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Insurer and employer views on pediatric obesity treatment: A qualitative study
Authors:S.E. Hampl  A.M. Davis  M.L. Sampilo  K.L. Stephens  K. Dean
Affiliation:1. Department of General Pediatrics, Children's Mercy Hospitals and Clinics/University of MO‐Kansas City School of Medicine, Kansas City, Missouri, USA;2. Center for Children's Healthy Lifestyles and Nutrition, Kansas City, Kansas, USA;3. Department of Pediatrics, University of Kansas Medical Center, Kansas City, Kansas, USA;4. Clinical Child Psychology Program, University of KS, Lawrence, Kansas, USA
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.
Keywords:
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