Keeping A1C in Check

How to Turn Diabetes Management from Reactive to Proactive

Diabetes is one of the most common and costly chronic conditions in the U.S. The CDC estimates that over 38 million people have diabetes, and another 97 million have prediabetes. Left unmanaged, diabetes leads to complications like heart disease, kidney failure, and vision loss – all of which drive up healthcare costs and impact quality scores. Early, consistent engagement can prevent complications and keep members healthier. But traditional outreach methods (like blanket reminders or generic emails) often fail to connect with the members who need help the most. Moving from a reactive approach to a proactive approach is key to helping your members keep their A1C in check.

What’s Standing in the Way of Better Diabetes Care?

Despite payer and TPA efforts, common challenges prevent members from staying on top of their diabetes management:

• Missed A1C Tests: Routine testing helps monitor blood sugar levels, but many members delay or skip their screenings.
• Medication Non-Adherence: A mix of cost concerns, forgetfulness, and side effects cause some members to stop taking their prescribed medications.
• Lack of Personalized Support: Not all members need the same type of outreach. Some respond to digital reminders, while others need direct care coordination.
• Health Literacy Barriers: Understanding diabetes management isn’t always easy. Some members struggle to navigate their care plans.

To solve these issues, engagement strategies need to be targeted, timely, and personal. That’s where smarter technology comes in.

How Payers and TPAs Can Improve Diabetes Engagement

Shifting to a proactive diabetes management approach means reaching members before their care gaps turn into high-cost events. Here’s how payers and TPAs can do it:

• Use Predictive Analytics to Identify At-Risk Members: Not all members with diabetes need the same level of outreach. Advanced data analytics can pinpoint members who are overdue for an A1C test, at risk of medication non-adherence, or showing signs of worsening conditions.
• Personalize Outreach Based on Member Preferences: Some members respond to SMS reminders, while others need live phone support. Engagement strategies should be multi-channel and tailored to how each member prefers to interact.
• Support Members Beyond the Doctor’s Office: Providing access to educational resources, lifestyle coaching, and medication support helps members stay engaged in their care outside of clinical visits.
• Close Gaps with Proactive, Ongoing Communication: Diabetes care isn’t a one-time event—it requires consistent follow-ups. Automated yet personalized engagement ensures that members receive reminders and guidance throughout their health journey.

 

How Clarity Helps Payers and TPAs Take a Proactive Approach

At Clarity, we help payers and TPAs engage diabetes members before complications arise. Our Member Engagement platform uses predictive analytics to identify at-risk members and deliver timely, personalized outreach that drives action. Whether it’s an overdue A1C test, a medication refill reminder, or lifestyle support, our technology ensures members get the right care at the right time. Better engagement leads to healthier members, lower costs, and improved quality scores. Let’s talk about how we can help your plan turn diabetes management from reactive to proactive.