At the program’s implementation, the City of Asheville took a long view regarding results, assuming that they would not be able to see a measurable improvement for between 3 and 5 years. They soon discovered that their expectations were extremely conservative as they began to see the measurable impact of hemoglobin A1C readings of their diabetic population decrease substantially. In only 8 month after program’s implementation, the average A1C reading had decreased from 7.6 to 7.0. After 14 months, the readings had experienced an even further reduction.
Based upon the research, these outcomes suggested an expectation for a 70% reduction in the co-morbid conditions for these diabetic members. Below is a graph of the measured readings for all of their population over the first 5 years of the program.
There were also significant changes to other indirect employment costs of these patients in terms of sick-leave usage and disability usage. Below is the graph of measured sick leave over the first 5 years of the program.