This precedent-setting contract is the first of its kind in the country and is being used as a model for other states to follow.
Over two years ago the HealthSpan medical team started recommending the YMCA’s Diabetes Prevention Program to their prediabetic patients. HealthSpan (formerly Kaiser Permanente) medical leadership and physicians have had a long history of being proactive in keeping their patients healthy, rather than just treating them after they were ill.
The YMCA’s Diabetes Prevention Program gave them a proven evidenced-based program to help prevent or delay the onset of type 2 diabetes. Over the past two years, the reach of the program has grown to all of the HealthSpan medical offices in the Greater Cleveland area and surrounding counties. The YMCA of Greater Cleveland Diabetes Prevention Program Director holds monthly on-site meetings with referred patients at two HealthSpan facilities, and the Cleveland Heights Medical Center also hosts a number of Diabetes Prevention Program year-long classes.
The state-wide HealthSpan contract and coordinated referral system is the first of its kind in the United States. Never before has a YMCA contract been written for a Healthy Living program with an integrated medical and insurance provider.
The YMCA of Greater Cleveland and HealthSpan are also collaborating in a formal research pilot to investigate the effects of using a virtual reality avatar exercise game to increase weight loss and exercise adherence in Diabetes Prevention Program participants. The results of this pilot will be used in an application to be submitted to the National Institutes of Health for 2016 funding of a full research study.
Also, Health Span will be the YMCA of Greater Cleveland’s official health partner when the new Parker Hannifin Downtown YMCA opens in March 2016 in the Galleria at Erieview. HealthSpan will have a significant presence inside the new Downtown YMCA for the benefit of all Northeast Ohio residents.
The YMCA’s Diabetes Prevention Program is a lifestyle improvement program for adults with prediabetes. Its purpose is to empower adults with lasting lifestyle changes that will improve their overall health and reduce their chance of developing type 2 diabetes.
In the YMCA of Greater Cleveland, our year-long YMCA’s Diabetes Prevention Program has continued to grow significantly, serving 422 people in 2014, a 500% increase over 2013.
Because of the program’s high success rate, medical professionals from across the Greater Cleveland area are referring their at-risk patients to the program.
The state-wide HealthSpan contract and coordinated referral system is the first of its kind in the United States. Never before has a YMCA contract been written for a Healthy Living program with an integrated medical and insurance provider. Never before has an insurance benefit paid the full $429 per person program fee; in all other contracts, the insurer pays on a fee-for-performance basis, which results in a significantly lower and riskier income for the YMCAs. Never before has a state-wide alliance of YMCAs worked together to agree to one standard contract and program implementation.
Not only will this contract bring in significant revenue to the 11 Ohio YMCA Associations that are currently offering the YMCA’s Diabetes Prevention Program, but we negotiated that any other YMCA associations in the state that become eligible to offer the program during this three-year contract will be added to the contract. As more Ohio YMCAs become eligible to offer the YMCA’s DPP, the influence of this contract will grow.