Financial implications of New York City’s weight management initiative
| Autor: | Alexis C. Wojtanowski, Sagun Agrawal, Eric A. Finkelstein, Gary D. Foster, Laura Tringali |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Financing Government Critical Care and Emergency Medicine Physiology Economics Science Cost-Benefit Analysis Social Sciences Health Promotion Overweight Weight Gain Body Mass Index Health Economics Weight loss Return on investment Weight Loss Health Planning Support Weight management Medicine and Health Sciences Per capita medicine Humans Obesity Longitudinal Studies Evidence-Based Medicine Multidisciplinary Health economics Body Weight Weight change Biology and Life Sciences Middle Aged Health Care Weight Reduction Programs Treatment Outcome Physiological Parameters Medicine Female New York City Business Health Expenditures medicine.symptom Weight gain Research Article Demography |
| Zdroj: | PLoS ONE PLoS ONE, Vol 16, Iss 2, p e0246621 (2021) |
| ISSN: | 1932-6203 |
| DOI: | 10.1371/journal.pone.0246621 |
| Popis: | Purpose To estimate potential annual savings in medical expenditures from a subsidized weight management program from the NYC Government perspective. Design Longitudinal observational study. Setting Employees of New York City (NYC) government and enrolled dependents. Sample 14,946 participants with overweight and obesity. Intervention WW (formerly Weight Watchers®) ‘Workshop’ and ‘Digital’ programs. Measures Participation rate, enrollment duration, weight change, and predicted gross and net total and per capita medical expenditure savings and return on investment (ROI). Analysis Participation rate, enrollment duration, weight change, and program costs are based on direct observation. Predicted savings are simulated based on published data relating weight loss to medical expenditure reductions. Results In total, 47% of participating employees and 50% of participating dependents lost weight during the enrollment period. Mean (median) enrollment duration for employees was 7.1 months (7.0) and for dependents was 6.9 months (6.0). Mean (median) weight losses for the employees in ‘Workshops’ and ‘Digital’ was 6.6 lbs (2.80) and 6.3 lbs (0.0). For dependents, weight losses were 7.4 lbs (3.59) and 11.6 lbs (2.0). Per capita and total predicted net savings to NYC Government from employees was estimated to be $120 and $1,486,102 for an ROI of 143%. Including dependents, predicted net savings increases to $1,963,431 for an ROI of 189%. Over 80% of savings came from participants in the Obese III category. Conclusion An evidence-based weight management program has the potential to generate a positive ROI for employers. Future studies should validate these estimates using actual data and more rigorous designs. |
| Databáze: | OpenAIRE |
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