Development and Application of a Cost Tool For a Primary Care-based Intensive Health Behaviour and Lifestyle Treatment.

Details

• Alternative Title:
  Pediatric Obesity, June 2025: Development and Application of a Cost Tool For a Primary Care-based Intensive Health Behaviour and Lifestyle Treatment.
• Journal Article:
  Pediatric Obesity
• Personal Author:
  Ruggiero, Cara F ; French, Dustin D. ; Smith, Justin D. ; Perkins, Meghan E. ; Liebhart, Janice ; Lindros, Jeanne ; Salmon, Jeremiah ; Biggs, Vincent ; Wu, Allison J. ; Wright, Davene R. ; Taveras, Elsie M. ; Fiechtner, Lauren
• Description:
  This paper aims to describe the development and application of a cost tool to help predict return on investment and sustainability of the Healthy Weight Clinic Family Healthy Weight Program (FHWP) through insurance reimbursement.
  
  Case studies to apply the cost tool were conducted with 3 sites to assess the break-even point for clinic patient volume (i.e., financial neutral point: operational costs = revenue) during implementation. Financial neutral points were based on average reimbursement rates per health centre.
  
  The annual fixed cost of the intervention ranged from $65 252 to $79 024. The average revenue ranged from $806-$1663 per patient through medical reimbursement, and the clinics needed to care for an average of 37-81 patients annually to break even.
  
  Use of an adaptable cost tool that captures reimbursement of clinical provider time and a minimum stream of clinical volume can equip decision-makers in planning financially to implement and sustain a clinically based FHWP.
• Content Notes:
  Author manuscript
• Subjects:
  • Budgets
  • Pediatrics
  • Weight Reduction Programs
• Keywords:
  • Budget impact analysis
  • pediatrics
  • intensive health behavior and lifestyle treatment
  • family healthy weight program
  • implementation science
• Source:
  Pediatric Obesity, June 2025
• DOI:
  https://doi.org/10.1111/ijpo.70028
• ISSN:
  2047-6302 ; 2047-6310
• Pubmed ID:
  40534181
• Pubmed Central ID:
  PMC12288091
• Document Type:
  Text
• Funding:
  K23HD090222/National Institute of Child Health and Human Development/ ; K23 DK135822/DK/NIDDK NIH HHSUnited States/ ; K23 HD090222/HD/NICHD NIH HHSUnited States/ ; U18DP006424/CC/CDC HHSUnited States/ ; K23DK135822/DK/NIDDK NIH HHSUnited States/ ; U18 DP006424/DP/NCCDPHP CDC HHSUnited States/
• Genre:
  Journal Article
• Pages in Document:
  e70028 (9 pdf pages)
• Download URL:
  https://stacks.cdc.gov/view/cdc/261322/cdc_261322_DS1.pdf
• File Type:
  [PDF - 317.34 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:3134c339ff18be53dbf39eda46c6a75c2368b58da17bf8455a4ba6268ae4eee366c02886b4ce2856ae50981f726220d66a2d5cd3309aa4341b5a38b82b5dd4a6