ManagedCareCGM

This site is intended for managed care professionals in the U.S.

This site is intended for managed care professionals in the U.S.

Professionals in Canada should visit CanadaCGM.com

Continuous Glucose Monitoring

Education for Managed Care, Pharmacy, and Payer Professionals

Addressing Social Determinants of Health (SDOH) and Racial/Ethnic Disparities in Diabetes with Real-Time CGM

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Payer Perspectives on the Value of Real-Time Continuous Glucose Monitoring

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Lower A1c and Reduce Hospital/ED Use in Members with Insulin-Treated Type 2 Diabetes via Real-Time Continuous Glucose Monitoring

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CMS expands Medicare coverage for CGM, eliminating requirement of 4 fingersticks per day prior to accessing CGM

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Featured Article

"Our real-world study found that in patients with insulin-treated diabetes, initiating a continuous glucose monitor substantially improved blood glucose control and cut the rate of emergency room visits for hypoglycemia in half,” Andrew J. Karter, PhD

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Conference Update:

Latest Research in Diabetes Technology: Highlights from ATTD 2022

Click here for a summary of key abstracts that highlight findings on the value of rtCGM pertinent to managed care and payer decision makers.

Featured Resource:

Highlights From a CGM Expert Interview With Davida F. Kruger, MSN, APN-BC, BC-ADM

As part of a new series of video resources hosted on ManagedCareCGM.com, Davida F. Kruger, MSN, APN-BC, BC-ADM, Certified Nurse Practitioner at Henry Ford Health System (HFHS)/Health Alliance Plan (HAP), offers her insights on progressive approaches to diabetes coverage and management. 

Click here for the full interview.

 

Featured Article:

Use of real-time CGM linked to lower health care costs in type 2 diabetes

Real-world data show that rtCGM initiation resulted in savings of $424 per member per month (PMPM), driven by a decrease in inpatient hospitalization costs among users with T2D. This retrospective claims analysis adds to the mounting body of evidence demonstrating the value of rtCGM in T2D for improving outcomes and reducing health care resource utilization among plan members.

In The News:

FDA Grants Breakthrough Device Designation for Dexcom Hospital CGM System

 

Featured Publications

 

 

Rethinking Diabetes Care In The Digital Age – Findings from the 2021 Digital Quality Summit 

 

Expanding Medicaid Access to Continuous Glucose Monitors

 

Emerging Landscape of Continuous Glucose Monitoring

Diabetes Technology & Therapeutics

 

Association of Real-time Continuous Glucose Monitoring With Glycemic Control and Acute Metabolic Events Among Patients With Insulin-Treated Diabetes

The Journal of the American Medical Association

 

Comparing real-time and intermittently scanned continuous glucose monitoring in adults with type 1 diabetes (ALERTT1): a 6-month, prospective, multicenter, randomized controlled trial

The Lancet

 

Effect of Continuous Glucose Monitoring on Glycemic Control in Patients with Type 2 Diabetes Treated with Basal Insulin: A Randomized Clinical Trial

The Journal of the American Medical Association

 

Recent News

 

CMS revised Medicare coverage criteria for therapeutic CGMs. Most notably, eliminating a requirement that beneficiaries use four fingerstick tests per day prior to accessing CGM. Effective July 18, 2021.

Centers for Medicare & Medicaid Services

 

Real-time CGM lowers HbA1c, reduces ED visits in insulin-treated diabetes

Endocrine Today

 

 

Advisory Board

Joseph Albright, PharmD

Manager, Clinical Pharmacy Services
BlueCross BlueShield North Carolina
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Jeffrey D. Dunn, PharmD, MBA

(Formerly) Vice President, Clinical Strategy and Programs and Industry Relations
MagellanRx Management
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Daniel DeSalvo, MD

Assistant Professor of Pediatrics
Director of Strategic Collaboration
Diabetes Clinic CPT Co-Director
Section of Pediatric Diabetes & Endocrinology
Baylor College of Medicine/Texas Children's Hospital
Read More

Latest Expert Interview

Archived Interviews

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