| Enrolling people with prediabetes ages 60-64 in a proven weight loss program could save Medicare $7 billion or more. | |
| | |
MedLine Citation:
|
PMID: 21900657 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Rising chronic disease prevalence among Medicare beneficiaries, including new enrollees, is a key driver of health care spending. Randomized trials have shown that lifestyle modification interventions such as those in the National Diabetes Prevention Program clinical trial reduce the incidence of chronic disease and that community-based programs applying the same principles can produce net health care savings. We propose expanding a proven, community-based weight loss program nationwide and enrolling overweight and obese prediabetic adults ages 60-64. We estimate that making the program available to a single cohort of eligible people could save Medicare $1.8-$2.3 billion over the following ten years. Estimated savings would be even higher ($3.0-$3.7 billion) if equally overweight people at risk for cardiovascular disease were also enrolled. We estimate that lifetime Medicare savings could range from approximately $7 billion to $15 billion, depending on how broadly program eligibility was defined and actual levels of program participation, for a single "wave" of eligible people. In this context we propose that Medicare expand its new wellness benefit to include reimbursement for this and other qualifying behavior change programs. |
| | |
Authors:
|
Kenneth E Thorpe; Zhou Yang |
Related Documents
:
|
12564707 - From barriers to successful collaboration: public schools and child welfare working tog... 14696697 - Senior grassroots organizations in india. 745837 - Ophthalmology in medical student education: philosophy, content, and process. 15843247 - In the belly of the beast: traumatic countertransference. 10344197 - Analysis of programmed cell death in wheat endosperm reveals differences in endosperm d... 10211257 - Does a student log provide a means to better structure clinical education? |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Health affairs (Project Hope) Volume: 30 ISSN: 1544-5208 ISO Abbreviation: Health Aff (Millwood) Publication Date: 2011 Sep |
Date Detail:
|
Created Date: 2011-09-08 Completed Date: 2012-01-19 Revised Date: 2012-02-14 |
Medline Journal Info:
|
Nlm Unique ID: 8303128 Medline TA: Health Aff (Millwood) Country: United States |
Other Details:
|
Languages: eng Pagination: 1673-9 Citation Subset: IM |
Affiliation:
|
Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA. kthorpe@sph.emory.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Community Networks
/
utilization Cost Savings / methods Female Humans Male Medicare / economics* Middle Aged Prediabetic State* / economics, therapy Risk Reduction Behavior United States Weight Reduction Programs / economics*, utilization* |
| Comments/Corrections | |
Erratum In:
|
Health Aff (Millwood). 2012 Jan;31(1):252 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Health care costs are a key driver of growth in federal and state assistance to working-age people w...
Next Document: At virginia mason, collaboration among providers, employers, and health plans to transform care cut ...