EBMapps is looking for insurance partners that can provide our modules to those they insure and encourage module use through incentive programs. These modules would be provided to such users at nominal cost. However, EBMapps would seek reimbursement from the insurer based on the number of users that respond (have their A1C return to normal).
Incentive based programs can be extremely cost effective! There are currently 86 million prediabetics in the United States. Without intervention, 15% - 30% of people with prediabetes will develop type II diabetes within 5 years. The direct medical cost for each individual that becomes diabetic is $7,900/year! Providing a small incentive for each prediabetic that have their A1C return to normal levels may become a necessity.
The Type II diabetes prevention module includes a number of monitors that are used to determine if an individual user should be provided incentives. Monitors include:
The screen shot in figure 1 shows how the module can be employed by users to examine their incentive compliance status.
Figure 1 – The user can select Compliance Status (circled in red) resulting in the summary shown.
Figure 2 – The user can select Apply for incentive resulting in the application shown.
At the end of the subscription period, the user can then apply for incentives as show in figure 2. Diary and weight loss incentives are obtained directly, however, physician certification is required for verified weight loss and verified A1C returned to normal. This would be accomplished by sending a form (Figure 3) by email to the user that is taken to his/her physician for completion. The completed form is then faxed by the physician’s office back to EBMapps for audit review.
Figure 3 – Medical release form