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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 deli...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Columbia Data Analytics, LLC
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8249093/ https://www.ncbi.nlm.nih.gov/pubmed/34250178 http://dx.doi.org/10.36469/001c.24896 |
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author | Srivastava, Gitanjali Paris, Chelsea Johnson, Jessica Barnes, Emma Cunningham, Brittany L. Stimson, C. J. Niswender, Kevin D. Poon, Sabrina J. |
author_facet | Srivastava, Gitanjali Paris, Chelsea Johnson, Jessica Barnes, Emma Cunningham, Brittany L. Stimson, C. J. Niswender, Kevin D. Poon, Sabrina J. |
author_sort | Srivastava, Gitanjali |
collection | PubMed |
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 | Online Article Text |
id | pubmed-8249093 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Columbia Data Analytics, LLC |
record_format | MEDLINE/PubMed |
spelling | pubmed-82490932021-07-08 Specialized Medical Weight Management Intervention for High-Risk Obesity Srivastava, Gitanjali Paris, Chelsea Johnson, Jessica Barnes, Emma Cunningham, Brittany L. Stimson, C. J. Niswender, Kevin D. Poon, Sabrina J. J Health Econ Outcomes Res Other Conditions 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. Columbia Data Analytics, LLC 2021-07-01 /pmc/articles/PMC8249093/ /pubmed/34250178 http://dx.doi.org/10.36469/001c.24896 Text en https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (4.0) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Other Conditions Srivastava, Gitanjali Paris, Chelsea Johnson, Jessica Barnes, Emma Cunningham, Brittany L. Stimson, C. J. Niswender, Kevin D. Poon, Sabrina J. Specialized Medical Weight Management Intervention for High-Risk Obesity |
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 |
topic | Other Conditions |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8249093/ https://www.ncbi.nlm.nih.gov/pubmed/34250178 http://dx.doi.org/10.36469/001c.24896 |
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