The Impact of Obesity on Health Care Utilization and Expenditures in a Medicare Supplement Population
Objective: Obesity is a contributor to increased chronic conditions resulting in higher utilization of medical services among broad populations of older adults. The objective of this study was to evaluate the magnitude of the impact of weight on health care use patterns among Medicare Supplement ins...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2016-01-01
|
| Series: | Gerontology and Geriatric Medicine |
| Online Access: | https://doi.org/10.1177/2333721415622004 |
| _version_ | 1818414798811955200 |
|---|---|
| author | Shirley Musich PhD Stephanie MacLeod MS Gandhi R. Bhattarai PhD Shaohung S. Wang PhD Kevin Hawkins PhD Frank G. Bottone RDN, PhD Charlotte S. Yeh MD |
| author_facet | Shirley Musich PhD Stephanie MacLeod MS Gandhi R. Bhattarai PhD Shaohung S. Wang PhD Kevin Hawkins PhD Frank G. Bottone RDN, PhD Charlotte S. Yeh MD |
| author_sort | Shirley Musich PhD |
| collection | DOAJ |
| description | Objective: Obesity is a contributor to increased chronic conditions resulting in higher utilization of medical services among broad populations of older adults. The objective of this study was to evaluate the magnitude of the impact of weight on health care use patterns among Medicare Supplement insureds. Method: We estimated the impact of weight as a function of body mass index (BMI) on health care utilization and expenditures using propensity weighted multivariate regression models. The outcomes were controlled initially for demographics and socioeconomics and then additionally for chronic conditions and health status. Results: Among the 9,484 survey respondents, 22.9% were obese. Those categorized as obese were significantly more likely to incur inpatient admissions and orthopedic procedures. Annualized health care expenditures were US$1,496 higher for obese compared with normal weight. The excess utilization and expenditures associated with obesity were explained by chronic conditions and poor health status. Conclusion: Obesity-related expenditures associated with medical management are largely preventable and may benefit from interventions that target lifestyle behaviors and weight management among older adults. |
| first_indexed | 2024-12-14T11:24:50Z |
| format | Article |
| id | doaj.art-3d543aa4ae874edfb2ebe1b5a551a89f |
| institution | Directory Open Access Journal |
| issn | 2333-7214 |
| language | English |
| last_indexed | 2024-12-14T11:24:50Z |
| publishDate | 2016-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Gerontology and Geriatric Medicine |
| spelling | doaj.art-3d543aa4ae874edfb2ebe1b5a551a89f2022-12-21T23:03:34ZengSAGE PublishingGerontology and Geriatric Medicine2333-72142016-01-01210.1177/233372141562200410.1177_2333721415622004The Impact of Obesity on Health Care Utilization and Expenditures in a Medicare Supplement PopulationShirley Musich PhD0Stephanie MacLeod MS1Gandhi R. Bhattarai PhD2Shaohung S. Wang PhD3Kevin Hawkins PhD4Frank G. Bottone RDN, PhD5Charlotte S. Yeh MD6Advanced Analytics, Optum, Ann Arbor, MI, USAAdvanced Analytics, Optum, Ann Arbor, MI, USAAdvanced Analytics, Optum, Ann Arbor, MI, USAAdvanced Analytics, Optum, Ann Arbor, MI, USAAdvanced Analytics, Optum, Ann Arbor, MI, USAScriptorium Medical Writing, Inc., Morrisville, NC, USAAARP Services, Inc., Washington, DC, USAObjective: Obesity is a contributor to increased chronic conditions resulting in higher utilization of medical services among broad populations of older adults. The objective of this study was to evaluate the magnitude of the impact of weight on health care use patterns among Medicare Supplement insureds. Method: We estimated the impact of weight as a function of body mass index (BMI) on health care utilization and expenditures using propensity weighted multivariate regression models. The outcomes were controlled initially for demographics and socioeconomics and then additionally for chronic conditions and health status. Results: Among the 9,484 survey respondents, 22.9% were obese. Those categorized as obese were significantly more likely to incur inpatient admissions and orthopedic procedures. Annualized health care expenditures were US$1,496 higher for obese compared with normal weight. The excess utilization and expenditures associated with obesity were explained by chronic conditions and poor health status. Conclusion: Obesity-related expenditures associated with medical management are largely preventable and may benefit from interventions that target lifestyle behaviors and weight management among older adults.https://doi.org/10.1177/2333721415622004 |
| spellingShingle | Shirley Musich PhD Stephanie MacLeod MS Gandhi R. Bhattarai PhD Shaohung S. Wang PhD Kevin Hawkins PhD Frank G. Bottone RDN, PhD Charlotte S. Yeh MD The Impact of Obesity on Health Care Utilization and Expenditures in a Medicare Supplement Population Gerontology and Geriatric Medicine |
| title | The Impact of Obesity on Health Care Utilization and Expenditures in a Medicare Supplement Population |
| title_full | The Impact of Obesity on Health Care Utilization and Expenditures in a Medicare Supplement Population |
| title_fullStr | The Impact of Obesity on Health Care Utilization and Expenditures in a Medicare Supplement Population |
| title_full_unstemmed | The Impact of Obesity on Health Care Utilization and Expenditures in a Medicare Supplement Population |
| title_short | The Impact of Obesity on Health Care Utilization and Expenditures in a Medicare Supplement Population |
| title_sort | impact of obesity on health care utilization and expenditures in a medicare supplement population |
| url | https://doi.org/10.1177/2333721415622004 |
| work_keys_str_mv | AT shirleymusichphd theimpactofobesityonhealthcareutilizationandexpendituresinamedicaresupplementpopulation AT stephaniemacleodms theimpactofobesityonhealthcareutilizationandexpendituresinamedicaresupplementpopulation AT gandhirbhattaraiphd theimpactofobesityonhealthcareutilizationandexpendituresinamedicaresupplementpopulation AT shaohungswangphd theimpactofobesityonhealthcareutilizationandexpendituresinamedicaresupplementpopulation AT kevinhawkinsphd theimpactofobesityonhealthcareutilizationandexpendituresinamedicaresupplementpopulation AT frankgbottonerdnphd theimpactofobesityonhealthcareutilizationandexpendituresinamedicaresupplementpopulation AT charlottesyehmd theimpactofobesityonhealthcareutilizationandexpendituresinamedicaresupplementpopulation AT shirleymusichphd impactofobesityonhealthcareutilizationandexpendituresinamedicaresupplementpopulation AT stephaniemacleodms impactofobesityonhealthcareutilizationandexpendituresinamedicaresupplementpopulation AT gandhirbhattaraiphd impactofobesityonhealthcareutilizationandexpendituresinamedicaresupplementpopulation AT shaohungswangphd impactofobesityonhealthcareutilizationandexpendituresinamedicaresupplementpopulation AT kevinhawkinsphd impactofobesityonhealthcareutilizationandexpendituresinamedicaresupplementpopulation AT frankgbottonerdnphd impactofobesityonhealthcareutilizationandexpendituresinamedicaresupplementpopulation AT charlottesyehmd impactofobesityonhealthcareutilizationandexpendituresinamedicaresupplementpopulation |