Evaluating the Economic Impact of Project ECHO Diabetes: Cost Savings From HbA1c Reduction in Type 1 and Type 2 Diabetes

Endocr PractPublished Economic evaluation of a stepped-wedge implementation study

Authors' conclusion

Project ECHO Diabetes achieved substantial cost savings through improved glycemic control, supporting its broader implementation to enhance diabetes care and reduce health care costs.

Study context

Population
Adults with T1D or T2D at Federally Qualified Health Centers in California and Florida, 2021–2022
Participants
32,796 adults
Comparison
Before vs after Project ECHO Diabetes tele-education
  • T1Dn = 1,127
  • T2Dn = 31,669
Outcome
Health care cost savings from HbA1c reductions >9% and comparison with program costs
Methodological detailsbefore and after 6-month intervention, Federally Qualified Health Centers, California and Florida, Intervention: bimonthly tele-education sessions, real-time medical support and access to diabetes management resources over 6 months
  • Before and after 6-month intervention
  • Federally Qualified Health Centers, California and Florida
  • Intervention: bimonthly tele-education sessions, real-time medical support and access to diabetes management resources over 6 months

Main finding

As reported in the abstract

Health care cost savings vs program costs · first year

Estimated first-year per-patient savings

$3205.95

Total program savings

exceeding $5 million

Implementation costs

$513,257

Further findings

Proportion with HbA1c >9%, before vs after · 6 months

T1D: decreased from
31.7% to 26.7%
T2D: decreased from
24.0% to 18.9%

Original publication

Evaluating the Economic Impact of Project ECHO Diabetes: Cost Savings From HbA1c Reduction in Type 1 and Type 2 Diabetes. Endocr Pract. Published 3 July 2025. doi:10.1016/j.eprac.2025.06.025

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