Assessing the Financial Sustainability of a Virtual Clinic Providing Comprehensive Diabetes Care
Authors' conclusion
Virtual diabetes care can be financially viable, although profitability relies on privately insured patients.
Study context
- Population
- Virtual Diabetes Specialty Clinic (VDiSC) participants with T1D or T2D receiving fully virtual diabetes care (virtual visits with certified diabetes care and education specialists (CDCES), endocrinologists and behavioral health services, CGM support and remote patient monitoring)
- Participants
- 234 participants
- Comparison
- Publicly insured vs privately insured vs overall clinic populations
- Outcome
- Gross profit and gross profit margin per member, per month (PMPM)
Methodological detailsfinancial model, two-way sensitivity analyses
- Financial model
- Two-way sensitivity analyses
Main finding
As reported in the abstract
Gross profit and gross profit margin PMPM
| Group | Value | Gross profit margin |
|---|---|---|
| Publicly insured | $−4 (CI $−14.00 to $5.68) | −4% (−3% to −6%) |
| Privately insured | $267.26 (CI $256.59-$277.93) | 73% (58%-88%) |
| Overall clinic | $199.41 (CI $58.43-$340.39) | 67% (32%-102%) |
Value
Publicly insured$−4 (CI $−14.00 to $5.68)
Privately insured$267.26 (CI $256.59-$277.93)
Overall clinic$199.41 (CI $58.43-$340.39)
Gross profit margin
Publicly insured−4% (−3% to −6%)
Privately insured73% (58%-88%)
Overall clinic67% (32%-102%)
Further findings
Drivers of profit and sensitivity
- Profits primarily driven by CDCES visits and remote patient monitoring (RPM)
- Results sensitive to insurance mix, cost-to-charge ratio and commercial-to-Medicare price ratio
Original publication
Assessing the Financial Sustainability of a Virtual Clinic Providing Comprehensive Diabetes Care. J Diabetes Sci Technol. Published 13 May 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →