Posts Tagged ‘health economics’

Three Views: Health, Costs, and Obesity

June 22, 2016 — Though total health costs have risen more slowly than expected since the passage of the Affordable Care Act (ACA), they remain high and continue rising. Why? What is the role of obesity and its complications? For perspective, recently consulted with three diverse health industry professionals, including ConscienHealth Founder Ted Kyle. Investment in Prevention. Marcy Buckner […]

Is Obesity Becoming an Economic Issue?

April 13, 2016 — It might be that U.S. business leaders are finally ready to take on obesity as a serious economic issue. At a workshop of the Roundtable on Obesity Solutions at the National Academies in Washington Tuesday, diverse leaders from business, government, and even the banking system made the case that obesity is standing in the way of having […]

The Cost of Ignoring Obesity in an Epidemic of Diabetes

April 9, 2016 — A long history of ignoring obesity has racked up considerable costs for chronic diseases. This history was presented Friday in a symposium sponsored by the American Journal of Managed Care at their annual conference on patient centered diabetes care. Janine Kyrillos of Thomas Jefferson University described the considerable impact of AMA recognizing in 2013 that […]

Surgery Beats Diet and Exercise for Diabetes Remission

March 20, 2016 — Another study is adding to the evidence that bariatric surgery is probably the best bet we have for diabetes remission. In a randomized, controlled clinical trial, David Cummings and colleagues found that surgery beats diet and exercise for remission of type 2 diabetes. In this relatively small, well-controlled study, 60% of surgery patients had remission of […]

What’s Wrong with Your Employer Owning Your Health?

March 6, 2016 — The idea of your employer owning your health has been marching forward since the middle of the 20th century when employer-provided health insurance emerged as a response to labor unions and the fear of post-war inflation. By the mid-1960s, getting health insurance from your employer had become a standard benefit of employment that was nearly universal. […]

Expecting Too Much from BMI

February 10, 2016 — Flogging the limitations of Body Mass Index has become an easy sport. A new study in the International Journal of Obesity provides an excellent perspective on the problems with relying on BMI in isolation as an measure of health. Tomiyama and colleagues analyzed NHANES data for height, weight, and measures of cardiometabolic health, such as blood […]

Rising Disparities, Rising Obesity

January 27, 2016 — A growing body of evidence lends ever more credibility to the idea that rising disparities may have a great deal to do with the seemingly inexorable rise of obesity. The latest is experimental data, published in Appetite, showing that people eat more when confronted with feeling poor or poorer than people around them. The authors […]

Rationing Obesity Care

December 29, 2015 — One of the big hot button issues of Obamacare, healthcare rationing, has faded from public debate. But rationing of bariatric surgery — arguably a life-saving procedure — was a fact of life long before passage of the Affordable Care Act, and it continues to this day. A new publication in Social Science and Medicine by […]

A Merit System for Obesity Care?

October 30, 2015 — A new study of public preferences for determining who gets bariatric surgery provides a remarkably clear answer. The public mainly cares about a patient’s lifestyle. The findings suggest a merit system for obesity care. “Lifestyle commitment was considered to be more than twice as important as any other criterion,” the authors found. These results are unsurprising […]

The Nexus of Managed Care and Obesity

October 27, 2015 — Until recently, managed care and obesity existed in weirdly parallel universes. Obesity was trivialized as if it’s a simple matter of personal choice and thus systematically excluded from coverage under many, if not most, health plans. And health plans paid for ballooning costs of the chronic diseases that resulted. But at the annual symposium of the Academy […]