Economic Value of Greater Access to Bariatric Procedures for Patients With Severe Obesity and Diabetes

Medical Care
David D KimAnirban Basu

Abstract

Designing optimal insurance is important to ensure access to care for individuals that are most likely to benefit. We examined the potential impact of lowering patient cost-sharing for bariatric procedures. After defining 10 subgroups by body mass index (BMI) and type 2 diabetes mellitus (T2DM), we analyzed the National Health and Nutrition Examination Survey datasets to estimate the prevalence of each subgroup. The MarketScan claims database provided utilization rates and costs of bariatric procedures. Using an existing cost-effectiveness model, we estimated the economic value of bariatric procedures under various cost-sharing levels (0%-25%) with 2 frameworks: (1) a traditional cost-effectiveness analysis and (2) a new approach that incorporates utilization effects across subgroups. The utilization rate was higher among individuals with T2DM than those without T2DM (90.4 vs. 59.1 cases per 100,000) for bariatric procedures, which were more cost-effective for those with T2DM and a higher BMI. After accounting for utilization effects, the economic value of bariatric surgery was $177 and $63 per individual from a lifetime and a 5-year time horizon, respectively. Under no patient cost-sharing for individuals with BMI≥40 and T2DM,...Continue Reading

References

Jan 2, 2008·Journal of Health Economics·Richard V Burkhauser, John Cawley
Feb 13, 2010·Obesity·Walter J PoriesChristopher J Mansfield
Mar 6, 2013·Diabetes Technology & Therapeutics·William H ChapmanWalter J Pories
Mar 26, 2013·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Bruce C M WangSean D Sullivan
Aug 31, 2013·JAMA : the Journal of the American Medical Association·Matthew L Maciejewski, David E Arterburn
Nov 8, 2013·JAMA Surgery·Allison B GoldfineMichael Zinner
Aug 28, 2014·The New England Journal of Medicine·Peter J NeumannMilton C Weinstein
Oct 20, 2015·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Jaime PonceJohn M Morton
Feb 22, 2016·Implementation Science : IS·Emily E JohnsonKit N Simpson
Jun 5, 2016·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Wayne EnglishJohn Morton
Jun 9, 2016·JAMA : the Journal of the American Medical Association·Katherine M FlegalCynthia L Ogden
Aug 28, 2016·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·David D Kim, Anirban Basu
Oct 4, 2016·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Jaime PonceJohn M Morton
Feb 16, 2017·The New England Journal of Medicine·Philip R SchauerUNKNOWN STAMPEDE Investigators
Apr 26, 2017·Medical Decision Making : an International Journal of the Society for Medical Decision Making·David D Kim, Anirban Basu
Jan 27, 2018·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Wayne J EnglishJohn M Morton

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Citations

Nov 17, 2019·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·Qing XiaAndrew J Palmer
Nov 22, 2019·Obesity Surgery·Selim G GebranYvonne M Rasko
Aug 20, 2019·Annals of Surgery·Guilherme M CamposLuke Wolfe
Feb 24, 2021·Diabetes, Obesity & Metabolism·Rickesha WilsonAbd A Tahrani
Mar 6, 2021·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Hamlet GasoyanDavid B Sarwer
Apr 13, 2021·Obesity Science & Practice·Keith WirthDaniel B Leslie

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Methods Mentioned

BETA
pharmacotherapy
gastric bypass

Software Mentioned

Marketscan

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