical conditions) helped ensure we were comparing members who had similar health risks and illness severity prior to program implementation.

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    The Results

    Improvement in Clinical Outcomes,
    Service Utilization, and Costs

    Program participants had more recommended testing, including 32% more adherence to semi-annual HbA1c testing, 9% greater lipid panel testing, and 38% greater adherence to microalbumin lab testing.

    Among the highest risk members, a 20.1% decrease in members with a  HbA1c of >9.

    Participants had an 80% greater likely hood of continuing Insulin usage.

    Participants had 54% more physician visits, a 54% reduction in hospital admissions, and a 34% reduction in hospital days stay.

    Once adjusted for baseline differences, the participants demonstrated lower medical costs and greater pharmacy costs versus matched controls during the comparison period.

    Decrease in Medical Spending PMPMParticipants vs Non Participants

    $1,556.40 Decrease in PMPY medical spending

    City of Lynn, MA
    Wins Big with Diabetes Management

    City of Lynn MA claims trendThe City has improved
    the health of their Employees and reduces costs by implementing the Abacus Health Diabetes Care Rewards Program

    COVID19 Update
    Abacus Health

    Maintaining the health and safety of our employees and program members is our top priority during this public health crisis.

    The Abacus Health HelpLine is fully operational. HelpLine Advocates are available to answer member’s questions about our programs, assist with program enrollment and schedule a time for members to speak with our clinical staff.  Additionally, our entire staff is fully operational and operating remotely.

    Due to the ongoing challenges some members are facing in scheduling and keeping appointments with their Providers, extensions are available by calling the HelpLine.  This ensures that our members continue to have access to their much-needed incentives. We will continue to evaluate this as needed. We understand that not all areas of the country are experiencing healthcare system challenges, so we encourage members to call their doctor to determine if they should keep their scheduled appointment.

    Our program members are encouraged to take advantage of the valuable resource they have in our Nurses, Diabetes Educators and Pharmacists. Members can schedule a call with one of our clinicians by calling 800.643.8028.

    Practice Social Distancing and Be Safe