Specialized Medical Weight Management Intervention for High-Risk Obesity
**Background:** Bundled payments are services rendered at pre-determined costs with the goal of providing high value care. Our institution’s Episodes of Care team partnered with its tertiary care obesity center to design a novel medical weight management bundle for employers that would collectively...
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| Format: | Article |
| Language: | English |
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Columbia Data Analytics, LLC
2021-07-01
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| Series: | Journal of Health Economics and Outcomes Research |
| Online Access: | https://doi.org/10.36469/001c.24896 |
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| _version_ | 1823860368933388288 |
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| author | Gitanjali Srivastava Chelsea Paris Jessica Johnson Emma Barnes Brittany L. Cunningham C. J. Stimson Kevin D. Niswender Sabrina J. Poon |
| author_facet | Gitanjali Srivastava Chelsea Paris Jessica Johnson Emma Barnes Brittany L. Cunningham C. J. Stimson Kevin D. Niswender Sabrina J. Poon |
| author_sort | Gitanjali Srivastava |
| collection | DOAJ |
| description | **Background:** Bundled payments are services rendered at pre-determined costs with the goal of providing high value care. Our institution’s Episodes of Care team partnered with its tertiary care obesity center to design a novel medical weight management bundle for employers that would collectively deliver high value obesity services.
**Objective:** As a first step, we sought to evaluate short-term medical weight loss outcomes over 6 months at the obesity center.
**Methods:** We retrospectively analyzed weight loss outcomes on 157 patients with commercial insurance coverage over a period of 6 months.
**Results:** Patients ranged in age from 18-72 years, and 77.7% were female. Patients ranged in weight from 160-443 pounds, with a mean body mass index (BMI) of 42.7 kg/m2 (Class 3a severe obesity; BMI range 28.4-74.5). The prevalence of any obesity-related medical condition was 54.1%; at least a quarter of the patients had either prediabetes or Type 2 diabetes mellitus, approximately a third had hypertension, and over 8% had hyperlipidemia. Mean weight loss from the initial program start date was 6.28% (+/-0.48% standard error of mean [SEM]; 95% confidence interval [CI] 5.34-7.23%). Completers (defined as having at least 6 visits with a medical provider) achieved a higher percentage of weight loss (7.06%) from the initial program start compared to non-completers (4.68%; at least 4-5 visits with a medical provider; _P_<0.0158). Approximately 50% of patients were able to achieve >7% weight loss, with over 55% of patients achieving at least 3% weight loss or higher irrespective of BMI classification.
**Conclusions:** Specialized medical weight intervention is effective in treating high-risk obesity with complications. This has implications for enhanced long-term cost savings related to employer coverage of such programs for their employees with obesity. |
| format | Article |
| id | doaj-art-b6cf83910a274e1b821ee4a764e23efa |
| institution | Kabale University |
| issn | 2327-2236 |
| language | English |
| publishDate | 2021-07-01 |
| publisher | Columbia Data Analytics, LLC |
| record_format | Article |
| series | Journal of Health Economics and Outcomes Research |
| spelling | doaj-art-b6cf83910a274e1b821ee4a764e23efa2025-02-10T16:13:05ZengColumbia Data Analytics, LLCJournal of Health Economics and Outcomes Research2327-22362021-07-0182Specialized Medical Weight Management Intervention for High-Risk ObesityGitanjali SrivastavaChelsea ParisJessica JohnsonEmma BarnesBrittany L. CunninghamC. J. StimsonKevin D. NiswenderSabrina J. Poon**Background:** Bundled payments are services rendered at pre-determined costs with the goal of providing high value care. Our institution’s Episodes of Care team partnered with its tertiary care obesity center to design a novel medical weight management bundle for employers that would collectively deliver high value obesity services. **Objective:** As a first step, we sought to evaluate short-term medical weight loss outcomes over 6 months at the obesity center. **Methods:** We retrospectively analyzed weight loss outcomes on 157 patients with commercial insurance coverage over a period of 6 months. **Results:** Patients ranged in age from 18-72 years, and 77.7% were female. Patients ranged in weight from 160-443 pounds, with a mean body mass index (BMI) of 42.7 kg/m2 (Class 3a severe obesity; BMI range 28.4-74.5). The prevalence of any obesity-related medical condition was 54.1%; at least a quarter of the patients had either prediabetes or Type 2 diabetes mellitus, approximately a third had hypertension, and over 8% had hyperlipidemia. Mean weight loss from the initial program start date was 6.28% (+/-0.48% standard error of mean [SEM]; 95% confidence interval [CI] 5.34-7.23%). Completers (defined as having at least 6 visits with a medical provider) achieved a higher percentage of weight loss (7.06%) from the initial program start compared to non-completers (4.68%; at least 4-5 visits with a medical provider; _P_<0.0158). Approximately 50% of patients were able to achieve >7% weight loss, with over 55% of patients achieving at least 3% weight loss or higher irrespective of BMI classification. **Conclusions:** Specialized medical weight intervention is effective in treating high-risk obesity with complications. This has implications for enhanced long-term cost savings related to employer coverage of such programs for their employees with obesity.https://doi.org/10.36469/001c.24896 |
| spellingShingle | Gitanjali Srivastava Chelsea Paris Jessica Johnson Emma Barnes Brittany L. Cunningham C. J. Stimson Kevin D. Niswender Sabrina J. Poon Specialized Medical Weight Management Intervention for High-Risk Obesity Journal of Health Economics and Outcomes Research |
| title | Specialized Medical Weight Management Intervention for High-Risk Obesity |
| title_full | Specialized Medical Weight Management Intervention for High-Risk Obesity |
| title_fullStr | Specialized Medical Weight Management Intervention for High-Risk Obesity |
| title_full_unstemmed | Specialized Medical Weight Management Intervention for High-Risk Obesity |
| title_short | Specialized Medical Weight Management Intervention for High-Risk Obesity |
| title_sort | specialized medical weight management intervention for high risk obesity |
| url | https://doi.org/10.36469/001c.24896 |
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