Skin in the game: Does paying for obesity treatment out of pocket lead to better outcomes compared to insurance coverage?

Ard, Jamy D.; Emery, Matthew; Cook, Miranda; Hale, Erica; Frain, A.; Lewis, Kristina H.; Song, Eun-Young

doi:10.1002/oby.21837

Cited by 6 publications

(3 citation statements)

References 12 publications

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“…We do acknowledge that the provision of total subsidy was also likely a key factor. In other studies, retention has been found to be low among commercial weight‐loss programmes and medically supervised weight loss when financial support is not provided . For example, retention was 22% at 6 months and only 7% at 12 months among Jenny Craig participants …”

Section: Discussionmentioning

confidence: 95%

“…17 Details about Innergy have been published previously. 18,19 In the first 3 months, participants have weekly calls with their coach, and then calls decrease in occurrence after that point (once a month during months 4-12 and every 6-8 weeks in months [13][14][15][16][17][18][19][20][21][22][23][24]. The coaches provide support and promote behaviour change using motivational interviewing techniques-coaching is considered the key feature of this programme.…”

Section: Description Of Commercial Programmementioning

confidence: 99%

“…In other studies, retention has been found to be low among commercial weight-loss programmes and medically supervised weight loss when financial support is not provided. 22,23 For example, retention was 22% at 6 months and only 7% at 12 months among Jenny Craig participants. 22 For some organizations, completely subsidizing the costs of a programme is not possible-and our results indicate that a cost sharing approach has similar continued participation and weight loss to the subsidy approach.…”

Section: T a B L E 1 Baseline Characteristics Initial Engagement Andmentioning

confidence: 99%

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Influence of subsidies and promotional strategies on outcomes in a beneficiary‐based commercial weight‐loss programme

et al. 2019

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To determine whether initial engagement, continued participation, and weight loss vary by subsidy and promotional strategies in a beneficiary‐based, commercial weight‐loss programme. We conducted a retrospective analysis of data from 2013 to 2016. Our dependent variables included initial engagement (≥1 calls; ≥2 weights), coach calls and weight change. Our independent variables were subsidy strategy (total subsidy (n = 9) vs cost sharing (n = 3)) and combination of promotional‐subsidy strategies (mixed campaign + total subsidy (n = 6) vs mass media + total subsidy (n = 3)). We used logistic and linear regression analyses adjusted for beneficiary factors and clustering by organization. From 12 participating organizations, 26 068 beneficiaries registered of which 6215 initially engaged. Cost sharing was associated with significantly greater initial engagement as compared to total subsidy (OR 3.73, P < 0.001); however, no significant between‐group differences existed in calls or weight change. Mass media + total subsidy group had significantly greater calls and weight loss at 12 months compared to mixed campaign + total subsidy (−2.6% vs −1.8%, P = 0.04). Cost sharing may promote greater initial engagement, although does not contribute to better participation or weight loss relative to total subsidy. If organizations elect total subsidy, then pairing this strategy with a mass media campaign may promote greater participation and weight loss among beneficiaries.

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Section: Discussionmentioning

confidence: 95%