Coverage for Obesity Prevention and Treatment Services: Analysis of Medicaid and State Employee Health Insurance Programs
Open accessAbstract
Objective: This study examined changes in coverage for adult obesity treatment services in Medicaid and state employee health insurance programs between 2009 and 2017. Methods: Administrative materials from Medicaid and state employee health insurance programs in all 50 states and the District of Columbia were reviewed for indications of coverage and payment policies specific to evidence‐based treatment modalities for adults (≥ 21 years of age) with obesity, including nutritional counseling, pharmacotherapy, and bariatric surgery. Results: From 2009 to 2017, the proportion of state employee programs indicating coverage increased by 75% for nutritional counseling (from 24 to 42 states), 64% for pharmacotherapy (from 14 to 23 states), and 23% for bariatric surgery (from 35 to 43 states). The proportion of Medicaid programs indicating coverage increased by 133% for nutritional counseling (from 9 to 21 states) and 9% for bariatric surgery (from 45 to 49 states), with no net increase for pharmacotherapy (16 states in both plan years). Conclusions: Coverage for adult obesity care improved substantially in Medicaid and state employee insurance programs since 2009. However, recommended treatment modalities are still not covered in many states. Where coverage has expanded, educating providers and beneficiaries on the availability and proper use of evidence‐based obesity treatments may improve health outcomes.
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- Authors
- Jannah, N., Hild, J., Gallagher, C., & Dietz, W.
- Affiliations
- George Washington University (US)
- Corresponding author
- Jannah, Nichole
- Venue
- Obesity
- Publisher
- Wiley
- Published
- 2018-11-14
- Volume
- 26
- Issue
- 12
- Pages
- 1834-1840
- ISSN
- 1930-7381 (ISSN-L)
- 1930-739X
- OpenAlex
- W2798214195
- Semantic Scholar
- 3be3c93c18702667afa3df20ccc16040aba5e7bd
- Cited by
- 72
- References
- 18
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 10 · 2023: 9 · 2022: 16 · 2021: 9 · 2020: 6 · 2019: 7
- FWCI
- 5.72
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- public-domain
- onlinelibrary.wiley.com/termsAndConditions#vor (vor)
- Locations
- Obesity (publishedVersion, public-domain)
- PubMed (publishedVersion)
- Funders
- Novo Nordisk
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- Medicaid, nutrition counseling, obesity pharmacotherapy, bariatric surgery, health insurance expansion, health policy
- MeSH terms
- Female, Health Services Accessibility, Humans, Insurance, Health, Male, Medicaid, Obesity, United States, Insurance Coverage
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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