American Journal of Managed Care – More than 40 million Americans are living with diabetes, and healthcare has spent years building programs around clinical protocols, reminders and education. Those tools matter, but they don’t answer the more consequential question: did the intervention help create a behavior that lasted?

In a byline for AJMC, AdhereHealth Chief Experience Officer, Dr. Chandra Y. Osborn, explains why diabetes outcomes depend less on identifying gaps and more on understanding why they persist. She explores what it takes to move from episodic outreach to continuous, dynamically responsive support, including:
- How context, routines and life changes disrupt the cues that support daily self-management
- How health plans can build a model that anticipates risk rather than reacting to it after the fact
- Why it’s critical to measure whether behavior change actually persisted, not just whether outreach happened
Read Chandra’s full piece on AJMC.
Published: September 22, 2026