S E Hampl1, A M Davis, M L Sampilo, K L Stephens, K Dean. 1. Department of General Pediatrics, Children's Mercy Hospitals and Clinics/University of MO-Kansas City School of Medicine, Kansas City, Missouri, USA. shampl@cmh.edu
Abstract
OBJECTIVE: The effectiveness of group-based comprehensive, multidisciplinary (stage 3) pediatric weight management programs is backed by a growing body of literature, yet insurance coverage of these programs is scarce to nonexistent, limiting their reach and long-term survival. The objective of this study was to better understand the perspectives of insurers and large employers on the issue of group-based treatment coverage. DESIGN AND METHODS: The authors performed a qualitative study utilizing structured interviews with these stakeholders, following accepted techniques. RESULTS: Six major themes emerged: cost, program effectiveness, corporate social responsibility, secondary parental (employee) benefits, coverage options and new benefit determination. CONCLUSION: Future efforts to secure payment for group-based pediatric weight management programs should address these key themes.
OBJECTIVE: The effectiveness of group-based comprehensive, multidisciplinary (stage 3) pediatric weight management programs is backed by a growing body of literature, yet insurance coverage of these programs is scarce to nonexistent, limiting their reach and long-term survival. The objective of this study was to better understand the perspectives of insurers and large employers on the issue of group-based treatment coverage. DESIGN AND METHODS: The authors performed a qualitative study utilizing structured interviews with these stakeholders, following accepted techniques. RESULTS: Six major themes emerged: cost, program effectiveness, corporate social responsibility, secondary parental (employee) benefits, coverage options and new benefit determination. CONCLUSION: Future efforts to secure payment for group-based pediatric weight management programs should address these key themes.
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