Premium
Insurer and employer views on pediatric obesity treatment: A qualitative study
Author(s) -
Hampl S.E.,
Davis A.M.,
Sampilo M.L.,
Stephens K.L.,
Dean K.
Publication year - 2013
Publication title -
obesity
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.438
H-Index - 199
eISSN - 1930-739X
pISSN - 1930-7381
DOI - 10.1002/oby.20112
Subject(s) - limiting , payment , multidisciplinary approach , qualitative research , focus group , medicine , weight management , actuarial science , business , medical education , obesity , weight loss , marketing , finance , sociology , mechanical engineering , social science , engineering
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.