Prediabetes Detection: A Strategic Lever for Health Systems

Experts explain why early recognition of prediabetes is crucial for improving clinical quality and reducing healthcare costs.

Mar. 19, 2026 at 2:22pm

Prediabetes is a common yet often underrecognized condition that can lead to serious health issues like diabetes, cardiovascular disease, and vision loss if left untreated. Health systems that invest in training clinicians to systematically identify and manage prediabetes can see significant improvements in patient outcomes, quality scores, and total cost of care. By embedding prediabetes detection into routine care, health systems can establish sustainable practices that enable earlier intervention and prevention across patient populations.

Why it matters

Diagnosing prediabetes early is a strategic lever for health systems that can have a major impact on both clinical quality and financial performance. Proactive identification and management of prediabetes can reduce downstream complications, emergency department visits, hospital stays, and long-term health issues associated with diabetes. This translates to better patient health, higher quality scores, and lower total cost of care - especially for health systems in risk-based contracts.

The details

To achieve this, health systems should invest in training and education to empower clinicians to intervene earlier with greater precision. This involves reframing prediabetes as a clinically meaningful condition that warrants proactive identification, structured follow-up, and longitudinal risk modification. By creating reliable, consistent screening practices at the point of care, health systems can support consistent identification without increasing clinician burden. Accurate documentation and coding of prediabetes also reinforces quality improvements and financial performance.

  • Prediabetes is a common condition that is often asymptomatic and underrecognized.

The players

Esse Health

A multispecialty physician organization in St. Louis, Missouri, and a leader in value-based care performance for more than 25 years.

Medicare Diabetes Prevention Program (MDPP)

A program that provides structured, evidence-based lifestyle interventions to significantly decrease the progression to type 2 diabetes.

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What’s next

Several proven interventions, such as the MDPP, demonstrate how health systems can capture the opportunities of early prediabetes detection at scale by systematically identifying eligible patients and integrating referral pathways into routine practice.

The takeaway

Early recognition of prediabetes is a core expression of the clinicians' professional responsibility that transcends any specific payment model. It reflects the essence of good medicine and honors the commitment to safeguarding long-term patient health, while also driving sustainable improvements in clinical quality and financial performance for health systems.