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Diabetes remains a major public health problem that affects ∼29 million Americans, or 9.3% of the U.S. population. Diabetes and its complications account for ∼$176 billion in annual direct medical costs (1). The burden of diabetes is disproportionate among the medically underserved, in particular African-American and Hispanic patients, as well as patients with Medicaid (2,3).Disparities in diabetes care among racial and ethnic minorities can be attributed to a number of factors, including reduced access to care and poorer quality of care (4). Quality diabetes care requires a patient-centered, organized, systematic approach by a coordinated interdisciplinary team of health care professionals (5). Despite advances in diabetes care through the years, 30–50% of patients do not meet their glycemic, blood pressure, or lipid targets (6). Notably, patients with Medicaid tend to have a lower percentage of goal attainment than those with private insurance or Medicare (3). Further complicating these issues is the shortage of adult endocrinologists to treat complex diabetes cases, resulting in overwhelming patient volumes and limited access to care (7).Addressing these barriers is crucial to providing optimal, patient-centered diabetes care. To overcome these challenges, we pioneered a novel specialty diabetes group medical visit (GMV) model at the Cooper University Hospital Urban Health Institute (UHI) in Camden, NJ. Camden has a medically underserved, resource-poor population that is largely African American and Hispanic (8). Our patient population with diabetes is medically complex, with high rates of hypertension, hyperlipidemia, and insulin use.The diabetes GMV model for providing specialty diabetes care serves as a means of solving two intertwined business and clinical problems faced with traditional one-on-one office visits. The clinical rationale for GMVs was based on poor patient experiences, lack of self-management support, and the endocrinologist’s frustration at his inability to offer high-quality, comprehensive care in …

Specialty Group Medical Visits for Patients With Diabetes