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November 2020

Medicare Advantage members transitioning to a new diabetic management program

In October, BCN Advantage℠ and Medicare Plus Blue℠ PPO members in the Fit4D diabetes management program, managed by Cecilia Health, began transitioning to Livongo for diabetic management services. Members enrolled in Fit4D will complete their programs before being offered the new program.

The goal of the diabetic management program is to help patients self-manage their condition, improve medication adherence and reduce unnecessary use of emergency room visits and inpatient admissions.

The target population for the program includes members with diabetes (Type 1 and Type 2) who have one of the following:

    • A1c ranges ≥ 8.0
    • Insulin first fill (defined as only one insulin fill in a rolling 12-month period)
    • No HbA1c within the last 12 months
    • Non-adherent to diabetes medications (Centers for Medicare & Medicaid Services star measure)

Our Care Management team will refer members to the program. Providers won’t need to make recommendations.

Livongo will provide glucometers and supplies to monitor members’ glucose readings. Certain readings that are out of normal range will trigger an alert and follow-up by the Livongo clinical team.

Members will have access to an app and web-based support and education. They’ll be co-managed by our Care Management department and Livongo.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2019 American Medical Association. All rights reserved.