The Value of Medical Nutrition Therapy and Diabetes Self-Management Education and Support in Diabetes Care and Education: A Call to Action to Increase Referrals and Recognize Insurance Coverage Variation.

IF 5.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Amy Hess-Fischl
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引用次数: 0

Abstract

Purpose of review: Evidence over the past few decades have proven the benefits and cost savings of diabetes self-management education and support (DSMES) and medical nutrition therapy (MNT). Yet, the benefits continue to be underutilized. Little evidence is available to definitively assess insurance coverage for both services. Strategies are presented to more efficiently assess coverage as well as Identify methods to increase referrals and more effectively bill for both services.

Recent findings: Estimated statistics for both type 1 and type 2 diabetes reveal increases globally, especially in those under 20 and over 65. Individuals meeting the current A1C guidelines are still well below current recommendations. The economic costs of diabetes continue to rise. Both DSMES and MNT are effective, cost-saving methods that are critical components to the ongoing care of people with diabetes. While insurance coverage does vary based on each specific type, billing correctly and following the requirements for NSDSMES are essential to receive appropriate reimbursement for services.

医学营养治疗和糖尿病自我管理教育在糖尿病护理和教育中的价值和支持:呼吁采取行动增加转诊和认识保险覆盖范围的变化。
回顾目的:过去几十年的证据已经证明糖尿病自我管理教育和支持(DSMES)以及医学营养治疗(MNT)的益处和成本节约。然而,这些好处仍然没有得到充分利用。几乎没有证据可以明确评估这两种服务的保险范围。提出了更有效地评估覆盖面的战略,以及确定增加转诊和更有效地为这两种服务收费的方法。最新发现:1型和2型糖尿病的估计统计数据显示,全球范围内,特别是在20岁以下和65岁以上的人群中,发病率均有所上升。符合当前糖化血红蛋白指南的个体仍远低于当前的推荐值。糖尿病的经济成本持续上升。DSMES和MNT都是有效的、节省成本的方法,是糖尿病患者持续护理的关键组成部分。虽然保险范围确实根据每种特定类型而有所不同,但正确计费并遵循nssdsmes的要求对于获得适当的服务报销至关重要。
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来源期刊
CiteScore
9.80
自引率
0.00%
发文量
52
审稿时长
6-12 weeks
期刊介绍: The goal of this journal is to publish cutting-edge reviews on subjects pertinent to all aspects of diabetes epidemiology, pathophysiology, and management. We aim to provide incisive, insightful, and balanced contributions from leading experts in each relevant domain that will be of immediate interest to a wide readership of clinicians, basic scientists, and translational investigators. We accomplish this aim by appointing major authorities to serve as Section Editors in key subject areas across the discipline. Section Editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year on their topics, in a crisp and readable format. We also provide commentaries from well-known figures in the field, and an Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.
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