Partnering with Insurers in Caring for the Most Vulnerable Youth with Diabetes: NICH as an Integrator

Samantha A. Barry, Lena Teplitsky, David V. Wagner, Amit Shah, Brian Rogers, Michael A. Harris

Research output: Contribution to journalReview articlepeer-review

11 Scopus citations


Purpose of review: In this review, we outline barriers to appropriately caring for high-risk youth with diabetes and discuss efforts in partnering with insurers through Alternative Payment Models to achieve the Triple Aim (improved health, improved care, and reduced costs) for this population. Recent findings: Current approaches in caring for youth with diabetes who evidence a high degree of social complexity are woefully ineffective. These youth are vulnerable to repeat diabetic ketoacidosis episodes, poor glycemic control, and excessive utilization of healthcare resources. To effectively pursue the Triple Aim, an “integrator” (i.e., an entity that accepts responsibility for all components of the Triple Aim for a specified population) must be identified; however, this does not fit into current fee-for-service models. Summary: Integrators for youth with diabetes are limited, but early examples of integrator efforts are promising. We present one successful “integrator,” Novel Interventions in Children’s Healthcare (NICH), and detail this program’s efforts in partnering with insurers to serve high-risk youth with diabetes.

Original languageEnglish (US)
Article number26
JournalCurrent diabetes reports
Issue number4
StatePublished - Apr 1 2017


  • APM
  • NICH
  • Type 1 diabetes

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism


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