ArticleSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery2019
Impact of insurance plan design on bariatric surgery utilization.
Article in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Randomized Controlled Trial Based US Commercial Payor Cost-Effectiveness Analysis of Endoscopic Sleeve Gastroplasty Versus Lifestyle Modification Alone for Adults With Class I/II Obesity.Obesity surgery · 2024Trial
- Association of patient characteristics and insurance type with anti-obesity medications prescribing and fills.Diabetes, obesity & metabolism · 2024Article
- The Long-term Value of Bariatric Surgery Interventions for American Adults With Type 2 Diabetes Mellitus.Annals of surgery · 2023Article
- Behavioral Interventions After Bariatric Surgery.Current treatment options in gastroenterology · 2022Review
- Editorial: Novel Insights Into Obesity-Related Diseases.Frontiers in physiology · 2022Article
- Rural/urban weight-loss outcomes following bariatric surgery.Obesity science & practice · 2021Article
- Role of weight bias and patient-physician communication in the underutilization of bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2021Review
- The role of health insurance characteristics in utilization of bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2021Article
- Do Insurance-mandated Precertification Criteria and Insurance Plan Type Determine the Utilization of Bariatric Surgery Among Individuals With Private Insurance?Medical care · 2020Article
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4 authors.
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Abstract
backgroundBariatric surgery is underused in the United States.
objectivesThis study examined whether utilization of bariatric surgery is associated with payor and insurance plan type, after removing potential sociodemographic confounders.
settingThe study used Pennsylvania Health Care Cost Containment Council's data in 5 counties of Pennsylvania from 2014 to 2016.
methodsBariatric surgery patients and eligible patients who did not undergo surgery were identified and 1:1 matched by age, sex, race, and zip code (n = 5114). A logistic regression was performed to investigate the association of payor type and insurance plan within payor type with odds of undergoing bariatric surgery.
resultsThe odds of undergoing bariatric surgery were not statistically different based on payor type. Medicare preferred provider organization plan was associated with greater odds of undergoing surgery (odds ratio [OR] = 2.49, 95% confidence interval [CI] 1.23-5.04, P = .01) compared with Medicare health maintenance organization (HMO). Medicaid fee for service plan was associated with smaller odds of undergoing surgery (OR = .04, 95% CI .005-.27, P = .001) compared with Medicaid HMO. Individuals with Blue Cross preferred provider organization (OR = 2.43, 95% CI 1.83-3.24, P < .001), Blue Cross fee for service (OR = 1.79, 95% CI 1.32-2.43, P < .001), and Blue Cross HMO (OR = 1.85, 95% CI 1.39-2.46, P < .001) had greater odds of undergoing surgery compared with those with other commercial HMO plans.
conclusionsSpecific aspects of insurance plan design, rather than more general payor type, is more strongly associated with the utilization of bariatric surgery. Further investigations could identify which components of insurance plan design have the greatest influence on the utilization of bariatric surgery.
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