4.19.2023 Board Book

Gastric Bypass: The National Patient-Centered Clinical Research Network (PCORNet) Bariatric Study. JAMA Surg. 2020 May 1;155(5):e200087. doi: 10.1001/jamasurg.2020.0087. Epub 2020 May 20. PMID: 32129809; PMCID: PMC7057171 xii Hecht LM, Pester B, Braciszewski JM, et al. Socioeconomic and Racial Disparities in Bariatric Surgery. Obes Surg. 2020;30(6):2445-2449. doi:10.1007/s11695-020-04394-7 xiii NEHI-Network for Excellence in Health Innovation, “Obesity and Type 2 Diabetes: A NEHI Policy Brief,” November 2019, accessed at https://www.nehi-us.org/publications/84-obesity-and-type-2-diabetes-a-nehi-policy-brief/view xiv Ward, op cit xv Hall, op cit xvi Brown, op cit xvii Saunders KH, Igel LI, Aronne LJ. Telemedicine could be the solution to scaling obesity treatment. Obesity (Silver Spring). 2022 Mar;30(3):573-574. doi: 10.1002/oby.23391. PMID: 35195365. xviii Dietz WH, Gallagher C. A Proposed Standard of Obesity Care for All Providers and Payers. Obesity (Silver Spring). 2019 Jul;27(7):1059-1062. doi: 10.1002/oby.22507. PMID: 31231954. xix Casanova D, Kushner RF, Ciemins EL, Smolarz BG, Chambers E, Leaver-Schmidt E, Kennedy J, Garvey WT. Building Successful Models in Primary Care to Improve the Management of Adult Patients with Obesity. Popul Health Manag. 2021 Oct;24(5):548-559. doi: 10.1089/pop.2020.0340. Epub 2021 Mar 30. PMID: 33784483 xx Saunders, op cit xxi Müller TD, Blüher M, Tschöp MH, DiMarchi RD. Anti-obesity drug discovery: advances and challenges. Nat Rev Drug Dis cov. 2022 Mar;21(3):201-223. doi: 10.1038/s41573-021-00337-8. Epub 2021 Nov 23. PMID: 34815532; PMCID: PMC8609996 xxii A recent (2020) study conducted by the American Medical Group Association (AMGA) found documentation of obesity in about 40 percent of 689,000 electronic health records maintained by 15 health care systems throughout the U.S., while a 2022 analysis of nearly 3 million payment claims by Avalere Health found a primary diagnosis of obesity in only about 15 percent or less of claims. See: Ciemins EL, Joshi V, Cuddeback JK, Kushner RF, Horn DB, Garvey WT. Diagnosing Obesity as a First Step to Weight Loss: An Observational Study. Obesity (Silver Spring). 2020 Dec;28(12):2305-2309. doi: 10.1002/ oby.22954. Epub 2020 Oct 7. PMID: 33029901; PMCID: PMC7756722; and, Avalere Health, op cit xxiii Ciemins et al, op cit. xxiv Ciemins, op cit xxv Avalere Health, op cit xxvi “After 30 years -- new guidelines for weight-loss surgery,” Science Daily, October 21, 2022, accessed at https://www. sciencedaily.com/releases/2022/10/221021093735.htm xxvii Padwal RS, Pajewski NM, Allison DB, Sharma AM. Using the Edmonton obesity staging system to predict mortality in a population-representative cohort of people with overweight and obesity. CMAJ. 2011 Oct 4;183(14):E1059-66. doi: 10.1503/ cmaj.110387. Epub 2011 Aug 15. PMID: 21844111; PMCID: PMC31Use 5097. xxviii Garvey WT. New Horizons. A New Paradigm for Treating to Target with Second-Generation Obesity Medications. J Clin Endocrinol Metab. 2022 Mar 24;107(4):e1339-e1347. doi: 10.1210/clinem/dgab848. PMID: 34865050; PMCID: PMC8947217. xxix Saunders, op cit

39

Envisioning Value-based Provider Payment for Obesity Treatment and Support