08-03-2023_BoardBook
the diabetes care providers, payers for diabetes care, entities where diabetes care is delivered, and
researchers of diabetes care was used as the model for the STOP Obesity Alliance convening.
Policy changes are needed to accelerate obesity quality measure implementation. Regulators at
the federal and state levels are encouraged to identify existing authorities to change Medicare and
Medicaid coverage determinations and update antiquated interpretations of statute to allow coverage
of evidenced-based obesity therapies and treatments. The rationale is that guideline-based clinical care
of obesity is not fully recognized in coverage policies. Further, regulators and career staff at CMS are
encouraged to engage with stakeholders in the obesity quality measure development and
implementation process. These actions can remove some of the existing barriers impeding access to
obesity care, coverage, and payment.
Conclusion
Over two decades have passed since the Diabetes Quality Improvement Project. That project
improved diabetes care, making it a common part of healthcare delivery. The U.S. is at a juncture where
most of our population is living with obesity or overweight. There is a window of opportunity to unite
around a strategy to develop obesity quality measures and incorporate them into payment programs.
The recommendations and solutions identified at the STOP Obesity Alliance roundtable will lead to a
roadmap to develop and implement obesity quality measure efforts over the next several years. Our
goal is to develop and implement a standardized set of quality measures for obesity that incentivizes
clinical care, payment, and improves health outcomes for people living with obesity.
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