THE YMCA’S DIABETES PREVENTION PROGRAMLYNNE VAUGHAN, CHIEF INNOVATION OFFICER, YMCA OF THE USA

THE $174 BILLION QUESTION: HOW TO REDUCE DIABETES AND OBESITY

ALLIANCE FOR HEALTH REFORM BRIEFINGCO-SPONSORED BY UNITEDHEALTH FOUNDATION

FOR YOUTH DEVELOPMENTFOR HEALTHY LIVINGFOR SOCIAL RESPONSIBILITY

July 24, 2010

OVERVIEW

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1. Why the Y? (Pioneer, Mission, Reach and Scale)

2. History of YMCA’s Diabetes Prevention Program (YDPP)

3. UnitedHealth Group

4. CDC and Health Care Reform

5. How Might We Take DPP to Scale?

6. The Next Chapter

THE Y AS A PIONEER IN HEALTHY LIVING -- CENTRAL TO OUR MISSION

•Basketball, resident camping, in-ground swimming pools, youth sports leagues, fitness exams, child care…

•Millions of adults and families are receiving the support, guidance and resources needed to achieve greater health and well-being for their spirit, mind and body.

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THE Y’S REACH AND SCALE – WE CAN MAKE DIABETES PREVENTION AVAILABLE TO MOST AMERICAN COMMUNITIES

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57% of U.S. 57% of U.S. households households are located are located

within 3 within 3 miles of a miles of a

YMCAYMCA

HISTORY OF YDPP

Translational Research At It’s Best

10 year, $200 million federal investment in the national Diabetes Prevention Program (at NIH, CDC, IHS others)

Showed that over HALF of new cases of type 2 diabetes can be avoided by structured lifestyle intervention programs that help individuals with PRE-diabetes lose just 5-7% of their body weight and participate in daily physical activity such as brisk walking

--But it was too costly to scale

Indiana University researchers showed that a carefully designed group lifestyle intervention to prevent diabetes could be delivered for $250-$350 per year in the Y and achieve similar weight loss results as the more costly than the original federal research trial.

“If we can’t do this at the Y, we can’t do it!”

--David Marrero, Researcher, Indiana University

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UNITEDHEALTH GROUP AND THE Y

In April, YMCA of the USA and UnitedHealth Group announce a partnership, where UnitedHealth Group will reimburse YMCAs offering the YMCA’s Diabetes Prevention Program

Seven communities this year with more to come on-line in next 5 years:• Cincinnati, Columbus and Dayton, Ohio• Indianapolis, IN• Minneapolis and St. Paul, MN• Phoenix, AZ

Key Ingredients:

Sustainable Insurer “Agnostic”

Evidence-base Performance-based

Available to All Quality Assurance

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CDC’S NATIONAL DIABETES PREVENTION PROGRAM

YMCA of the USA worked with Senators Franken and Lugar to secure an amendment to health care reform which established the National Diabetes Prevention Program at CDC, which includes

•National training and recognition program for community-based DPPs, Quality assurance, applied research and model sites.

Why is the National Diabetes Prevention Program needed?• To provide patients, health care providers, and health payers

trustworthy information on the availability of high quality diabetes prevention programs in their community.

• To attract health payer funding and to support the long-term sustainability of diabetes prevention programs in the U.S. population. Foundation support is needed to ensure full access.

• To provide start up funding to build the needed infrastructure

YMCA model sites funded by CDC: Birmingham, AL; State of Delaware; Tampa and Jacksonville, FL; Ft. Wayne and Bloomington, IN; Louisville, KY; NYC and Rochester, NY; Providence, RI; Seattle, WA. More sites come on line late summer.

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Y DPP SITES 2006-2011

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YMCA of Greater Indianapolis

2006 2009 2010 2011 The Future

YMCAs in the 100 Largest MSAs

UnitedHealth Funded

Y Sites = 20 Sites

CDC Funded Y Sites= 21 Sites

YMCA of Greater Louisville

Translation by NIH

Replication by CDC

Dissemination Dissemination

Going to Scale

HOW MIGHT WE HELP ALL AT-RISK AMERICANS PREVENT OR DELAY DIABETES Fully Fund the National Diabetes Prevention Program (NDPP)

Urban Institute has said that making this program available nationwide with organizations like the Y, our nation can save $191 billion over 10 years

Federal resources invested in the NDPP will be matched by hundreds of millions, if not billions, of dollars by 3rd party payers

To scale the NDPP nationally $80 million is needed per year from the mandatory prevention fund. Funding would support:

CDC’s training, recognition, quality assurance and research Public and provider education on pre-diabetes YMCAs to build capacity in the 100 largest Metropolitan Statistical Areas

where an estimated 50 million of the 57 million people with pre-diabetes reside

Activation of referral networks Capacity building for new program delivery networks

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THE NEXT CHAPTER

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The Y and UnitedHealth Group on Childhood Obesity