The effectiveness of group-based comprehensive, multidisciplinary (stage 3) pediatric weight management programs is backed by a growing body of literature, yet insurance coverage of these programs is scarce to nonexistent, limiting their reach and long-term survival. The objective of this study was to better understand the perspectives of insurers and large employers on the issue of group-based treatment coverage.
Design and Methods:
The authors performed a qualitative study utilizing structured interviews with these stakeholders, following accepted techniques.
Six major themes emerged: cost, program effectiveness, corporate social responsibility, secondary parental (employee) benefits, coverage options and new benefit determination.
Future efforts to secure payment for group-based pediatric weight management programs should address these key themes.