| Coverage of obesity treatment: a state-by-state analysis of Medicaid and state insurance laws. | |
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MedLine Citation:
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PMID: 20597460 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: We determined whether state Medicaid programs cover recommended treatments for adult and pediatric obesity and to what extent states regulate the treatment and coverage of obesity by private insurers. METHODS: We conducted a state-by-state document review of Medicaid manuals and private insurance laws and regulations. RESULTS: Eight state Medicaid programs appear to cover all recommended obesity treatment modalities for adults. Only 10 states appear to reimburse for obesity-related treatment in children. In the small-group insurance market, 35 states expressly allow obesity to be used for rate adjustments, while 10 states do so in the individual market. Two states expressly allow obesity to be used in eligibility decisions in the individual market. Five states provide for coverage of one or more treatments for obesity in both small-group and individual markets. CONCLUSIONS: Very few states ensure coverage of recommended treatments for adult and pediatric obesity through Medicaid or private insurance. Most states allow obesity to be used to adjust rates in the small-group and individual markets and to deny coverage in the individual market. |
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Authors:
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Jennifer S Lee; Jennifer L O Sheer; Nancy Lopez; Sara Rosenbaum |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Review |
Journal Detail:
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Title: Public health reports (Washington, D.C. : 1974) Volume: 125 ISSN: 0033-3549 ISO Abbreviation: Public Health Rep Publication Date: 2010 Jul-Aug |
Date Detail:
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Created Date: 2010-07-05 Completed Date: 2010-08-31 Revised Date: 2011-07-04 |
Medline Journal Info:
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Nlm Unique ID: 9716844 Medline TA: Public Health Rep Country: United States |
Other Details:
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Languages: eng Pagination: 596-604 Citation Subset: AIM; IM |
Affiliation:
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Department of Emergency Medicine, The George Washington University, Washington, DC 20037, USA. jelee@gwu.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anti-Obesity Agents / therapeutic use Bariatric Surgery / economics Child Counseling / economics Evidence-Based Practice Humans Insurance Coverage / economics*, legislation & jurisprudence Insurance, Health / economics* Medicaid / economics*, legislation & jurisprudence Nutrition Assessment Obesity / economics*, epidemiology, therapy* Practice Guidelines as Topic Private Sector State Government United States / epidemiology |
| Chemical | |
Reg. No./Substance:
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0/Anti-Obesity Agents |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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